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The Uniformed Services University of the Health Sciences- A Unique Resource- Rice
1. The Uniformed ServicesThe Uniformed Services
UniversityUniversity
of the Health Sciences:of the Health Sciences:
A Unique ResourceA Unique Resource
AMMA/Joint Health Command SymposiumAMMA/Joint Health Command Symposium
CanberraCanberra
30 October 201030 October 2010
2. Uniformed Services University
of the Health Sciences
Uniformed Services UniversityUniformed Services University
of the Health Sciencesof the Health Sciences
3.
4.
5.
6. USU is a joint service institution:
Army, Navy, Air Force and U.S. Public Health Service
• F. Edward Hébert School of Medicine
• Undergraduate – M.D.
• Graduate programs in the biomedical sciences
• Graduate medical education (within NCA)
• Graduate School of Nursing
• Advanced practice degrees (M.S.N)
• Doctoral degree (Ph.D.)
• Postgraduate Dental College
Master of Science degrees (M.S.)
• Armed Forces Radiobiology Research Institute
• U.S. Military Cancer Institute
• Continuing Health Education Programs
USU is a joint service institution:USU is a joint service institution:
Army, Navy, Air Force and U.S. Public Health ServiceArmy, Navy, Air Force and U.S. Public Health Service
•• F. EdwardF. Edward HHéébertbert School of MedicineSchool of Medicine
•• UndergraduateUndergraduate –– M.D.M.D.
•• Graduate programs in the biomedical sciencesGraduate programs in the biomedical sciences
•• Graduate medical education (within NCA)Graduate medical education (within NCA)
•• Graduate School of NursingGraduate School of Nursing
•• Advanced practice degrees (M.S.N)Advanced practice degrees (M.S.N)
•• Doctoral degree (Ph.D.)Doctoral degree (Ph.D.)
•• Postgraduate Dental CollegePostgraduate Dental College
Master of Science degrees (M.S.)Master of Science degrees (M.S.)
•• Armed Forces Radiobiology Research InstituteArmed Forces Radiobiology Research Institute
•• U.S. Military Cancer InstituteU.S. Military Cancer Institute
•• Continuing Health Education ProgramsContinuing Health Education Programs
7. History of USUHistory of USUHistory of USU
• USU was chartered in 1972 by an act of
Congress, as envisioned by Congressman F.
Edward Hébert (D-LA)
• The medical school opened in 1976; the
Graduate School of Nursing was added in
1993. The Postgraduate Dental College was
added in 2010
• USU is the nation’s military and public
health services academy, with the mission
that includes the accession of fully qualified
officers into the medical, dental,nursing
and medical service corps of the uniformed
services
• Officers provide much of the senior
leadership of the uniformed services health
activities
•• USU was chartered in 1972 by an act ofUSU was chartered in 1972 by an act of
Congress, as envisioned by Congressman F.Congress, as envisioned by Congressman F.
EdwardEdward HHéébertbert (D(D--LA)LA)
•• The medical school opened in 1976; theThe medical school opened in 1976; the
Graduate School of Nursing was added inGraduate School of Nursing was added in
1993. The Postgraduate Dental College was1993. The Postgraduate Dental College was
added in 2010added in 2010
•• USU is the nationUSU is the nation’’s military and publics military and public
health services academy, with the missionhealth services academy, with the mission
that includes the accession of fully qualifiedthat includes the accession of fully qualified
officers into the medical,officers into the medical, dental,nursingdental,nursing
and medical service corps of the uniformedand medical service corps of the uniformed
servicesservices
•• Officers provide much of the seniorOfficers provide much of the senior
leadership of the uniformed services healthleadership of the uniformed services health
activitiesactivities
8. F. Edward Hébert School of MedicineF. EdwardF. Edward HHéébertbert School of MedicineSchool of Medicine
• Average entry age is 24-25
• 3:1 male to female ratio
• 165-180 students per class
• Nearly 50% prior service
• Rank: O-1
• Military unique curriculum
• Army - 37%
• Navy - 30%
• Air Force - 30%
• Public Health Service - 3%
•• Average entry age is 24Average entry age is 24--2525
•• 3:1 male to female ratio3:1 male to female ratio
•• 165165--180 students per class180 students per class
•• Nearly 50% prior serviceNearly 50% prior service
•• Rank: ORank: O--11
•• Military unique curriculumMilitary unique curriculum
•• ArmyArmy -- 37%37%
•• NavyNavy -- 30%30%
•• Air ForceAir Force -- 30%30%
•• Public Health ServicePublic Health Service -- 3%3%
9. Medical students come to USU with widely diverse backgrounds:Medical students come to USU with widely diverse backgrounds:
•• From undergraduate university, no priorFrom undergraduate university, no prior
military affiliationmilitary affiliation
•• ROTCROTC
•• Service AcademiesService Academies
•• Prior service enlistedPrior service enlisted
•• Prior service officerPrior service officer
•• Medic/corpsman, submariner, MP,Medic/corpsman, submariner, MP,
musician, aviator, secondmusician, aviator, second--generation USU students, etc.generation USU students, etc.
11. • Global infectious disease
• WMD/Disaster and
humanitarian assistance
• Medical ethics in war
• Preventive Medicine
• Aviation/aerospace
medicine
• Hypo-/Hyperbaric
medicine
•• Global infectious diseaseGlobal infectious disease
•• WMD/Disaster andWMD/Disaster and
humanitarian assistancehumanitarian assistance
•• Medical ethics in warMedical ethics in war
•• Preventive MedicinePreventive Medicine
•• Aviation/aerospaceAviation/aerospace
medicinemedicine
•• HypoHypo--/Hyperbaric/Hyperbaric
medicinemedicine
12. Unique aspects of Preventive Medicine curriculum:
In addition to the epidemiology and biostatistics that are
taught in most schools, USU provides:
• Preventive services delivery in medical care setting – including oral health
• Extensive 2nd year course in parasitology that includes laboratory diagnosis
of parasitic diseases
• 3rd-4th year intersession course on health services
• Introduction to operational field preventive medicine is included
in Kerkesner by Department of Military and Emergency Medicine
• 4th year electives in tropical medicine, during which students
have structured learning experiences at overseas sites in Africa,
South America, or Southeast Asia.
Unique aspects of Preventive Medicine curriculum:Unique aspects of Preventive Medicine curriculum:
In addition to the epidemiology and biostatistics that areIn addition to the epidemiology and biostatistics that are
taught in most schools, USU provides:taught in most schools, USU provides:
•• Preventive services delivery in medical care settingPreventive services delivery in medical care setting –– including oral healthincluding oral health
•• Extensive 2Extensive 2ndnd year course inyear course in parasitologyparasitology that includes laboratory diagnosisthat includes laboratory diagnosis
of parasitic diseasesof parasitic diseases
•• 3rd3rd--4th year intersession course on health services4th year intersession course on health services
•• Introduction to operational field preventive medicine is inIntroduction to operational field preventive medicine is includedcluded
inin KerkesnerKerkesner by Department of Military and Emergency Medicineby Department of Military and Emergency Medicine
•• 4th year electives in tropical medicine, during which stude4th year electives in tropical medicine, during which studentsnts
have structured learning experiences at overseas sites inhave structured learning experiences at overseas sites in Africa,Africa,
South America, or Southeast Asia.South America, or Southeast Asia.
13. Graduate Education Programs in the Biomedical SciencesGraduate Education Programs in the Biomedical SciencesGraduate Education Programs in the Biomedical Sciences
Research Degree Programs:
Interdisciplinary Ph.D. Programs
•Emerging Infectious Diseases
•Molecular and Cell Biology
•Neuroscience
Department-based Ph.D. Programs
•Clinical and Medical Psychology
•Environmental Health Sciences
•Medical Zoology
Doctor of Public Health
Physician Scientist (MD-Ph.D.)
Research Degree Programs:Research Degree Programs:
Interdisciplinary Ph.D. ProgramsInterdisciplinary Ph.D. Programs
••Emerging Infectious DiseasesEmerging Infectious Diseases
••Molecular and Cell BiologyMolecular and Cell Biology
••NeuroscienceNeuroscience
DepartmentDepartment--based Ph.D. Programsbased Ph.D. Programs
••Clinical and Medical PsychologyClinical and Medical Psychology
••Environmental Health SciencesEnvironmental Health Sciences
••Medical ZoologyMedical Zoology
Doctor of Public HealthDoctor of Public Health
Physician Scientist (MDPhysician Scientist (MD--Ph.DPh.D.).)
14. Master of Public Health
Master of Science in Public Health
Master of Tropical Medicine &
Hygiene
Master of Military Medical History
Master of Healthcare
Administration and Policy
Master of Public HealthMaster of Public Health
Master of Science in Public HealthMaster of Science in Public Health
Master of Tropical Medicine &Master of Tropical Medicine &
HygieneHygiene
Master of Military Medical HistoryMaster of Military Medical History
Master of HealthcareMaster of Healthcare
Administration and PolicyAdministration and Policy
Federal Civilian and Career Officer programs:Federal Civilian and Career Officer programs:Federal Civilian and Career Officer programs:
15. • Master of Healthcare Administration and Policy
- Focused on political and economic dimensions of health policy
- Focused on issues involving cost, quality and access in the
administration of healthcare services
- One year didactic; one year practical experience
- DoD Military Health System
- Veterans Administration headquarters
- Agency for Healthcare Research and Quality
- National Institutes of Health
- TRICARE Management Activity
- USAID/U.S. State Department
- Logistics Management Institute
- Defense Health Board
•• Master of Healthcare Administration and PolicyMaster of Healthcare Administration and Policy
-- Focused on political and economic dimensions of health policyFocused on political and economic dimensions of health policy
-- Focused on issues involving cost, quality and access in theFocused on issues involving cost, quality and access in the
administration of healthcare servicesadministration of healthcare services
-- One year didactic; one year practical experienceOne year didactic; one year practical experience
-- DoDDoD Military Health SystemMilitary Health System
-- Veterans Administration headquartersVeterans Administration headquarters
-- Agency for Healthcare Research and QualityAgency for Healthcare Research and Quality
-- National Institutes of HealthNational Institutes of Health
-- TRICARE Management ActivityTRICARE Management Activity
-- USAID/U.S. State DepartmentUSAID/U.S. State Department
-- Logistics Management InstituteLogistics Management Institute
-- Defense Health BoardDefense Health Board
16. Graduate School of NursingGraduate School of NursingGraduate School of Nursing
• Established by Congress in 1993,
the Graduate School of Nursing’s
mission is to educate advanced
practice nurses
• Uniformed service members;
Average Rank: O-3
• Federal service civilians enrolled in
Ph.D. program
•• Established by Congress in 1993,Established by Congress in 1993,
the Graduate School of Nursingthe Graduate School of Nursing’’ss
mission is to educate advancedmission is to educate advanced
practice nursespractice nurses
•• Uniformed service members;Uniformed service members;
Average Rank: OAverage Rank: O--33
•• Federal service civilians enrolled inFederal service civilians enrolled in
Ph.D. programPh.D. program
17. GSN Unique ContributionsGSN Unique ContributionsGSN Unique Contributions
• Nurse Anesthesia program – Rated among the top 5 in the country
by U.S. News & World Report
• Family Nurse Practitioner program
• Psychiatric Mental Health Nurse
Practitioner program
• Perioperative Clinical Nurse Specialist
program
• Ph.D. in Nursing Science program
•• Nurse Anesthesia programNurse Anesthesia program –– Rated among the top 5 in the countryRated among the top 5 in the country
byby U.S. News & World ReportU.S. News & World Report
•• Family Nurse Practitioner programFamily Nurse Practitioner program
•• Psychiatric Mental Health NursePsychiatric Mental Health Nurse
Practitioner programPractitioner program
•• PerioperativePerioperative Clinical Nurse SpecialistClinical Nurse Specialist
programprogram
•• Ph.D. in Nursing Science programPh.D. in Nursing Science program
18. College of Post-Graduate
Dental Studies
• USAF Comprehensive Dentistry
Residency Program
• Navy Post-graduate Dental School
• Army: under review
• Master of Science in Oral Health
19. • As of May 2010, USU has awarded more than 4,500 medical degrees,
1,100 masters and doctoral degrees in the biomedical sciences, and
470 nursing science degrees
•• As of May 2010, USU has awarded more thanAs of May 2010, USU has awarded more than 4,5004,500 medical degrees,medical degrees,
1,1001,100 masters and doctoral degrees in the biomedical sciences, andmasters and doctoral degrees in the biomedical sciences, and
470470 nursing science degreesnursing science degrees
21. Armed Forces RadiobiologyArmed Forces Radiobiology
Research InstituteResearch Institute
•• Established 1960Established 1960
•• Mission: provide expertise andMission: provide expertise and
operational support in a radiation oroperational support in a radiation or
nuclear eventnuclear event
•• Research program: develop effective andResearch program: develop effective and
safe countermeasuressafe countermeasures
•• TRIGA, CobaltTRIGA, Cobalt6060
, LINAC, LINAC
•• Became part of USU in 2004Became part of USU in 2004
22. Graduate Education Programs in the Biomedical SciencesGraduate Education Programs in the Biomedical SciencesGraduate Education Programs in the Biomedical Sciences
Research Degree Programs:
Interdisciplinary PhD Programs
•Emerging Infectious Diseases
•Molecular and Cell Biology
•Neuroscience
Department-based PhD Programs
•Clinical and Medical Psychology
•Environmental Health Sciences
•Medical Zoology
Doctor of Public Health
Physician Scientist (MD-PhD)
Post-doctoral Fellowships
Research Degree Programs:Research Degree Programs:
Interdisciplinary PhD Programs
•Emerging Infectious Diseases
•Molecular and Cell Biology
•Neuroscience
Department-based PhD Programs
•Clinical and Medical Psychology
•Environmental Health Sciences
•Medical Zoology
Doctor of Public Health
Physician Scientist (MD-PhD)
Post-doctoral Fellowships
23. Center for Disaster and
Humanitarian Assistance Medicine
Center for Disaster andCenter for Disaster and
Humanitarian Assistance MedicineHumanitarian Assistance Medicine
A USU-based center under Department of
Military and Emergency Medicine.
Mission : to advance the understanding
and delivery of disaster medical care and
humanitarian assistance worldwide.
Uniquely positioned academic center
actively developing relationships between
governmental agencies, non-
governmental agencies, and private
volunteer organizations to improve relief
efforts.
A USUA USU--based center under Department ofbased center under Department of
Military and Emergency Medicine.Military and Emergency Medicine.
Mission : to advance the understandingMission : to advance the understanding
and delivery of disaster medical care andand delivery of disaster medical care and
humanitarian assistance worldwide.humanitarian assistance worldwide.
Uniquely positioned academic centerUniquely positioned academic center
actively developing relationships betweenactively developing relationships between
governmental agencies, nongovernmental agencies, non--
governmental agencies, and privategovernmental agencies, and private
volunteer organizations to improve reliefvolunteer organizations to improve relief
efforts.efforts.
24. Recent ExperienceRecent Experience
• Hurricane Katrina
• Banda Aceh, Indonesia
• Afghanistan and Iraq
• Pakistan
• Haiti
• Hurricane Katrina
• Banda Aceh, Indonesia
• Afghanistan and Iraq
• Pakistan
• Haiti
25. Center for Neuroscience
and Regenerative Medicine
Center for NeuroscienceCenter for Neuroscience
and Regenerative Medicineand Regenerative Medicine
Congress directed CNRM to study combat casualties
cared for at WRAMC and NNMC using advanced
neuroimaging technology at the NIH Clinical Center
Congress directed CNRM to study combat casualtiesCongress directed CNRM to study combat casualties
cared for at WRAMC and NNMC using advancedcared for at WRAMC and NNMC using advanced
neuroimagingneuroimaging technology at the NIH Clinical Centertechnology at the NIH Clinical Center
Unprecedented collaboration among USU,
NIH (particularly NIMH, NINDS), WRAMC,
and other federal agencies
Focused on TBI and PTS:
Identifying pathophysiology
Developing models
Understanding plasticity
Exploring regenerative approaches
Enhancing rehabilitation
Unprecedented collaboration among USU,Unprecedented collaboration among USU,
NIH (particularly NIMH, NINDS), WRAMC,NIH (particularly NIMH, NINDS), WRAMC,
and other federal agenciesand other federal agencies
Focused on TBI and PTS:Focused on TBI and PTS:
IdentifyingIdentifying pathophysiologypathophysiology
Developing modelsDeveloping models
Understanding plasticityUnderstanding plasticity
Exploring regenerative approachesExploring regenerative approaches
Enhancing rehabilitationEnhancing rehabilitation
26. Center for the Study of Traumatic StressCenter for the Study of Traumatic Stress
•• Research, education, consultation and trainingResearch, education, consultation and training
•• Preparing for/responding to thePreparing for/responding to the
psychological effects and healthpsychological effects and health
consequences of traumatic eventsconsequences of traumatic events
•• Natural disasters (hurricanes, floodsNatural disasters (hurricanes, floods
and tsunami)and tsunami)
•• HumanHuman--made disasters (motor vehiclemade disasters (motor vehicle
and plane crashes, war, terrorism andand plane crashes, war, terrorism and
bioterrorism)bioterrorism)
•• Studies of genetic vulnerability to stress,Studies of genetic vulnerability to stress,
individual and community responses toindividual and community responses to
terrorismterrorism
•• Policy recommendations to help our nation andPolicy recommendations to help our nation and
its military and civilian populationsits military and civilian populations
27. Center for Deployment PsychologyCenter for Deployment Psychology
•• TrainingTraining
•• SupportSupport
•• ProgramsPrograms
•• ProgressProgress
28. Infectious Diseases Clinical Research Program (IDCRP)Infectious Diseases Clinical Research Program (IDCRP)
Interagency Agreement in 2006Interagency Agreement in 2006
National Institute of Allergy and Infectious Disease (NIAID)/National Institute of Allergy and Infectious Disease (NIAID)/
Uniformed Services UniversityUniformed Services University
Objectives:Objectives:
Establish and support aEstablish and support a DoDDoD infectious disease clinical research networkinfectious disease clinical research network
Develop a portfolio of protocols focused on militarily relevantDevelop a portfolio of protocols focused on militarily relevant infectiousinfectious
disease problemsdisease problems
Research program synergized with:Research program synergized with:
otherother DoDDoD clinical and research partnersclinical and research partners
the civilian research community including federal partners,the civilian research community including federal partners,
academia and industry.academia and industry.
Establish a network Infectious Disease IRB (Institutional ReviewEstablish a network Infectious Disease IRB (Institutional Review Board) thatBoard) that
streamlines the approval process for multicenter projectsstreamlines the approval process for multicenter projects
One IRB review and one Headquarters reviewOne IRB review and one Headquarters review
Two years in the makingTwo years in the making –– first meeting in June 08first meeting in June 08
29. IDCRP Clinical Research NetworkIDCRP Clinical Research Network
Tripler Army
Medical
Center,
Honolulu, HI
Naval Medical
Center &
Naval Health
Research Center
San Diego, CA
Data Analysis
Center
University of
Minnesota
IDCRP headquarters at USU,
National Naval Medical Center,
Walter Reed Army Medical Center,
Walter Reed Army Institute of Research,
Naval Medical Research Center,
Military HIV Research Program
Naval Medical Center
Portsmouth, VA
Eisenhower Army
Medical Center
Ft. Gordon, GA
Naval Medical Research
Center Detachment
Lima, Peru
U.S. Army Medical Research Unit
Nairobi, Kenya
Naval Medical
Research Unit 2
Jakarta, Indonesia
Naval Medical
Research Unit 3
Cairo, Egypt
Landstuhl Regional Medical Center
Germany
WHMC/SAMMC
BAMC/SAMMC
USAISR
UAFSAM
San Antonio, TX
30. IDCRP Project CollaborationsIDCRP Project Collaborations
DoDDoD GEISGEIS –– Global Emerging Infections Surveillance SystemGlobal Emerging Infections Surveillance System
WRAIRWRAIR –– Walter Reed Army Institute of ResearchWalter Reed Army Institute of Research
NMRCNMRC –– Naval Medical Research CenterNaval Medical Research Center
VRCVRC –– Vaccine Research Center of NIAIDVaccine Research Center of NIAID
DoDDoD Overseas Medical Research LabsOverseas Medical Research Labs
USAMRIIDUSAMRIID –– US Army Medical Research Institute for Infectious DiseasesUS Army Medical Research Institute for Infectious Diseases
NHRCNHRC –– Naval Health Research CenterNaval Health Research Center
USAFSAMUSAFSAM –– US Air Force School of Aerospace MedicineUS Air Force School of Aerospace Medicine
CDCCDC -- Centers for Disease Control and PreventionCenters for Disease Control and Prevention
UT Health Science Center San AntonioUT Health Science Center San Antonio
INSIGHTINSIGHT -- International Network for Strategic Initiatives in Global HIV TInternational Network for Strategic Initiatives in Global HIV Trialsrials
CHAVICHAVI –– Center for HIV/AIDS Vaccine Immunology at Duke UniversityCenter for HIV/AIDS Vaccine Immunology at Duke University
KEMRIKEMRI –– Kenya Medical Research InstituteKenya Medical Research Institute KerichoKericho, Kenya, Kenya
MakerereMakerere University, Kampala, UgandaUniversity, Kampala, Uganda
NabiNabi PharmaceuticalsPharmaceuticals
31. Lessons LearnedLessons Learned
“My education at USU came back in a flash
when I was placed in an environment where
the culture and environment were not optimal.”
Captain David Lane
USU Alum
“My education at USU came back in a flash
when I was placed in an environment where
the culture and environment were not optimal.”
Captain David Lane
USU Alum
32. The Military/PHS ConnectionThe Military/PHS Connection
• Military assets
• Rapid deployability
• Logistics
• Communications
• Security
• Heavy lift
• Engineering capability
• PHS assets
• Public health, population health focus
• Interaction with civilian authorities
• Sustainability
• Military assets
• Rapid deployability
• Logistics
• Communications
• Security
• Heavy lift
• Engineering capability
• PHS assets
• Public health, population health focus
• Interaction with civilian authorities
• Sustainability
34. ““The prototype 21The prototype 21stst century academic medical center.century academic medical center.””
-- Harvey Fineberg, M.D., Ph.D.Harvey Fineberg, M.D., Ph.D.
President, Institute of MePresident, Institute of Medicinedicine
37. Building #2 RenewalBuilding #2 Renewal
•• Heaton Pavilion (Building 2): 1.3 million square foot hospital cHeaton Pavilion (Building 2): 1.3 million square foot hospital completedompleted
in 1977 (2.4 million square feet including interstitial floors)in 1977 (2.4 million square feet including interstitial floors)
•• Facility is over 30 years oldFacility is over 30 years old
•• Cost of hospital renovation/renewal estimated at $550M (2002)Cost of hospital renovation/renewal estimated at $550M (2002)
•• Renewal/Renovation would require 12Renewal/Renovation would require 12--15 years to execute construction15 years to execute construction
while maintaining operability of hospitalwhile maintaining operability of hospital
•• Periodic disruptions to service throughout project lifecycle asPeriodic disruptions to service throughout project lifecycle as medicalmedical
functions rotate through transitional locations required to vacafunctions rotate through transitional locations required to vacate spacete space
during phased constructionduring phased construction
44. USU Alumni in ActionUSU Alumni in Action
• Lisa Peterson
• U.S. Navy Lieutenant and flight surgeon
• Banda Aceh Tsunami response on
aircraft carrier U.S.S. Abraham Lincoln
• Provided anti-malarial treatment and
other preventive measures, along with
emergent services
• Carrier and crew took on
unaccustomed roles, including water
desalination, repair of facilities
for health care and water purification,
and support of other relief operations
• Lisa Peterson
• U.S. Navy Lieutenant and flight surgeon
• Banda Aceh Tsunami response on
aircraft carrier U.S.S. Abraham Lincoln
• Provided anti-malarial treatment and
other preventive measures, along with
emergent services
• Carrier and crew took on
unaccustomed roles, including water
desalination, repair of facilities
for health care and water purification,
and support of other relief operations
45. USU Alumni in ActionUSU Alumni in Action
• Various grads supported:
• U.S.S. Comfort, Bataan and Iwo Jima during
Hurricane Katrina response efforts in Mississippi
and Louisiana
• On-ground and air rescue support following
earthquakes in Pakistan and Central Java
• Various grads supported:
• U.S.S. Comfort, Bataan and Iwo Jima during
Hurricane Katrina response efforts in Mississippi
and Louisiana
• On-ground and air rescue support following
earthquakes in Pakistan and Central Java
47. USU Alumni have become integral to operational medicineUSU Alumni have become integral to operational medicine
and have played significant roles across the federal healthand have played significant roles across the federal health
system since the first class graduated in 1980system since the first class graduated in 1980
