I am very pleased to share with you the Annual Report for the Department of Medicine, University of Pittsburgh School of Medicine and UPMC. We continue to excel by all metrics in patient care, education, and research. We remain optimistic as we continue to move forward while preparing to meet the demands of an exciting but volatile future in health care and biomedical research. This optimism is embodied in our ongoing growth: we now number 647 faculty, 305 residents and fellows, and more than 750 staff.
With respect to patient care, we continue to build our clinical volume with continued focus on access, patient centered care, quality and safety. The Department of Medicine was responsible for 18,270 admissions (increased by 5.4 percent compared to FY11) and 318,018 outpatient visits (increased 7.1 percent). Our physicians performed 1.707 million "work relative value units" (an 8.3 percent increase overall) and 76 of our faculty were named "Pittsburgh’s Best Doctors." In preparation for the future, the Division of General Internal Medicine, led by Dr. Wishwa Kapoor, was renewed their top level of Medical Home Certification by the National Committee for Quality Assurance (NCQA). We are enhancing our information technology (IT) and developing telemedicine. A key to our department's success in clinical programs is the strong support we receive from UPMC, in addition to our collected clinical revenues. One challenge for the upcoming year(s) is the continued development of new models of care and the associated compensation structures that support those models in a rational way. Being part of the integrated delivery and finance system that is UPMC positions us well to develop such innovative approaches to care delivery.
Despite facing a very challenging funding climate and the ending of many of the American Recovery and Reinvestment Act (ARRA) awards, our faculty continues to be highly successful in obtaining extramural funding to support their research activities. Our research expenditures for FY12 were $127.5M, down slightly from FY11 but up 5 percent from FY10. Over the past decade, our extramural funding has more than doubled. Our faculty continues to contribute to the body of scientific literature, in the form of original peer-reviewed contributions, book chapters, and review articles.
The Department of Medicine accounts for over one-third of all medical student teaching. Our residency and fellowship programs continue to excel, with trainees arriving from peer schools and boasting near 100 percent board pass rate. We continue our trend of attracting highly competitive applicants for our categorical Internal Medicine Residency, including an increasing number of under-represented minorities and research track applicants. As part of the "education innovation program," our residency program focused on individualized career tracks, continuous healing relationships, evidence-based novel teaching methods, communication, IT, and a culture of patient safety.
Mentoring in the Department of Medicine remains a focus. Dr. Ora Weisz, our vice chair for Faculty Development, continues to lead a mentoring program for all junior faculty. We continue to support promising faculty with our internal grant program, the Junior Scholars Awards. In FY12, 22 department faculty members received promotions. In summary, it is a privilege to provide the annual report on behalf of our faculty, staff, and trainees of the Department of Medicine. This is indeed a most talented, dedicated, and compassionate team. Their excellence is no longer a local secret: Four of our divisions were ranked in the top 10 by U.S. News & World Report, contributing to UPMC’s recognition as one of the top 10 medical centers in the country. I am most enthusiastic regarding our ability to transform and thrive in an uncertain and exciting time and continue to provide outstanding care and breakthrough discoveries, while training the next generation of academic leaders.
John J. Reilly, Jr., MD
Jack D. Myers Professor
Chair, Department of Medicine