Report (Special Joint meeting): December 13, 2005

UNIVERSITY OF TORONTO AT MISSISSAUGA

SPECIAL JOINT MEETING of the ACADEMIC AFFAIRS COMMITTEE and the RESOURCE PLANNING & PRIORITIES COMMITTEE

of Erindale College Council meeting to be held on

Tuesday, December 13, 2005 at 3:10 p.m. in Room 2150, CCIT Building

PRESENT: R. Beck (in the Chair), R. Reisz, A. Wensley, I. Orchard, M. A. Mavrinac, D. Smith, A. Lange, C. Evans, S. Munro, E. Levy, M. Lippincott, C. Jones, G. Anderson, R. deSouza, P. Pliner, K. Duncliffe, N. Collins, S. Munro, A. Farah, N. Kabir, D. Crocker, C. Capewell, J. McCurdy-Myers, G. Didiano, S. Wahid
REGRETS: U. Krull, J. Tran, G. White, M. Georges, M. Jalland, D. Pond, M. Jaime

The Chair called the meeting to order and called on the Vice-President and Principal to explain the purpose of the meeting and proceed with his presentation.

The Vice-President and Principal thanked members of the Resource Planning and Priorities Committee and the Academic Affairs Committee for attending the meeting with short notice.

He announced that the present meeting was called to consider undergraduate medicine enrolment expansion and the proposal to create a new Academy based at the University of Toronto at Mississauga (UTM) in partnership with the Mississauga based community affiliated hospitals. He explained that consultations between the University of Toronto and the community hospitals began two years ago, followed by a proposal to the government. An announcement by the government is anticipated but has been twice delayed, most recently as a result of the federal election. Professor Orchard explained that the urgency for considering this proposal relates to deadlines associated with the resulting capital project. He also noted that the government has asked the University of Toronto not to make any public announcements about this project. As a result, all supporting documentation about the proposal was confidential and distributed only to members of UTM’s governance committees.

Professor Orchard noted that the Ontario Government has committed to increasing MD student enrolment by 104 positions per year. In turn, the University of Toronto has proposed to expand by a total of 26 students, increasing the Faculty of Medicine’s intake to 224 per year by 2007. The UofT Medical School has already expanded by 6 students (2005)

He explained that medical students are currently distributed among three Academies: the Fitzgerald Academy with 54 students linked to St. Michael’s Hospital, Peter’s Boyd Academy with 60 students linked to Sunnybrook and Women’s College Health Sciences Centre and Wightman Berris Academy with 90 students linked to the University Health Network and Mount Sinai Hospital. Beginning in September of 2007, the Faculty of Medicine proposes a fourth Academy to satisfy larger expansion. This fourth Academy will be an innovative partnership between the Faculty of Medicine, UTM and newly affiliated community hospitals. The three existing Academies, based at major acute care fully affiliated hospitals, will also be networked with community teaching hospitals to deliver a more community-based, patient-centered curriculum. This UTM Academy will provide an excellent program that will encourage medical students to choose generalist postgraduate training programs, including family and community medicine, general internal medicine, general surgery, general pediatrics and general psychiatry. Professor Orchard noted that there is a lack of such generalist training programs in Ontario.

The result of this expansion will be the addition of the UTM Academy to the existing three academies that are linked with nine fully affiliated teaching hospitals. Once UTM is added, the academies will be linked to a total of 15 community affiliated hospitals and the University Health Network, including Credit Valley Hospital and Trillium Health Centre.

The Vice-President and Principal proceeded to give details of the proposal. The UTM Academy will be designed for an initial intake of 30 to 36 students, with a capacity for 54 students. The resulting facility will include space for classrooms, laboratories, and small group teaching space. Using capital funding provided by the government for this expansion, the appropriate infrastructure will be built as a module at UTM and will link to current science facilities. The government is also providing full operating costs for the provision of the program.

The curriculum at all four Academies will be equivalent and determined by the Faculty of Medicine and the faculty and community-affiliated hospitals will work in partnership with current course directors to deliver the pre-clerkship curriculum. Advanced information technology will be used to link all students across the Academies and student support services will be available at the St George campus and also at UTM. He noted that such distributed campus models already exist in BC and Northern Ontario.

With respect to planning, the Vice-President and Principal explained that the 26 additional students by 2007 will be accomplished by a phased-in enrolment expansion of existing numbers on the St. George Campus and by creating the new Academy at UTM. A Steering Committee for the project was formed last year and will oversee and guide the planning and implementation of the project engaging various subgroups as needed.

Regarding faculty planning, UTM will recruit an additional three faculty to contribute in the core teaching in Years 1 and 2. The specific needs to be determined through a rigorous review and matching process of curriculum requirements to teaching resources. Clinical teachers will be recruited through the Faculty’s Clinical Departments from the clinician pool at the Mississauga hospitals. Professor Orchard noted that participation in clinical teaching is voluntary and that faculty development will be provided to ensure a high level of teaching skills.

Governance of the UTM Academy will be through the Dean, Faculty of Medicine, and the Vice-President and Principal, UTM, who will have ultimate responsibility for the program delivered at UTM. An Academy Director of the new UTM Academy will provide the leadership for the Academy and will report jointly to the Associate Dean, Undergraduate Medical Education, and to the Vice-Principal Academic and Dean, UTM.

The Vice-President and Principal concluded his presentation by noting that this proposal represented an important milestone in the campus’ growth and development. The Academy will also add strength and help further develop current partnerships in the area of health policy. It also represents an active link with the City of Mississauga’s focus on the Healthy Cities project. Programming around health and wellness will also be an important link to the new athletics centre.

Professor Orchard thanked members once again for attending this very important joint meeting of the Resource Planning and Priorities and Academic Affairs Committees and made the following motion.

It was duly moved and seconded,

THAT the proposal to create a new Academy of Medicine based at the University of Toronto at Mississauga (UTM) in partnership with the Faculty of Medicine, University of Toronto, and with the Mississauga community-affiliated hospitals be approved, contingent on a government decision and announcement, as submitted. (Confidential Attachment) (I. Orchard/R. Reisz)

The Chair opened the floor to questions.

In response to a member’s question, Professor Orchard explained that the funding for this project is provided by the government and is similar to the graduate enrolment funding model. BIUs would be approximately $49,000 plus the Faculty of Medicine tuition. Also in response to a member’s question the Vice-President and Principal explained that faculty requirement would be met by existing faculty, three additional hires and teaching offered by voluntary clinicians.

In response to a member’s question about what proportion of tuition UTM would receive, Professor Orchard explained that funding would be provided for the new facility, its operating cost and for the three new faculty. He added that the funding model was based on that of the existing models found in Northern Ontario and British Columbia and would not represent any additional cost to UTM.

A member asked about the location of the new facility. Professor Orchard explained that likely locations would be either an extension of the CABB facility, build out from it into a quadrangle (imposed on the lawn, but not a naturalized area) or an extension of the South Building next to the CCIT building. The project planning committee is charged with investigating the various locations.

A member voiced his concern that if the construction was near the research wing of the South Building, it could potentially disrupt research activities there. Professor Orchard said that planners were aware of the potential problem. He added that this would be a small facility, and that the disruption is expected to be minimal. In response to a member’s query about how and where the funding will be used, Professor Orchard explained that not all of the $14.5M capital will be for UTM. The Faculty of Medicine will also renovate some of its laboratories and upgrade their information technology, which UTM will also be using.

A member made several comments and presented two questions regarding resource implications: there is already a lack of research space and a lack of available graduate students for the current expansion; will there be facilities for the three new faculty? Has there been any consideration to adding to the already stressed academic and facility resources, such as campus police? Professor Orchard stated that the capital plans include science facilities for the three new faculty and noted that the plan for graduate student expansion includes the addition of a science facility. He also noted that there will be an aggressive fundraising campaign associated with the Academy, with funding going to a large suite of science research space. With respect to other infrastructure needs, Professor Orchard explained that funding for the UTM expansion came in at a slower rate than the expansion itself. Therefore, services to accommodate new faculty were delayed approximately one to two years.

In response to a member’s question, Professor Orchard confirmed that there is significant interest from the community hospitals with respect to participating in teaching.

A member asked whether fundraising for the Academy would put stress on the current donor base and where the fundraising operation would be managed from. Professor Orchard explained that fundraising would be done in partnership with the Faculty of Medicine. He added that the campaign for the Hazel McCallion Academic Learning Centre was near completion, and that the donor pool for the Academy campaign was very different from other existing projects, and in fact provided an opportunity for a very successful campaign.

In response to a member’s question, the Vice-President and Principal explained that library needs and materials with respect to the new Academy were built into the budget model.

Seeing no further questions, the Chair asked for a vote on the motion. The motion was approved unanimously.

The Chair announced that the next regular meeting of Resource Planning and Priorities Committee was scheduled for January 16, 2006 and the Academic Affairs Committee for January 17, 2006.

The meeting as adjourned at 4:50 p.m.