Report: Special meeting of December 15, 2005

UNIVERSITY OF TORONTO AT MISSISSAUGA

SPECIAL MEETING of Erindale College Council held on

Thursday, December 15, 2005 at 3:15 p.m. in Room 2150, CCIT Building

PRESENT: R. Beck (in the Chair), R. Reisz, A. Wensley, I. Orchard, M. A. Mavrinac, L. Paris, D. Hill, J. Lougheed-Laycock, R. Arora, L. Martin, A. Vyas, J. Lim, G. Richter, C. Bryson, A. Iwaniw, K. Giuliani, R. Gerlai, M. Jaime, M. Musa, A. Bhatti, K. Pichora-Fuller, L. Thomson, F. Ul-Haq, B. Hamud, D. Kreuger, N. Carpenter, D. Smith, J. Delves, A. Bellerby, A. Mullin, S. Hawrychuck, G. Anderson, V. Aivazian, J. Tran, B. Khan, G. Khan, L. Gaspini
REGRETS: U. Krull, C. Boyd, S. Munro, J. Poe, A. Giles, M. Rennie, L. Collins, D. Hunter, L. Noble, C. McGrath, B. Branfireun, I. Still, B. Katz, S. McCarthy, K. Wilson

The Chair thanked everyone for attending and announced that the item under consideration in the present agenda was approved at a joint meeting of the Resource Planning and Priorities and Academic Affairs Committees on Tuesday, December 13, 2005. He invited the Vice-President and Principal to introduce the item.

Professor Orchard thanked all members of Council for making time in their schedules to attend given that Council was convened during exam time.

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 affiliated 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. He introduced Dr. Jay Rosenfield, Associate Dean Undergraduate Education at the Faculty of Medicine and welcomed him to UTM.

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 partneships 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 meeting of Council 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 regarding the capital project, Professor Orchard explained that it will be similar to the current CABB facility, but composed of smaller seminar rooms and breakout areas, and classrooms of various sizes. He added that with the addition of three new faculty, UTM will need to build new science facilities and research space. The facility could possibly be close to CABB, with an “L” shaped extension to the South Building.

In response to a member’s question, Dr. Rosenfield explained that the partnership aspect of the proposal was critical, noting that links to both Credit Valley Hospital and Trillium Health Centre have been established, while links to other facilities such as Osler Health Centre and St. Joseph’s Hospital are currently under discussion.

A member commented that this project represents an opportunity for existing faculty to take advantage of new facilities and research space. Professor Orchard remarked that initially the facilities will be focused around the Academy, but that in the long term, there will be an opportunity for faculty to look for partnering and exchange ideas.

In response to a member’s question about transportation services offered to faculty associated with the new Academy, Professor Orchard explained although the specific details had not yet been worked out, appropriate services would be provided. Also in response to a member’s question, Professor Orchard confirmed that three new UTM faculty would be added.

In response to a member’s question about how this new facility would affect UTM’s current Health Services department, Dr. Rosenfield replied that this topic remains to be explored.

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

The Chair announced that the next regular meeting of Council was scheduled for Wednesday, February 1, 2006.

The meeting as adjourned at 4:45 p.m.