Expanding Medical Education in Georgia Roadmap for Medical College of Georgia School of Medicine and Statewide Partners (2008-2020) January 15, 2008
The Study In September 2007, Tripp Umbach was retained by the University System of Georgia Board of Regents to: Identify the best locations statewide for expanding public supported medical education. Identify the most cost effective strategies for the statewide expansion of MCG School of Medicine through partnerships with other organizations. Recommend the best plan for expanding the MCG school of Medicine in order to maximize future physician workforce supply and to increase economic development for the State of Georgia.
Tripp Umbach Healthcare Project Experience (500+ Consulting Assignments) States with Project Sites in Blue
Tripp Umbach Medical Education Expansion Experience States with Project Sites in Blue Project Site
Key Findings Medical Education Expansion is Required Immediately to Insure the Health & Safety of Georgians Dramatic simultaneous expansion in Augusta, Athens, Albany, and Savannah must occur to educate 1,200 students by 2020. Economic Impact of MCG School of Medicine will Double from $1.6 billion to $3.2 billion and the state will receive $2.54 for every $1.00 it invests in the statewide expansion plan.
Critical Issues Georgia s current drought of physicians will become a crisis by 2020 unless immediate coordinated action is taken to dramatically expand public medical education. With a shortage of more than 2,500 physicians expected by 2020 (1,500 in underserved areas), the annual cost of providing later stage medical care at emergency departments will be more than $5 billion annually.
Critical Issues Based on the state s current number of medical students and residencies, there will be even fewer physicians than today caring for 3 million more Georgia residents in 2020. Over the past two years, Georgia slipped in rank from 37th out of 50 states in the number of physicians per capita to 40th out of 50 states. Georgia will rank last in the United States in physicians per capita by 2020 without investment in the state s medical education system.
Summary 1200 Tripp Umbach recommends that Medical College of Georgia School of Medicine expand statewide to 1,200 students by 2020, from 745 students currently, an increase of approximately 60%, 755 2008 2020 Total Medical Students at MCG
Summary Medical education, research and clinical expansion must be immediate and dramatic in scope -- all aspects of the plan must occur simultaneously. The plan requires significant expansion in Augusta, which will continue to serve as the long-term foundation for a single state operated medical school. Medical College of Georgia School of Medicine will also develop and operate a new four-year campus in Athens in partnership with the University of Georgia as well as two clinical campuses anchored in Albany and Savannah. Additional annual funding is needed to strengthen the School of Medicine as it expands statewide
Statewide Medical Education Expansion Plan 2020 Future Athens 240 Augusta 900 Future Columbus Albany 30 Savannah 30
The Plan 1. Expand Medical Education and Research Significantly in Augusta Medical College of Georgia School of Medicine expands its current class from 190 first year students to 240 first year students by 2017. (Maximum student class based on clinical capacity) This expansion will require active partnerships with a broad network of hospitals in the Augusta region. The expansion program in Augusta requires capital investment in a new medical/dental education facility, with funding by 2010.
The Plan And develop a new campus in Athens in Partnership with the University of Georgia Tripp Umbach recommends a minimum investment by the State of Georgia of $10 million in 2008 to develop an initial medical education facility and to recruit a regional dean and key faculty. State funding in 2008 will be required for the accreditation of the Athens campus with 40 first year students as early as 2009 and no later than 2010. Development of Health Sciences Campus at the Navy School Property in 2012 allowing for expansion to a class of 60 students by 2017.
The Plan.. And continue its development of Regional Campuses for 3rd and 4th year Students in Albany and Savannah in Partnership with regional healthcare systems. Tripp Umbach recommends that a total of 30 third and fourth year students be educated at residential campuses in both Albany and Savannah over the next seven years.
The Plan 2. Medical College of Georgia and the University of Georgia must create a dynamic medical research partnership The emerging partnership between Medical College of Georgia and the University of Georgia provides one of the nation s best opportunities to grow medical and biotechnology research and add hundreds of millions to the economy.
The Plan 3. Medical College of Georgia and the University of Georgia must develop a dynamic statewide public health partnership to meet the health and safety needs of all Georgians Develop relationships with a broad spectrum of partners in all 159 counties through MCG alumni and UGA cooperative extension network Focus collective resources on critical statewide health needs such as obesity, diabetes and geriatrics
The Plan 4. The State of Georgia Must Expand Graduate Medical Education in Step with Expansion of Medical Education at the MD Level A minimum of 104 new residency positions are required by 2020 to support medical education expansion These positions must be desirable to graduates and meet the state s needs. A minimum of 200 positions are needed by 2020 to assure an adequate supply of new physicians. Georgia would need 2,000 more residents to reach US average per capita.
Georgia Must Invest $200+ million over the next 12 years in Expanded Medical Education Facilities Funding Year Campus Facilities /Space Needs (sq. ft) Capital Cost Estimate 2008 Athens Initial Medical Education Renovation on UGA Campus/ 19,000 sq. ft. $7 million 2009 Albany Medical Education Facility / 6,000 sq. ft. $2.4 million 2009 Savannah Medical Education Facility / 6,000 sq. ft. $2.4 million 2010 Augusta Medical Education Centerpiece Facility / 247,000 sq. ft. $99.0 million 2010 Athens Health Sciences Campus Development / 147,500 (66,000 sq. ft. for MCG/UGA Medical School facility @ $18.5 m and 81,500 for other campus support facilities @$22.5 m) $41.0 million 2015 Athens Research Facility adjacent to initial Athens facility / 60,000 sq. ft. $29.5 million 2015 Augusta Research Facility at MCG campus / 60,000 sq. ft. $29.5 million Total All Campuses 545,500 sq. ft. $210.8 million
Economics There is no other single investment that can positively impact quality of life and economic development more than medical education. -- AAMC Economic Impact Study 2005
Benefits of Statewide Expansion Plan Economic Impact Research Growth MCG/UGA Research Initiative Clinical Growth Albany 30 Students Athens 240 Students Augusta 900 Students Savannah 30 Students Medical Education Expansion
Statewide Economic Impact Comparisons $10.1 $15.7 MCG All GA Medical Schools US Ave (per capita) $1.60 Total Economic Impact of Medical Schools and Teaching Hospitals (in Billions)
Economic Impact will Double The Annual Economic Impact of Public Medical Education will Double by 2020 if the Plan is Fully implemented Total $3.2 B 3500 3000 Total $2.6 B 360 234 Millions 2500 2000 1500 1000 500 Total $1.6 B 25 91 469 970 Total $1.9 B 50 91 549 1,162 225 195 709 1,487 824 1,778 Commercialization New Physician Practices Teaching Hospitals Medical Education 0 2007 2010 2015 2020
Jobs and Tax Revenue will Double Employment Impact of Medical Education Expansion Government Revenue Impact of Medical Education Expansion 17,440 21,313 $242.0 $295.7 12,367 10,367 2007 2010 2015 2020 $143.8 $171.3 2007 2010 2015 2020 Total Statewide Employment (Direct & Indirect) Total State & Tax Revenue Generated (in millions)
Return on Investment Budget Year Base Support for Medical Education Investment in Excellence Funding Tax Benefit to the State of Georgia Return on Investment to the State of Georgia 2010 $74.2 million $10 million $171.3 million $2.03 2015 $99.0 million $10 million $242 million $2.22 2020 $106 million $10 million $295.7 million $2.54
Conclusion Georgians now have an objective statewide plan to produce both the doctors they need and a stronger economy.