Table of Contents

Faculty Handbook

A. Welcome Statement

Welcome to the University of Michigan Medical School.

This handbook is intended to serve as a supplement to The University of Michigan Faculty Handbook, and to assist you as a member of the Medical School faculty. Every effort has been made to include all pertinent information; however, if you have questions that are not addressed in the University Handbook or here, please see your department or division administrator.

We hope that you will keep this handbook, along with the University Handbook, as a reference for questions that may arise during your employment. If you have suggestions for future editions of this handbook, please contact the Office of Faculty Affairs at 615-6981.

B. History of the University of Michigan Medical School
The University of Michigan Medical School was the first medical school in the U.S. to own and operate its own hospital and the first major medical school to base its instruction on science. The UM Medical School was a pioneer in the introduction of the modern medical curriculum and the development of clinical clerkships. The UM Medical School was also among the first major medical schools in the United States to admit women, African-Americans, and other minority group members to its student body.

In the late nineteenth century the UM Medical School embarked on a mission to involve students as active participants rather than passive observers in their education, and to teach students how to acquire and interpret information.

These activities occurred during a period of profound change in medical education. The Medical School had opened its doors in 1850 and charged the first class of medical students $5 a year for two semesters. The curriculum was all lecture-based with a 6-month annual term, and the second semester was a repeat of the first. None of the members in that first class were college graduates. To gain admission, students were required to know some Greek and enough Latin to read and write prescriptions.

In 1877, the Medical School switched from a two-year program to a graded three-year curriculum with laboratory instruction and grades. The Medical School transitioned to a four-year curriculum in 1890. In 1899, the UM Medical School successfully introduced the clinical clerkship, having succeeded where other medical schools had failed largely because the UM owned its own hospital (privately owned hospitals rarely allowed medical students to touch their patients).

At the start of the twentieth century, the UM Medical School led efforts to revise and improve medical curricula, doubling the length of the program for the M.D. degree and integrating clinical rotations into every student’s course of study. In the 1950s through the 1960s sweeping changes were made in the University of Michigan’s medical curriculum, including early student contact with patients and an interdepartmental course in the neurosciences. The late 1960s were an era of increased clinical training in the first two (predominantly basic science) years of medical school. The UM, along with many medical schools across the country, adopted an interdepartmental Introduction to Clinical Medicine course that would remain a staple of the first two years for more than 20 years. In this same period, subinternships were introduced in the senior year; they remain part of the UM Medical School’s advanced clinical curriculum today.

The Medical School continues its long tradition of excellence with a diverse and outstanding student body, world-renowned basic science and clinical faculty, and exceptional facilities for patient care, education, and research. The Medical School ranks ninth among all medical schools for NIH funding.

The University of Michigan has about 53,000 students and 5,300 faculty on its three campuses. As of April 2002, 680 medical students at the University of Michigan were actively working toward their M.D. degree. More than 18,000 physicians have earned their medical degrees at the University of Michigan Medical School since the first graduating class of six students in 1851.

C. Medical School Organization
The Medical School is composed of 19 clinical departments and 8 basic science departments and units, with nearly 1500 faculty. Medical School Administration or "Med Admin" as it is often referred to, is the administrative entity that operates the Medical School under the direction of the Dean. A Medical School organization chart can be found in Appendix A.

The basic science departments and units include Biological Chemistry, Cell & Developmental Biology, Human Genetics, Medical Education, Microbiology & Immunology, Pharmacology, Physiology, and the Unit for Laboratory Animal Medicine. The clinical departments include Anesthesiology, Dermatology, Emergency Medicine, Family Medicine, Internal Medicine, Neurology, Neurosurgery, Obstetrics/Gynecology, Ophthalmology & Visual Sciences, Orthopaedic Surgery, Otolaryngology, Pathology, Pediatrics & Communicable Diseases, Physical Medicine & Rehabilitation, Psychiatry, Radiation Oncology, Radiology, Surgery, and Urology. There are also two regentially designated Centers of Excellence: the Comprehensive Cancer Center and the Geriatrics Center. The Anatomy Teaching Unit is administered directly by the Dean. Mental Health Research Institute (MHRI) is an additional independent unit that functions much like a department, although it does not grant tenure. It has no primary instructional or clinical role. Bioinformatics is a research unit that will interact extensively with the departments. The chairs of each department and the director of the Cancer Center report to the Dean of the Medical School.

The University of Michigan Health System comprises the Medical School, the University Hospitals and Health Centers, M-Care HMO, and the Michigan Health Corporation. The Medical School’s faculty who provide clinical care in the Hospitals and Health Centers are members of the Medical School’s Faculty Group Practice (FGP). The Faculty Group Practice ensures high quality, cost effective, patient oriented health care for the benefit of education, research, and patient care programs at the University of Michigan.

D. Medical School Administration Offices
Brief descriptions of each of the offices are included below.

Office of the Dean (3-9600)
The Office of the Dean consists of the Dean, Allen S. Lichter, M.D., and the Executive Associate Dean, James O. Woolliscroft, M.D., and their staffs. The Dean, with the assistance of the Executive Associate Dean, is responsible for all aspects of the administration of the Medical School. The Associate Deans and senior staff report to the Dean, as do all Medical School Department Chairs and Unit Directors. The Dean reports to the Executive Vice President for Medical Affairs and to the Provost on academic and faculty matters.

2. Administrative and Financial Services (3-5202)
William R. Elger, Executive Director, Administration and Chief Financial Officer-Medical School, is responsible for the administrative and financial activities of the Medical School including Finance, Human Resources and Staff Development, Facilities Management and Planning, Information Systems, and Faculty Group Practice. In addition, Mr. Elger has significant involvement in research administration including technology development and transfer functions, direct accountability for the grant review function in the Dean's Office which is responsible for reviewing and tracking pre award proposals and material transfer agreements for externally sponsored activity, awards made, and serving as a resource to faculty and staff on grant related issues, including the training of departmental research administrators.

Facilities Management and Planning (7-2788)
The Office of Medical School Facilities Management and Planning, under the direction of Horace Bomar, has oversight responsibility for all day-to-day operations and maintenance issues within Medical School buildings. All facilities-related issues and problems should be directed to the Facilities Office. Facilities Management and Planning is also responsible for the initiation and coordination of all physical facility planning, renovation and new construction on the Medical School campus, and space management. Other areas of responsibility include mail delivery services, materiel management services, and coordination with campus service providers including Public Safety and Security, Occupational Safety and Environmental Health, Plant Operations, and Plant Extension.

Finance (7-4169)
The Finance Office, under the direction of David Mohr, Director of Financial Services, is responsible for all financial activities of the Medical School including budgeting, financial planning, capital financing, business plans, cost accounting, financial analysis, annual and special audits, development and maintenance of internal accounting controls, and All Funds accounting and reporting.

Grants Office (3-4272)
The Grants Office, under the direction of Heather Offhaus, Grants Manager, is responsible for reviewing all Medical School proposals for funds from external sponsors for research activities, material transfer agreements and sub awards for compliance with sponsor, University and Medical School policies. In addition, the Grants Office provides advice on research policies and funding.

Human Resources and Staff Development (6-8064)
Medical School human resource programs and activities for non-instructional staff are coordinated by the Human Resources and Staff Development Office directed by Shelley T. Morrison. This office provides a variety of human resource services to enhance the personal effectiveness, technical knowledge and skill of staff and management. Services include staff development programs; compensation systems and programs; diversity programs and activities; policy development, interpretation and enforcement; conflict resolution, staff communications and new staff orientation. In addition, this office provides advice to management and staff on individual and workforce concerns.

Human Resources Financial Systems and Analysis (4-9140)
Debra Komorowski, Director-HR Financial Systems & Analysis (HRRSA) is responsible for the Human Resources financial systems analysis for the Medical School. Activities include administration of faculty and non-instructional salary programs, the development, design, and implementation of compensation data systems and the Faculty Activity Logging (FAL) process. In addition, HRFSA provides advice to management and staff on faculty salary compensation issues and the development of systems to monitor compliance with non-instructional staff policies and procedures.

Information Systems (3-6751)
Medical School Information Systems (MSIS), directed by Glenn Hiller, supports a wide variety of information technology needs for the Medical School. These include administrative information systems, professional billing, and managed care applications to meet the business needs of the Faculty Group Practice and Managed Care Office, support for the Learning Resource Center, and network infrastructure services. Network infrastructure services include desktop hardware and software support, network file storage, database support, and network application support. MSIS works in conjunction with campus-wide and external information technology partners to provide these services.
3. Clinical Affairs (6-5214) and Faculty Group Practice (6-3568)
The Clinical Affairs area of Medical School Administration consists of Senior Associate Dean Lloyd Jacobs, Associate Deans John E. Billi and David A. Spahlinger, and Assistant Deans Darrell Campbell – Chief of Staff of UM Hospitals and Health Centers and Eric Young – Chief of Staff of Ann Arbor VA Medical Center. The clinical deans and their staffs work closely with the Dean and Executive Associate Dean of the Medical School as professional representatives on clinical and faculty practice issues. Dr. Spahlinger serves as Executive Medical Director of the Faculty Group Practice.

Specific functions of the clinical deans’ offices include: strategic planning for the School and Health System’s clinical mission, provision of leadership to clinical redesign efforts, provision of support to the faculty group practice, advising on clinical faculty work force needs and credentialing, leading quality improvement and clinical data analysis initiatives, oversight of medical management and disease management programs, participation in planning of new clinical programs, health ventures and facilities, medical direction of the "UM IPA" (the Medical School faculty when involved in providing care to managed care patients), and participation in the development of clinical information systems. Additional functions include: coordination of clinical network and affiliated hospital relations, facilitation of the needs of the School’s educational programs in various clinical settings, third-party payor and managed care relations, monitoring health policy and legislative matters affecting the faculty group practice and clinical training programs. The Clinical Deans also serve as liaisons with external physician organizations, IPAs, group practices, major employers and professional organizations.

4. Faculty Affairs (3-0253 or 5-6981)
The Office of Faculty Affairs is responsible for all faculty personnel actions including faculty appointments and promotions. The Office serves as a resource to individual faculty and departments on faculty issues and programs. Questions regarding policies and procedures affecting faculty may be directed to Dr. David Bloom, Associate Dean for Faculty Affairs, Dr. Jayne Thorson, Assistant Dean for Faculty Affairs, or Dr. David Gordon, Assistant Dean for Diversity and Career Development.

5. Graduate Medical Education (7-4861)
The Office of Graduate Medical Education, under the direction of the Executive Associate Dean and Director of Graduate Medical Education, Dr. James Woolliscroft, provides support for the University of Michigan’s residents, fellows, and faculty involved in the education of post graduate trainees. The Office works closely with the GME Review Board, a group elected from the Program Directors, to manage the Institution’s Graduate Education Programs and provide institutional oversight for the 70 graduate education programs sponsored by the University of Michigan. The Graduate Medical Education Office also provides support to Program Directors in their educational leadership roles, facilitates resident appointment processing, supervises internal reviews, coordinates inter-institutional agreement processing, and works to ensure the highest quality educational experiences for all residents.
6. Medical Development and Alumni Relations Office (8-7705)
The mission of the Office of Medical Development and Alumni Relations is to develop philanthropy for the Health System from its alumni/ae, foundations, corporations, faculty, staff, grateful patients and friends and to strengthen the alumni/ae network. In fiscal year 2002 the Office has raised $44.8 million to support medical education, research, and clinical care within the Health System.

To accomplish its goals, the Office of Medical Development and Alumni Relations includes staff with responsibilities for research, identification and cultivation of donors, solicitation (asking for gifts), and stewardship (acknowledging gifts and maintaining relationships with major donors). Staff members include major gift officers, annual gift officers, alumni relations staff (who work with the Medical Center Alumni Society and the network of alumni/ae across the U.S.), events planners and communications staff (who produce the Medical School magazine, Medicine at Michigan) and produce print, video and Web materials related to medical development.

7. Medical Education (3-3265)
The Office of Medical Education, under the direction of Dr. Joseph Fantone, Associate Dean for Medical Education, provides comprehensive support for faculty and students in the educational program for the M.D. degree. Curriculum directors and instructors work with Medical Education staff to ensure that they have the resources they need to deliver the curriculum to students, and that students have access to the resources they need in the curriculum.

The Associate Dean for Medical Education directs the curriculum for the M.D. degree and the curriculum evaluation program, and also chairs the Component Directors/Assistant Component Directors Committee, the Curriculum Policy Committee, the Academic Review Boards and Medical School Hearing Committee.

Research and Graduate Studies (4-3611)
The Office of Research and Graduate Studies (ORGS) is responsible for the facilitation, development, and oversight of all biomedical research activities and graduate and postdoctoral education within the Medical School. The office’s research-related activities include the development and implementation of strategic planning, policies, and procedures regarding research investigation; allocation of space and resources to facilitate investigations; oversight of the shared Biomedical Research Core Facilities, the Medical School’s Institutional Review Boards, the Center for the Advancement of Clinical Research, and the School’s Office of Technology Transfer and Corporate Research. ORGS plays an important role in enhancing research activities through peer reviewed pilot funding mechanisms, oversight and coordination of research centers and programs, and management of key advisory committees such as the Research Advisory Board, the Biomedical Research Council and the Advisory Committee for Clinical Research. The office also organizes major research events, including scientific symposia, and serves as principal liaison on behalf of the School for all research policy and procedural issues to School and University units and to other institutions.

The office’s functions related to biomedical graduate education includes oversight of the 12 degree granting programs (Ph.D., Masters). This includes oversight of the School’s Program in Biomedical Science (PIBS) which coordinates recruitment and admissions to the degree granting graduate programs. ORGS also supports activities of graduate student organizations, and coordinates key advisory committees, program director searches, and ad hoc task forces on graduate education.

The Associate Dean responsible for these activities is Dr. Steven A. Goldstein.

9. Student Programs (3-3772)
The Office of Student Programs serves our future, current and past medical students in diverse and important ways. Student Programs is responsible for admissions and orientation, graduation, financial aid, registration and scheduling, academic records, and student affairs, which include personal, academic, and career counseling, and support to our many active student organizations. The Student Biomedical Research Programs are administered through Student Programs.

The Associate Dean for Student Programs, Dr. Rachel Glick, directs the programs and activities, and supervises assistant deans, program directors, and staff who provide the broad range of student-oriented services designed to make both the educational and the personal experience of our students rewarding and complete.