1 Well, welcome, everybody, to the state of the school. I'm going to keep us on time. Welcome to the fall faculty and staff meeting, and this is my first one. I've been here now just over five months, so really glad to be here as your dean for the school. Before we begin, I want to acknowledge a few comments on behalf of our university and our school that the school occupies ancestral Ho-Chunk land, and beyond this acknowledgement, we collectively pledge to learn more and take action in our commitment to advancing the health of native people in our state and across the country. Thank you all for joining us, those of you in person and those on live stream. It is my delight to be here to be able to talk to you today. If you're attending virtually, this is my only part, please put your questions for us for the town hall in the chat box and we will hopefully get to them all. Today's meeting, of course, we'll have the State of the School presentation and also, thank you Traci, and following that we're going to have a Q&A and then we're going to announce the Belzer award at the end and following that I understand there's some refreshments. I didn't see them as I walked in so hopefully they're there they didn't promise--they did promise those. So a couple things before we go forward with the state of the school I know Bob Golden, Dean Golden, is there, I think. I did not ask him what he did for this. So again, some of this may be as what Bob did, but I think also some of this may be just the new dean being sure that I'm connecting with all of you. So, as you see this, my goal is to, of course, talk about all the missions in the school and the incredible work that is done by all of you in the school. That includes our staff, our students, our faculty, our leaders. So again, if he started to talk about all of those, I think you'd be here all night, maybe tomorrow, and you'd really not be happy. So as you hear things, understand it's meant to be directional, and I cannot acknowledge simply all the amazing work all our domain-specific leaders do, but recognize that in my heart and in my mind, I thank you each and every day for what you do. All right. So a couple of things. You know, when I took this role, many people said, why did you take this role? You know, of course, this is an amazing place. These are the reasons where this is our vision. Healthy people, healthy communities based on the Wisconsin idea. What a powerful statement, especially as we look at what's happening in the world today. And if we look at our values, which are important, those are the North Star that keeps us when times are changing. Those are integrity and accountability, compassion, social impact and belonging, of course, a commitment to excellence. And then when I look at principles for us, we're, of course, high performing and collaborative, very much a Badger, Wisconsin value. We work towards shared goals. And I would say we're leaders and beacons of health care. We need to be leaders and beacons for health care because times are uncertain. And at that time, it comes back to what are our values and where do we stand for? And this is, I hope we'll talk a little bit about that at the end. So the first few months, as I mentioned, I've been here and there's been a lot of parties and events, right? A lot. I definitely get the Wisconsin welcome in all the places. And you will see, you're going to see on the left, you see all the staff event. I've had a chance to walk around. Today I walked with Shiva's team. In the middle, you see faculty event. The one in the middle with Bucky Badger was the launch of our newest department, Department of Otolaryngology, thanks to the work of Dean Golden and thanks to Rebecca Minter and launching our newest department with Sandra Lin at the helm on July 1st. So what an amazing place. And, of course, our trainees in various events, those are what keeps us and helps us come to these places. We want to train the next generation. And you can see some of those events. So I gave our, at the white coat ceremony, I talked to the medical students. And, of course, being the new dean, I did take a little bit more moment on time. Alongside me was John Williams. and I talked to the new students about things that I value and this concept of Ikigai comes from a Japanese word. It's the why you are what you are and some of this is around discovering what you love, also committing to doing the work that you're good at, committing to excellence and then something the world truly needs, right? And this is I think helpful as we think about our mission for the School of Medicine and Public Health why did we all choose to come and work in this place. Now the reasons may be slightly different for many of us but again connecting with those foundational truths become really important as we look at times of change and I think we would all agree that there's a lot of change happening in the world as we speak. I also hope you know that I want to connect with all of you if I can walk and find you in the corridors or in the hallways I'm absolutely delighted to find out about, but that would take a long time for me to meet each and every one of you so I absolutely committed to that alongside if you weren't aware we've started a couple of ways of connecting with you. We have the On Purpose blog that's a monthly blog you can see the website it tells around things that are happening on campus. It's meant to be brief things that are on my mind, things that may initiatives that we may be doing it's a way of connecting. And for those of you don't look at emails don't like reading there's that Nita Minute. It really is a minute, it's quick, it's short and it's meant to sort of just talk about here a quick minute about let me connect with you recognizing that all of you are super busy so as we talk around this, you're going to see big factoids a little bit of historical but then really we're going to look back at how the school did over the past year If you look, we're a large community. We're 2,200-plus faculty that includes all our tracks. Clinician teachers, the CHS track, the tenure track, 2,200-plus. That grew 9.5% last year. And 3,900-plus staff. That grew 13.5%. Huge growth. So, I know we feel like we're uncertain, but there has been a lot of activity. And you can see at the bottom, what I like to see is the distribution by rank, that we are really committing to different people at different ranks and different tracks. and you see that we are have faculty in different tracks which is important because we want the busy clinicians who educate who are often our best educators our tenure scientists who do the research and of course what I call the connectors the CHS track who do research and also do clinical and often are the connectors and then if you look at the rank we do see of course there's a lot of growth at the assistant. I would love to see more associate more SMPH start. That takes time as you're growing very quickly, but this is where Art Walaszek and his team are looking to make sure that promotions are happening on a timely basis for people who choose to come and work with us. Now over the last year we've had a lot of new leaders join us. I'm going to go quickly through them. Dr. Veintimilla has taken over the UW Health CTI and there's a search going on. Dr. Speidel is our interim Chair of Department of Medical Physics and Dr. Capitini is our Interim Director of the Carbone Cancer Center. I thank them for those roles that they're doing. Alongside, Alli Ingman has joined us recently as our new Director for Wisconsin Medicine, a highly accomplished leader coming from University of Iowa. And then Dr. Rudy Johnson, we just wrapped up the Wisconsin State Lab Program. They asked us to run that. And Dr. Johnson brings many numbers of years of experience in federal level and wants to partner with us around how we can think about the Wisconsin Idea and healthcare delivery. The two searches that are currently, we're running through a Carbone Cancer Center director. Thank you to Zach Morris and Deneen Wellik in running that search. And then we'll be opening the Medical Physics search right after that. And I do want you to stay engaged and let me know as those searches are going. I cannot tell you all the awards. Suffice it to say, this is a subset. Of course, most recently we've seen Dr. Schwarze become the newest member of the National Academy of Medicine. That is one of the highest honors we can give and a huge pride point for the school. You can see other big awards, ASCI, Dan Jackson getting that, and then what I love to see is our assistant professors getting those awards, and you can see Kinjal Majumder, Adam Bailey, Andrea Putnam got some amazing awards. Again, subset. And one we should be proud of. These are our people. As we look at our students, some amazing award. Kalifa Wright, Superhero Medicine Award. What an amazing award, right? And then if you look, Heather Heiberger got the award from Physician Assistant Student from the National, from American Academy of PAs on Health Caucus Scholarships. Again, the diversity and the richness that is in this school. You can see this in the awards. And then, of course, our staff. those are the people who make it happen day after day. They are there for us. And I always love it when I see the repertoire of awards that Hope and her team do both in the university and beyond that this is this is our strength and we need to acknowledge the hard work they do. So, as I sort of took this role it's often helpful to go get a perspective and as I look at the perspective of course we're more than 118 years young, right? So we are going to be here for a long time, and we will change with time. And as we look, we're going to be celebrating the 100 years of the four-year curriculum. We started with the two-year curriculum in the medical school. Alongside some of the amazing things, 20 years ago, we became the first School of Medicine and Public Health in the country. We're going to celebrate 20 years. And of course, I want to thank Bob Golden for his amazing legacy and leadership of the school. We wouldn't be here without his hard work for the last 18 years. I think it makes him the longest serving dean in the entire country. And I recently had the opportunity also to meet Phil Farrell, who is in our pediatrics department and appreciate his vision in thinking about our research infrastructure and the towers. He brought me a picture with the towers for research, for WIMR Towers, 2006. He had that picture. He brought it up. So really just acknowledging that we are the product of our past, and we think about the future, and those things are important to put together. This is one of my favorite slides. I showed it at the new faculty orientation. When I came here, I knew you were Warfarin. That's the Warf. Somehow we all know this. And being a surgeon, I knew about the UW solution. But I'm amazed each and every day how many things that happen here for the first time that people don't have at their fingertip. I suggest we learn the firsts we do. We tell it to our students. This is important. This is what inspires the next Tomotherapy, the next Howard Temin, the next Nobel Prize laureate. In fact, this week I learned OnCore, which is the way we do clinical trials, was defined here. Every week I learned something amazing about us. But it's hidden and I'm going to come back to that. It shouldn't be so hidden. I asked you put it on your fingertips. So, here's some of the pieces around the first few months. These are reflections. Understand, these may change. I have been listening and learning from all of you. I ask questions. I understand that many people have found that in sort of somewhat. When my question, it doesn't mean I don't like the work you do. I absolutely respect the work you do, but I want to learn from you. Wisconsin Idea is an amazing idea. It is our core for our past, our present, and future. The university exists beyond walls to serve the needs of the public, whether it's in educating, research, or clinical innovation. That is our goal. It's an amazing idea and one we should hold on to. I love being a badger. You've seen me in my Badger gear today, right? I'm going to put this. We have amazing potential to be a national beacon for health care transformation. When there's a lot of change, that is the time to step up. We have all the ingredients. We have amazing brand recognition, both from our alumni and from the state. We shared data recently from polling data. There is amazing recognition of the university brand around the state. I'm going to say you're Midwestern modest, and this is what I want you to change. I want you to highlight the achievements of this university, this amazing school, to your friends, to your colleagues, and make sure our students understand what a rich legacy we sit on. I would say our size and location, I'm always impressed by a beautiful campus on the shores of Lake Mendota. We surround the best engineering schools, pharmacy, we're on the West Campus. We should be one. Some days we feel like one, but sometimes we feel like we feel very separate. So it's a strength, but sometimes it can feel a disadvantage, the size. And one, we should really make it a strength as we think about this. So looking back, the state of the school is often very much a look back at numbers. So this is, here we go, okay? As we look, as I mentioned the data, I'm going to acknowledge the work of many people in the cluster. Understand we're not going to put names and faces to all, but recognize that this is the works of sometimes hundreds of people as we highlight this. I'm going to focus first on our research portfolio because it's been in the news, right? We've all heard about all the research pieces. I can't tell you how many sleepless events we've had, urgent meetings. Despite it all, we did pretty good, folks. In fact, we ended the year ahead by our extramural total funding. That was very last minute, but you can see that. And here's the other point I want you to pay attention. Majority of our funds come from federal funding. So when the federal government changes things, it changes. We then have to think about it. I am proud to see that we're doing a little bit more on non-federal funding. So I think, one, I'd like us to sort of focus, and I know Dr. Audhya and his team would like us to focus more. Now, this is Blue Ridge funding. This is based on last year's data. This is FY24 data. This year's data will come in January. It's a lagging indicator. This is our ranking. So we are growing, but understand. So this tells you how much we're growing in terms of total, the CAGR. But if you look at it, so are our peers. So if we were to say our goal is to be top 15, top 20 in the country, we'd have to do more, right? And that means how do we do what we're doing but then accelerate it, right? That means we work together, right? We can't do it by ourselves. So do we go from RO1s to bigger grants, right? So that is things that we are starting to discuss. I think this is one of the ways we are diversifying into different mechanisms. I just highlighted one, the Nathan Shock Center, which is a bigger grant that allows you to scale faster. But we also have multiple different, I'm not going to put the whole word salad of different grant mechanisms. For that, you go to Jon. But also, I would encourage us to think about additional source of fundings that go beyond NIH to looking at DOD. So Dave Schroeder was just hired in OVCR's office, and we're looking at how do we start to diversify, and partnerships. Alongside, as I talk about things, you're going to see the goals for next fiscal year. I do think it's important to set goals with our leaders. So this is their goal for the next year to promote diversification of the portfolio. Makes sense, right? We've seen that the federal funding may be fragile, and we need to start to diversify. All right, this is our public health. I thank Amy Kind and Jon Temte because they are doing different portfolios, but they're working together. As we look at Wisconsin Partnership, a unique program. I just met the people from MCW today. This is a unique program and one we should be proud over the last year, over $20 million of funding. What a unique asset for the school that we have this. 56 grants funding. If you look at their overall economic impact, it's huge. This is points that leaders need to know, that we are changing the state, the city, by what we do in research. And last year, they also had the Orion Initiative. This is a big funding through philanthropic, and this is meant to take and go into the rural community, so funding new scholarships alongside recognizing our AHECs, how they are working to create 90 community health internship programs placed across Wisconsin, Wisconsin Idea at Work. I'm not going to go through all of these, but you can see the rich complement. For next year, I think given this is our 20 years anniversary, we have asked them to see how do we create a bigger impact in improving health care. What is the impact of exposomes? How do we do rural care delivery when it struggles so much with a fragmented network? That means partnership. So they're starting to address this, and I look forward to the ideas that will come from all of you because if the ideas come from me, that's the wrong idea as a leader. My ideas come from all of you to see how do we maximize the impact we have to the people in Wisconsin. Switching over to our education cluster, led by Dean Liz Petty. Lots of activity, of course. If you look, a lot of interest in our medical school program. Over 8,000 applicants. The class size has been stable, so huge interest in our program. Of course, our students last year, everyone matched into a residency, which is important to make sure we're launching them to the next stage of their life, into residency training. It's also good when 95% of the students do a GQ survey. It's a survey at the end of graduation. 95% of the students felt they got their value, right? That's good. We can be proud of that. And, of course, you see their rankings, Tier 2, in both primary and research. And switching to our other allied health program, I want to give a big shout -out to Amanda DeVoss and her team because they just passed reaccreditation. Amanda is a brand-new leader. We're really excited about that. Alongside, you can see first graduating class of MPAs at the Platteville campus, and then 33 of our students pursue dual degrees, predominantly in the MPH, but we have nine dual-degree programs. Their goals, of course, is to optimize the learning environment. They just did a mock LCME, so they're preparing for the April visit, which is the big event for this cluster. Switching to graduate studies, led by Laura Knoll and her team, They just launched this new interdisciplinary biological cohort. 75 students began their doctoral studies this fall. This is really exciting to see. The average number of papers that our medical students who are MD-PhDs finished, three to four, that's a big deal. That's something we should be proud of. And then I bet you didn't know that we are fourth in the globe, not in the country, in producing some of the best scientists in basic science. It's fourth in the globe and the only public entity, fourth in the world. So again, what I said, Midwestern modesty, we need to know these facts. And of course, we have this biotechnology program that's going, 142 students, really acknowledge that. I already mentioned the faculty led by Art Walaszek, who took this role over the past year. We should have put you as a new leader, Art, I guess. Sorry about that. He is, of course, there from the beginning. As you think about recruitment, we have to start thinking about it before they arrive here, making sure the offer letters, the onboarding is there. And then, of course, we start to think about how to offer resources so they can be promoted on time. And then do we recognize and retain talent, right? So the spectrum of the entire life cycle of a faculty is under that domain. And you can see the work they're doing. New Faculty Orientation, lots of pathways to promotion given our different tracks, that thinking about all of those and educational scholarship retreat and then leadership, you know, learners and education essentials. So lots of helping our faculty thrive in this amazing place. Those are our best. And then for Art, his goals, you can see, of course, we've heard about Act 15, instructional workload. Art's been very much engaged with the provost and the rest of it to help make sure that as we understand what the guidelines are, we're working with you to facilitate that piece. This is some of the events. I think those are better. Pictures are worth a thousand words. So this is the faculty investiture event led by Art Walaszek. This was with donors and our faculty, both at the professor rank and associate professor, getting endowed professors often by grateful fundraising. And the new faculty orientation, which is a combined event with the university. And there's Alan and I, Alan Kaplan, our CEO of the health system, and I along with our participants. So these are critical that we ensure that people understand why they are here and we help them succeed. All right, this is our clinical mission led by Dr. Newcomer, who's our senior Associate Dean for Clinical Affairs and also holds the COO for the health system. This is by the numbers. I promise I am not going to quiz you on those numbers afterwards, but I think it just shows how much our clinical faculty have already gotten have increased a lot. What is great to see is that a lot of patients need our services, over 100,000 increased outpatient visits. I love this. Something called pajama time, when our clinicians have to go on Epic and chart things, often at night. That's why then they leave health care. They're like, we're done. That's called burnout. When you start to see decrease in charting time, you know you're doing something good. 22 minutes, it doesn't sound like a lot. It is a lot. That is really great. And then what we should be proud of is that the mortality, this is a number, it's a ratio of one, my basic scientist got it, it's an observed to expect it. One is median, that's like a C, anything below one is good. You can see mortality, 0.75, that's great. Length of stay, how often, those are all good numbers. These are national benchmarks on something called Vizient. Again, trying to say that this is all the things we do, and these are our faculty doing this, so we need to talk about it. Again, on recognition, we do use something called U.S. News in the clinical ratings also, just like we do in the school side. And you can see we're number one in Wisconsin in clinical care. And then there's rankings. We're not going to go through this, but they're nationally ranked in eight specialties and 18 procedures and conditions, almost all of the procedures and conditions. I bet you didn't know that. So now you can go home and say, I know this. And then in pediatrics, we're also starting to, that program is growing also, and you can see the metrics there. Switching over to clinical trials, this is what I call where the science we do gets to the delivery to patients is often in clinical trials. This is amalgamation of our various clinical trials, both led by our informatics leader, Jomol Mathew, along with the Cancer Center and the CTI and ICTR. Multiple entities working across. This is the entirety of the data. We had 1,300 trials that are in our system today. 880 of them are in cancer, another close to 500 in non-cancer, and you can see the participants. 25,000 people benefited from those clinical trials, 25,000 patients. Those are amazing numbers, and you can see the spread of the clinical trials. Those who are doing partnering with industry, those that we are leading, those are called institutional trials. Those are our faculty leading those. Those are often a matter of pride for schools and universities and health system. Okay, these are some of the ones, the coolest ones, like these are some examples. Dixon Kaufman led a phase three trial where we don't need rejection drugs. You can just not take immunosuppression. What a cool idea. Jennifer Kwon is doing a trial on clinobin novartis for spinal muscular atrophy treatment, and these are their goals, bringing AI into so we can do more trials and do them faster. And then this is our Office of Social Impact and Belonging, lead by Shiva Bidar, and you can see the amount of work this team is doing. I just got to meet them, and they're doing both training sessions, coming to the clinical departments, communities of practice, and then also reviewing our policies to make sure they're compliant with the evolving federal climate. The newest leader I talked about was philanthropy, Alli Ingman. Our campaign total, this is the Wisconsin Medicine Campaign that launched for the first time. It's a combined campaign with the health system, launched by Alan Kaplan and Bob Golden in January 2019. Their total is $571 million. Before the campaign, when we didn't work together, we would raise about $40 million. Since having a defined campaign with Wisconsin Medicine, it's doubled. So having a brand that's very unified has helped. For next year, Alli's looking at, are we utilizing the best national practices and using all of our resources, but also anticipates 10% growth. She's already said that as the campaign ends in December, she's put a charge at 608, which is our area code, to say that she's going to end the year at 608. I'm not trying to jinx it, but she's very confident. Okay, I know I'm going to come to this. I can't go away without talking about Workday. Workday launched in July 1st. I thank you all. There is a light at the end of the tunnel, but it will take time. Thank you for being patient. I know many of you are frustrated with the delays. There are some benefits. Yes, I know we've lost some of our systems. We will get there, but be patient. And alongside, there are pain points. But eventually, this is meant for a better tool for efficiencies. We are not the first university, but every university that goes through this takes a while. The first year is rough. Then the benefits show because this is we can't go manual. A lot of our systems are very manual. So I thank you at this point. And, of course, this work has been led by Hope Broadus, our Chief Human Resources Officer, and Heidi Conrad, our Chief Financial Officer. And with that, I'm going to turn it over to Heidi to come give you a little financial update. Great, thank you. And we all know that it wasn't Hope and I who did the work. It- just so we are clear about that Well, it is hard to be smashed in between such an exceptional presenter. Remember, I'm the CFO, so this is not standing here and doing public speaking. Is not my best strength. But I'm going to look backward a little bit and then turn it back to the dean who's going to refocus us going forward. So let's go way back for a minute and just look at the big picture because I think it's always important to start here. So these are numbers based on our publicly available financial reports. So if you just look at the big universities of Wisconsin, so all systems in across the state, the fiscal 24 revenues for the full universities was about $6.7, almost $7 billion. The University of Wisconsin, you can see, made up almost half of that at about $3.1 billion. Then it's not perfect math, but you can see how SMPH fits into that at just about a billion. It's not perfect apples-to-apples math, but proportionately you can see how we fit into the universities. As you know, we overlap with our faculty and all of our staff that support the tripartite mission in education, research, and clinical care with our partners at UW Health. And so you can see our UW Health partners, fiscal 24, UW Health revenue was about $4.9, really let's say $5 billion. The important takeaway from this slide is that we're all inextricably linked. And that's really when we look at the left side of this graph or PowerPoint, you probably heard, most of you, of the academic virtuous cycle. You know, we start with a strong clinical mission, and we need the clinical mission to help underwrite the innovation in education and research. Those two missions don't support themselves on their own. So we need that clinical mission to grow, to support our academic endeavors. When we succeed in those academic missions, we get national recognition. We start to grow both regionally, locally, nationally. we can attract different faculty and that also helps interest patients in our clinical systems right and so around and around that virtuous cycle starts to go that flywheel begins to turn an important part and an exciting part of being part of an academic health system so to be a medical school that's linked to our health system is a strong strength for us when we evaluate our financial performance against a national look which is on the right hand side of the screen and we we can see that our trajectory looks a lot like the national trend you see on that right side where increasingly medical schools are across the country are more and more reliant on clinical revenues to support those academic missions a strong health system in our case in both partnership and financial position is important to our system and to our program you can see way up at the top the green bar excuse me the gray and the red are those important and for us very nationally they benchmark ours benchmarks very close to those natural national benchmarks around our tuition and our state funding important sources for us certainly tuition would not want to we would not want to be heavily reliant on tuition so we stay affordable for our students. So well positioned when we look at our own financial expenditures. So now let's look just at SMPH and just what's reported on the University of Wisconsin financial ledgers. So in fiscal 25, that all missions, so if you look at all missions that run are expensed through UW-Madison we were just over a billion dollars. On the right hand side you can see the trends in those expenditures how those have grown no surprise to see our federal and UW Health funding growing again very much in line with what we saw in that national benchmark and an important link to the Dean's previous remarks about how we look to diversify this portfolio so that we continue to grow but we also protect ourselves in a different way from the changing environments right so we have a diversified portfolio that's what I want you to remember from this and we have an opportunity to diversify even more so an exciting opportunity as we look ahead let's just talk a little bit more by the numbers briefly in each of our missions so as we all know our medical student population has stayed fairly stable because of our clinical site constraint and but we can see that strong growth in our graduate programs that the Dean referenced earlier and then rounded out by our other health profession programs over time in our clinical activity so this is using a benchmark called RVUS relative value units for those of you who haven't spent much time in the health industry world that is a national standard that tries to make services equal in a way to say how can we make it equal for a young healthy patient visit equal to a complicated 95 year old patient with lots of comorbidities so it's a system that tries to balance those out and make things equal so that you can watch performance over time and you can see that our clinical activity year over year each of those lines starts a different year you can see how we've been growing on our clinical activity that recent line the blue is showing our fiscal 26 is off to a strong start so we're up about 11 percent in the first quarter of this period and that's both based on the growth in faculty and advanced practice providers that the dean referenced earlier, and it's a combination of greater productivity by each of the faculty and providers that are caring for patients. And last but not least, a re-version. You saw this in the Dean's earlier comments. The growth in our research portfolio has been really incredible considering the dynamic environment that we're living in these days. so it's important we stop and celebrate it's really been some terrific work and then I have to be the CFO and I have to just get a little bit real about the current state not in an alarmist way but in a really factual way because this is super exciting and we're super glad to be in this place and we all understand that growth and academics and research isn't fully funded by those extramural funding sources, that we have to rely on the whole to lift the votes. And so when we step back and we look at those discretionary funds we have to help support all missions, we're just a little bit out of balance. And so we're going to take a look at that. So when you strip away all those federal grants or the funds that come in specifically for clinical mission support, those types of things that need to be dedicated to the programs and services for which they were dedicated, we look at what the dean essentially has or the school has to spend and invest in those things that aren't funded by those sources. you can see our full expenses there are so the red dots are how much we have to spend those discretionary funds that we have available to us the light green bar goes to what I'll call fund our base operations so that's where our department budgets in basic science and clinical science at centers and institutes are in there those things that run through the Dean's office are in their IT, HR fiscal all the things that's the light green bar you can see that's the map--vast majority, excuse me of where we put our our discretionary funds available to us a little bit goes into what I'm going to call reoccurring commitments that have been made to support ongoing efforts so outside of sort of our normal operating budgets and then a little bit goes into some startup costs and some other things that we are important commitments that we make. Some are one time, but many continue for multiple years and so on. So you can see our red dot in fiscal 25 was lower than the bar. So just like in your own household, that meant we had to go into our savings to balance the books for the year. Now, this is not a sky is falling situation but you can see that over time we want that red dot to be just above the bar and so that we can put a little bit into our savings account so we can do the things like build a building or refurbish space or make a strategic investment in AI or something like that that might be really important to us to continue to innovate those spaces but wasn't but we have to have that savings those funds available to us to make those investments so this is a very small situation and we will correct it so I want you to be assured of that um we aren't here to suggest across the school budget cut the five percent cut we just did was to support the university our job now is to solve this through looking at our own operations for looking for new ways to innovate, to diversify our portfolio, to grow, to make ourselves more administratively efficient. And so I'm going to turn it back to the Dean now who's going to take you through that forward focus. Thank you. Thank you, Heidi. So looking forward, right, this was all backward and we're now in fiscal year 26. Just to remind you, that started July 1st. It ends June 30th of next year. We go by that cycle, as does the health system. I would say that overall, yes, it's been a year of a lot of change. Sometimes the change that comes two or three times in a week, what that means is that we need to have a very clear idea of where we're going, and we must work together. If we don't, we're going to sort of find yourself in different parts of the mission being, going in different directions. I also will go back to my points in the beginning. That is, I do believe that we are not unique in what we're facing. Everyone else is, we are better poised than many of our other systems in that we're a comprehensive cancer center. We are the school for the universities of Wisconsin. There is a lot of demand for our services. Our research is going well. There's a lot of interest in the medical education. We then have to see how do we continue to do what we're doing but do it more nimbly. The other part is research always has a cross-subsidization. It's always important to remember that the more research you do, the more cross-subsidy because research is never fully funded by what you're paid, so there's always a cross-subsidy. Heidi showed that. It comes usually from the clinical dollars. And you would say, why do you do research then? Well, all of the cures you see would not happen if we did not do it. 99% of the drugs that are in the market come from medical schools and health system. So if we didn't do it, no one else would be doing it. This is the pact that was done after World War II. It is important that we continue to do that. Otherwise, we lose the technological edge which helps cure cancer, cure diseases. Okay, so this is really back to what the foundational values, that the path ahead is in connection with using the power of where we sit today. We sit in a large university. We are the best campus. We should be using that advantage. We have nursing, pharmacy right next to us. We have a health system where you can literally go across the corridor and live with that. And starting in March of this year, we started looking at how can we be together. and that requires working with our chancellor. I also wear a hat as our vice chancellor of health affairs and our CEO and we're working towards what does it mean to be collectively together. This is that virtual cycle that we are collectively going to pursue excellence in all the missions and elevate that in prominence. It's bringing other leaders, our provost, our VCFA, our vice chancellor of financial affairs into looking at how are we doing this collectively. Are there synergies? Are we capturing those synergies? Those come in clinical, those come in research, those come in education. In fact, we just had our first retreat ever with the university, the school, and the health system. First retreat. I did have to tell Alan Kaplan I had 28 departments. He thought he had 18. It is important that we get to know each other. This is why you're seeing clinical mission highlighted. Just like we celebrate our students, we celebrate clinical excellence. So we learn each other's vocabulary and highlight what makes us unique. That's what differentiates us. So there's going to be a lot of work in this. I am not Pollyannish. I am optimistic. But I also know that when there's change, we must be very clear on the path we're going ahead. And this is the inflection point we're at today, which means we really need to know what are the changes. and start to address, but also lead those changes so we are ahead compared to our peers who may be struggling. Mission-aligned campus budget is starting in the next fiscal year. I know that I've heard consternation, but it rewards productivity. We have a lot of research productivity, so there's a positive signal. Evolving federal landscape, well, I can't help you with that, except we need to look at non-federal sources of funding and partnerships, and we're starting to do that. The campus budget cuts were hard, coming as a new Dean and talking about the cuts, and we're going to talk a little bit about this as a way to bring the synergies together. Trust in science and medicine is at an all-time low unless you talk about health care. Then it skyrockets. They want our care, so we should be telling those stories. That's why I started with the stories. And then precisions on health care, but also opportunities in precision medicine. It's easy to do precision medicine. It used to be really hard. Of course, we have workloads, but I think it's an opportunity to acknowledge the work all of you are doing for our legislators to understand that our faculty are there doing the work. So when we look about it, these are some of the approaches, right? Partnerships is the best way, I know, to create synergies and strength. We're going to have, last year we launched eSpark. Go see it if you haven't. It's a beautiful facility, the largest facility in the United States. It has Proton, which you'll be launching. We're supporting that, along with Leo Cancer Care, which is doing proton, which is very highly fancy radiation. But typically, we do it lying down. This is sitting up, which for a patient perspective is huge. That was developed right here by Rock Mackey, right here. And it's going to be one of the first in the country to do it. We're also doing spaces for theranostics, which I'm going to talk a little bit. Morgridge Hall just opened, and our biostatistics and medical informatics department has moved there. We should be absolutely capturing. If you ask people in AI, where is the most advantage they see in health care? Not in removing jobs, but as an agent to do our jobs better. You just heard about the new facility, the Cyclotron. It went to the Board of Regents. We are investing in that. Part of it is that we have an NIH funding, but we've also created partnerships with WARF and the university to invest in it. The reason why, some people will say, why are you investing it? You have to look at the future while you manage the present. We are the globe's leader in producing these radioactive compounds. If we don't do it, no one else will do it. So industry wants that. And it also creates research entrepreneurial IP that I know is happening right now, and we expect to see more of that. So that will take a few years, but it allows treatment for cancers, Alzheimer's, neurological disease that makes it our patients need that from us. Since my arrival, we've done, this is thanks to our team, we have done five partnerships with major industries. I think Robin is still getting all the points announcements. These are amazing. I've met some of the CEOs. They want to partner with us. They see the scale of the graduate students. I'm mentioning, of course, the TAE Life Sciences, the first to bring boron therapy (boron neutron capture therapy). I just met the CEO. He was visiting town. GE Healthcare is a long time. the biotech hub we became one of the NIH centers in the country I think this is things we perhaps miss when we are reading this these are points of pride for the school and one we should be now I do want to mention the budget cuts when we did that we did not cut any jobs the Chairs led this often times through attrition or not filling positions so no RIFs happened, no reduction in forces, but I also wanted this to get to know from you what are the ideas So as you know, there was a QR code, 74 suggestions, really good suggestions from different 24 units. I've talked to my leadership to highlight them into different categories, and we're doing a feasibility matrix, which ones are low-hanging fruits with high return. We want to capture those first. Things that will move us forward but are harder to do, we have to think. Those are major strategic projects. And some things that require a lot of work but not a lot of return, maybe we think, pause that for a while. But the results came from all sectors, whether it's UW Health, education, research, et cetera. So thank you for those comments. We read them. We appreciate them. And our leaders are looking. I've asked our Senior Associate Dean to start to look at those. Okay, shared goals for next year. I do think partnering with our health system to tighten that partnership is absolutely critical. We are doing what's called fundsful. We'll talk a little bit about that, because as you saw in Heidi's slide, the subsidy often comes from health system and federal funds, unless you are brilliant in philanthropy, and I don't know anyone. And I've been at Johns Hopkins, where we did do a lot of philanthropy. I do think starting to think about our West Campus vision for health science is something we must do. When I wandered the streets, it's hard to know that we are a health campus, but we are, and we need to highlight that. So we're starting those conversations with the Chancellor, with Rob Kramer, and with Alan Kaplan to see what can we do. We will be launching a master strategic plan for our next five -year strategy shortly, and then I do think we need to start to assess our state workforce need. Health care is going to be, there's a huge deficit, there's a gap, especially in rural health care, and how does precision health come to the state and beyond. So those are sort of our big goals. As part of that, we are launching what's called Project Agility. This is really allowing us to do our work in collaboration with those three partners, university, the health system, and us partnering together. In the middle, you see this integration and collaboration. This is really the strategic and financial pillar that allows us to be sustainable for the future. It's been known as funds flow. That is going on. The Chairs have just heard the backward look. We're now just rolling up our seat, saying how should the money transfer happen so that we are all sustainable, right? So that we are sustaining our departments and units. Alongside, there's the strategic front, and those are happening. The health system is also changing its pieces on recognizing the partnership at the school. So this is an important piece. I'm going to focus on the right side, which is the systems transformation, eliminate redundancy. So there's a lot of work that we're doing as we look at our centers, our clinical trials. We have opportunities to do things behind the scenes that make us nimbler, but increase our work. Pete Conner has been brought in as part of that to help John Adi and his team on looking at our centers and cores as a first piece. But there will be other parts of it that I imagine OpenID and others will be participating. I am most proud of what we will do on the left side. To me, people are our greatest asset. and if you don't pay rent, how can we develop our talented faculty, staff, and tradies? Art is looking, as is hope. We are talking about what are the ways we can do so that our staff, our faculty have a career ladder and they stay with us. It is absolutely we must do this, whether it's recognition, whether it's promotion pathways, et cetera. This is important work, and you'll hear more about those things. I think we can't do this if I were just to get up here and do this. This happens when we row our boats in the same direction. That's a picture of the women's team at UW rowing. It's a beautiful view. And I would say that if we work together, not only must we do the Wisconsin ID in Wisconsin, I'm going to force you to be beacons of health care for the nation. The nation is looking for people, and Badger Values is what everybody's looking for. So I would encourage us to think about those, and don't let the current crisis hold us back from doing what we must do. With that, I'm going to turn it over to our Q&A sessions. Here's my little announcement. If you're in person, raise your hand. Microphones, right, Jenny? If you're online, are they putting the questions? Someone's managing the chat. All right, people are managing the chat. My only ask is if you ask a question, tell me your name and what unit you're asking. And then we're going to close with the Belzer Award. I'm figuring all the tough questions are for you, Heidi. question from the chat from Sue Carlson from Biostatistics and Medical Informatics talking about the development and fundraising the exciting new leadership with Alli what's some ideas or plans coming together to help the basic sciences smaller departments develop effective development infrastructure and campaigns yeah I would say that for the first campaign we did really well. But I would argue that maybe we weren't strategic around creating a pool that can be used for maximal benefit. Currently, we have 1,400 or 14,000 funds. So I appreciate the desire to go into different departments. It is important. I have benefited. But we also must create funds that are unstructured that can be used for maximal return because our basic science departments do not benefit from grateful patient fundraising yet they need that the most this is where Alan and I are starting to talk around can we do this more strategically around things where we see deficits forever whether it's basic science our student tuition loans as grad plus loans are disappearing can we create those sources of funds that can help our people in our system so I don't have the answer today but absolutely the right question to ask I know you're not this shy I've talked to many of you all right go Jerome but go ahead introduce yourself Jerome Garrett family medicine community health actually don't have a question but I'm allow y'all to take some time to think about the next question but I just want to take this time to put a plug for our partners in giving campaign yes one I want to just thank all the coordinators that are you know actively engaged with all the departments in this campaign so I encourage you all in this room as well online to again reach out to your coordinator say how can I get involved how can I submit my pet costume contest picture this weekend and just to give you a brief update right now as of today since we started the campaign on October 6th we've raised $72 ,000 as a school we're at 2 .2% participation rate Our goal is 250,000 by December 2nd, as well as the participation rate of 55.9%. So please, please, please consider giving and contributing towards such a great cause. More information will be coming out in the coming weeks, so please watch out in the know for those updates. Thank you. Thank you, Jerome. Absolutely important, and I'm going to say that are we looking at which department contributes the most? Are we looking at participation? No competition? All right. No competition. But I already did. It's very easy. And I think giving back to our community, especially in these times of need, is important, even if it's small, that to give. So thank you, Jerome, for leading that for the school. I really thank you from the bottom of my heart. Question? Lynn? All right. Will you introduce yourself, Dr. Schnapp? Sure. Lynn Schnapp, Chair of the Department of Medicine. My question relates to your comment about that we need to tell our stories better and share that. I do think one of the unmet needs, gaps in our education is how to tell our stories effectively. So do you have any thoughts of how to better educate our medical students, our residents, our faculty on how to tell our stories? You've got the person who's holding the mic, Robin Perrin, as absolutely. But here's what I'm going to say. When I first came here, I was struck by how one of the hardest people in my DLT is actually Robin, because she's also doing crisis management. So I've asked her to say, how can we tell our story? One of the pieces is that we must work together to tell our story and not tell 2,300 stories, because then it's very confusing. So one of the first pieces we must commit to is telling a story, which is University of Wisconsin-Madison and SMPH story as the story and putting it as big into that umbrella is critical because the more acronyms we use the more confused our public and our patients and our donors become and we do have a lot of acronyms which makes it hard if you look at the branding of companies they are very particular about how they brand so this is something that will come I think both for the health system and with us that more brands is not better fewer brands is actually better and working on communication material is one that as soon as Robin gets over how many crisis do you handle weekly I know her team is probably one of the hardest working and it's absolutely critical that we start to create messaging that's consistent but it comes from all of you from the Chairs from the educators that we have a shared narrative I spent many of my life at Johns Hopkins and I can tell you as an intern I was told the story by often another resident so that that's the cascade that becomes that we start to create a repertoire everyone should know Fred Mohs story he was a med student here right when he described Mohs surgery that is the way we treat skin cancer today all over the globe so again we don't need to know all the nuances but having an elevator pitch of the few factoids you can tell is critical. We'll get there. If I may add one point too. Our content strategy, our story strategy has two prongs. One is recognition and celebration, and that's when we're talking to an academic medicine audience. The other is impact, and that's when we're talking to the 97% plus of the population that is not part of academic medicine. We really need to differentiate and for the impact stories it's about the good people at UW so branding up and making sure that what how we are framing these stories from the standpoint of those who are not in academic medicine that's very very important so two different different approaches well thank you on that perfect note I'm gonna move us along because we do want to enjoy the reception outside and get to mingle and celebrate and with that it's actually my pleasure to announce the 2025 Belzer Award recipient. The Falkert Belzer Award is the highest honor we give in the School of Medicine and Public Health. Created more than a quarter century ago, the award recognizes our most outstanding leaders who've had a major impact on our school and nationally and even globally in the field of academic medicine. This award was named in honor of Dr. Belzer, the transformative Chair of the Department of Surgery and the co-inventor of the Belzer Solution, which has revolutionized the field of organ transplantation, the UW Solution. It is my honor to present the 2025 Falkard Belzer Award to Dr. Dean Robert Golden, Emeritus Dean of the School of Medicine and Public Health and Professor of Psychiatry. Dr. Golden has been our dean since 2006 until he stepped away earlier this year when he assumed the role following Phil Farrell's departure. During his tenure as dean, the school established the Wisconsin Academy for Rural Medicine, called WARM, the training in urban medicine and public health, called TRIUMPH, as well as significantly expanded the Master's of Physician Assistant Studies and Master of Public Health programs. His tenure also saw a dramatic increase, as you just saw, in philanthropic dollars, new research building, record-breaking research funding, and unique programs advancing underrepresented groups in medicine. As we celebrate 20 years as an integrated school of medicine in public health, we must acknowledge our very own Dr. Golden's integral role in making this transformation a success. Being the first institution in the country to infuse the idea of social, environmental, economic, and public policy as we think about all our missions in teaching, research, clinical care, and community service was something ahead of his time. And he did that very well. And we would not be here without his leadership. I would say personally, I had the opportunity to meet with Dean Golden several times as I was deciding to come here, and I was struck by his humility, his ethos of service. And now I know that he always walked with a smile, but the load he was carrying, because having lived this for the past five months, I see a much happier man who walks a little bit lighter every day. You can see that the load he carried each and every day during some amazing hard times like COVID. Please join me in congratulating our amazing prior dean, Dean Golden. here to accept the Belzer Award. It's them. They love you. What can I say? And it's so well-deserved. Of course, here's the award in recognition. Here's the plaque. I don't know if someone's taking a picture, but here we go, and we can do that afterwards. But here we go. We're going to take it in the atrium. All right, I'll hold on to this then, and Bob, I'll get you to make a few comments. Okay, thank you. Thank you so much for this wonderful honor. I think those of you who know me know that I much prefer giving awards to receiving awards. But it really is a pleasure to accept this on behalf of all the amazing people who work so hard together to make this the first but also forever the very best School of Medicine and Public Health. When I reflect back on what we have done, what you have done together for the last 19 years or so, So there are a few accomplishments that are really special and meaningful to me. Nita has already done a wonderful job of describing many of them, but I want to highlight just a few briefly. We really define what it means to be a school of medicine and public health. The name change happened before I came here, thanks to the visionary leadership of Phil Farrell. But when I interviewed, I said to Chancellor Wiley, what does it mean? He says, I don't know. You can figure it out. and we figured it out together and it's now spreading throughout the country in varying degrees but we will always be the first and I think we I know we will always be the best also we evolved out of the all too common structure of the relationship between hospitals are now health systems in schools, that were built to create friction and problems. And now, starting with the integration of UW Medical Foundation into UW Health and beyond, we are really an academic health system, a physician-led health system that supports not only the all-important function of taking care of patients and populations, but also really supports education and research to a greater degree than you'll find at other places. We built a bunch of nice new buildings, research towers and faculty office building, and because of you, we outgrew them already. The day we moved in, they were already too small because of your productivity. I'm really delighted that the slide was shown of our NIH funding. It didn't go all the way back to 2006, though. In 2006, we were number 38, I believe, in the country, and now we're hovering between 22 and 23. I know with the current leadership, we're going to be in the top 10 in a blink of an eye. I'm also really, really touched at the way we came together to create a diverse, inclusive community, and it really is a community. Dr. Ahuja has mentioned some of the programs, but it's really been the people. And some of the programs that, you know, weren't mentioned because of the interest of time include the Centennial Scholars and the Centennial Clinicians. It includes BEAM. So we are not only bringing in the very best, but we are also mentoring them and developing them as a community. the other thing I have to add are a couple of personal notes one of the things I'm most proud of is that Shannon and I are parents of three MD program alumni and I am so appreciative of the innovative leaders and the passionate dedicated teachers in our medical school program In the spirit of giving back, we have given back. There are now three new Dr. Goldens that have joined in the last couple of years, including Blair Golden in the Department of Medicine and Sean and Adoarda Golden in the Departments of Radiology. Our youngest son, as the teachers here know, Max and his fiancée, Natasha, just graduated in May. They are now doing their residencies in St. Louis, but we refer to that as the revolving door that's going to send them right back home to Wisconsin when they are done. I also have to say on a personal note that I gained, not that I was looking for it, I gained the perspective of a patient during the last year. And I am so grateful to the doctors and the clinical staff who did an unbelievable job of taking care of me. I'm also very, very appreciative of the partners and colleagues who were so supportive and gave me grace during the very difficult period of a year when I was getting treated and recovering from the treatment. And all of the above and so much more was because of you, because of what you did, including all the folks that were not able to show up for the coconut cake that's going to be served in just a little while. And especially I want to acknowledge the really warm place in my heart to the two leadership teams that have been so phenomenal. And that includes the Chair group and also the dean's leadership team. And within the dean's leadership team, I want to acknowledge Patty Martin and Andrea Fabian, who did their best to keep me on schedule, a real Herculean task. What I especially admire about the Chairs as a group and the dean's leadership team is that they have worked together as true teams, putting aside partisan perspectives and really coming together 99% of the time, which is about the right ratio, to think about what's best for the institution and for the patients and populations and learners that we serve. Now, a key to our school's success is, of course, the partnership with UW Health. And I want to especially shout out the two wonderful key partners I enjoyed working with so much in that partnership, Jeff Grossman and Alan Kaplan. They are both amazing physician executive leaders. They are great friends, and they also share my very weird sense of humor. At least they do a good job of pretending to share it. laughing at my jokes. Now of course there's really one person who has clearly been the most important in supporting critiquing and encouraging me and that as many of you know is my former college physics lab partner Dr. Shannon Kenney the Wharf professor of Medicine and Oncology. So when I received this incredible opportunity to come here in this role. For me the only way I could think of doing that was going all-in which meant really putting aside my own personal clinical and an academic work. I'm not sure that was the best decision but you know what it meant was a side effect that I underappreciated of of not being right there in the front lines, not really knowing what it's like to take care of really sick patients in an evolving, complex world of bureaucracy and pressures, not knowing what it's like to deal with the vagaries of the NIH. And so really, in ways that might not have been apparent, Shannon has been the most incredible advocate for the doctors and the scientists and everybody because she's really been there on the front line. And I want to thank her for being, among other things, my most trusted and honest advisor and critic. So I just have to briefly close by acknowledging that we are now experiencing an unprecedented period of chaos in our federal government and unprecedented divisiveness. in our country so I'm going to leave you with just a few thoughts about that first we have faced really scary deadly challenges before with covid and we emerged from that nightmare with our dreams and our values intact and with strong momentum into the future that has carried us to the point where we are now and will be a lesson to keep in mind. I am absolutely confident that we're going to do the same right now. Now, why am I so confident? Well, in part, a very large part, because of Dean Ahuja. I am absolutely convinced that with her experience, her talent, but most importantly because of the kind of person that she is that as we face these scary turbulent seas she's going to be the rudder that's going to steer course to an even brighter future but to do that she needs your support very few people in the room know what it's like and what it's going to be like and we've got the right leader you've got to be the crew that really I'm overdoing this metaphor terribly you've got to be all rowing in the right direction so that with her leadership we can come out of this as we came out of the COVID nightmare so thank you for this wonderful honor and event today thank you especially for the past 19 years on Wisconsin. I can't follow after those words. We owe so much to this wonderful man. Congratulations again to Bob Golden. Please join me outside so we can talk to him, celebrate this amazing event. Thank you all for joining me today for our fall state of the school. I thank you for the privilege of running this place. I would say I couldn't do it without all of your help. and really it's been just an amazing welcome despite all of the stuff that goes it is what makes this place amazing it's all of you I hope you know that that each and every day this is what makes us great and on Wisconsin