III Periodic Review of Centers (Academic Policy 100.0)

Institute of Medicine & Humanities

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A. Written Report Summary:

1. Purpose: IMH encourages and supports learning and study in the humanities, as these studies shed light on the way we care for our sick. Established in 1987, IMH brings together health care professionals, humanities scholars and the community to broaden each participant's scope of understanding and compassion. IMH is community-based. The Institute engages in the traditional academic missions of teaching, research and service. Education is the backbone of the IMH- education of the public about important heal care issues, education of health car, and education of university students and faculty about the complexities and nuances of medicine as reflected in the humanities. The IMH serves as a resource to communities throughout western Montana through annual programs that address current issues in heath care as well as a weekly radio program on Montana Public Radio. Current research focuses on medical professionalism and professional values and on ways in which the humanities, especially literature and history, can promote compassionate, ethical and empathic health care.

2. Objectives: The IMH promotes healing environments for patients and providers of health care by:
Ÿ Applying the humanities to the study of medical questions
Ÿ Addressing health care issues that challenge our understanding of what it means to be human
Ÿ Advancing scholarship in the medical humanities.
The IMH achieves these objectives through a series of activities, including:
Ÿ Undergraduate, graduate and professional student education at the University of Montana and the education of medical students in the WWAMI program at Montana State University
Ÿ Annual conferences that address topics of major importance to health care. These conferences-- typically one in the fall and one in the spring – attract the public, heal care providers, and faculty and students from the university
Ÿ Special programs for health care professionals at St. Patrick Hospital dealing with issues of particular concern or relevance
Ÿ A biennial Distinguished Visiting Professor program, which brings to the university nationally-renowned scholars in a humanities discipline. These scholars teach a cone-semester course through the Davidson Honors College and participate in other university activities, such as the Philosophy Forum. In addition, the scholars work with physicians and other health care professionals at the hospital.
Ÿ Invited presentation at local, regional, national and international conferences that address some element of medicine and the arts or humanities. Audiences have included the public, students at middle school through professional school levels, health care professionals, and medical educators.

3. Activities:
Annual fall and spring conferences – The IMH sponsors single-day symposia or multi-part evening series in which important issues of health care, medicine, and the human condition are considered. These events are usually attended by 150-250 people form the community. The theme for the fall 2004 conference scheduled was “The Many Faces of Depression.”
Collegium Medicum-This 15-minute weekly Sunday morning broadcast on Montana Public Radio began in June, 2001. It now has an estimated audience of 80,000 listeners and is produced and moderated by Dr. Herbert Swick, the Executive Director of the IMH. Collegium Medicum provides a forum for discussion of topics with some aspect of the arts and humanities can be used to exemplify medical issues. Examples of discussions include: “Creativity and Illness: Aids” (Casey Charles, English), “Beethoven: Music and Deafness” (Fred Skinner, Political Sciences), “Madness in Hamlet” (Stewart Justman, Liberal Studies), “Disease and Medicine in The Iliad: (Linda Gillison, Modern and Classical Languages and Literatures), “Tiny Tim and Rickets” (John Eglin, History), “Jefferson and His Music” (Nancy Cooper, Music), DaVinci and Anatomy” (Rafael Chacon, Art), and many others are listed in the reports appendix.
Joint undertakings with community groups and in community endeavors- The IMH director participated in the UM Alumni Association’s 2003 annual Community Lecture Series on “The Plague: Reflections and Echoes Through the Centauries.” The 2004 Missoula Reads project was led and co-sponsored by the IMH.
Contributions to the curriculum of The University of Montana-Missoula- Under terms of the Memorandum of Understanding between the university and St. Patrick Hospital and Health Sciences Center, the Executive Director of the IMH is a member of the faculty whose expertise will be used to enrich the learning lives of UM students. Herbert Swick has taught a course on physician writers, “Doctors’ Stories.” He directed “From the Black Death to AIDS,” an interdisciplinary (Biology, Liberal Studies, English Literature) course taught jointly by Swick and several other faculty members. Both courses were offered throught he Davidson Honors College. In spring 2005, the “Art of Vision” will be offered. In addition, the IMH Distinguished Visiting Professor program biennially brings to campus a nationally respected member of the academic community who works in the field of interest to the institute. The visiting professor teaches a one-semester course in his/her area of specialization and participates in various venues of discussion around the campus and community.
The Ridge Library – Funded by an endowment from an anonymous donor, the Ridge Library is located withing the Center for Health Information at St. Patrick Hospital and Health Sciences Center. Focusing on the medical humnities, the collection is accessible through the Mansfield Library catalog system. The Collection currently contains approximately 2000 monographs and subscribes to 17 serials.
Scholarship – The IMH advances scholarship through the research activities of its Executive Director. Dr Swick’s current research interests relate to professionalism and professional values in medicine, as well as the impact of disease on human cultural and social history.
Invited presentations – Dr. Herbert Swick is frequently invited to present at local, regional and national conferences and professional meetings. Each year, he presents a special Music and Medicine program at the annual meeting of the Association of American Medical Colleges. He gave the keynote address at the 2004 Honors Symposium at the Flathead Valley Community College. He is a member of the Speakers’ Bureau for the Montana Committee for the Humanites.

4. Other organizations involved: The IMH model is unique for medical humanities programs, since it is based not in an academic medical center but in an undergraduate university and a regional community hospital. As a non-profit organization, the IMH operates under the direction of an Executive Board comprising health care professionals, university faculty and adminnistrators,and community representatives (see Appendix 5). In addition, an Advisory Committee, whose membership is weighted more heavily towards community representatives provides programmatic ideas and insights into issues of importance to the Missoula region.
The Institute maintains ongoing relationships with several other orgainizations, which include:
Ÿ the Montana Committee for the Humanities, for programmatic support through grants
Ÿ the Practical Ethics Center at The University of Montana, for collaborative programs
Ÿ the WWAMI medical educaiton program at Montana State University
The Institute co-sponsors one President’s Lectute each year. On the national level, Dr. Swick is actively involved with the American Osler Society, for which he serves on the Board of Governors, and the Association of American Medical Colleges, where he presents a program entitled “Music and Medicine” at the annual meeting.
Other organizations the IMH has worked with recentrly for specific programs include”
Ÿ the UM Alumni Association for its 2003 Community Lecture Series
Ÿ the Mansfield Library, The Missoula Public Library, and Fact & Fiction Bookstoore for Missoula Reads in 2004
Ÿ the UM Museum of Art and Culture and the Dana Gallery for th Art of Healing exhibit in 2002
Ÿ the Missoula County Public Schools for the Middle School Gifted and Talented Convocation in 2003 and Missoula Reads in 2004
Ÿ Flathead Valley Community College for its 2004 Honors Seminar

5. Reporting line: The Institute of Medicine and Humanities reports to President George Dennison.

6. Relationships with academic units: Dr. Swick regularly teaches two courses in the Davidson Honors College. The courses offered by the Institute’s Distinguished Visiting Professors have supplemented the regular course offereings in a number of departments. Recent courses include Human Nature and the New Genetics and Narratives of Mental Illness. A complete list is included in the reports apendix.
Outreach and community services – The IMH organizes and sponsors annual conferences addressing issues at the crossroads of medicine and the humanities that are of interest to the univerisy community. Typically, the outreach character of these conferences is complemented by related exhibits and performances. Professional training – each academic year, Dr. Swick presents a lecture on professionalism to first year professional pharmacy students as well as a seminar in professional ethics to third year students in the School of Pharmacy and Allied Health Sciences. In addition he serves on several univerisyt advisory committees. Scholarship – In July 2004, Herbert Swick, M.D. and Peter Koehn, Ph.D., Department of Political Science, co-directed an intensive five day workshop at the Center at Salmon Lake to senior medical educators focused on developing a better model for teaching medical students and physicians how better to care for patients from diverse and distinct cultures.

7. Similar programs: There are no similar programs in Montana or the region.

8. Budget:
a. 1. Current faculty and percentage of time:
Herbert M. Swick, MD 100%
A number of faculty participate in honors courses on a voluntary and limited basis with no budgetary implications.
Current staff:
Renee Noffke, Executive Assistant 100% (Salary/benefits supported by St Pats)
2. Need and cost for new faculty (next five years): none
3. Need for other personnel: none

b. Use and anticipated needs (next five years) of University Resources:
The Institute’s operating budget, office space, telephone and computer services, and equipment are provided by St. Patrick Hospital. The IMH serves as a resource to the mansfield Library by maintaining the Ridge Library Collection. In alternate years, the university provides housing for one semester for the IMH Distinguished Visiting Professor (valued at $3000).

c. Source of Funding
The IMH receives operating support from both the hospital and the university. Two endowment funds allow program enrichment, and additional support is sought from grants and private donations. Since the Institute’s founding, the hospital has provided the vast majority of the financial support.

St Patrick (incl. endowment revenues)	$221,107	83.9%	Personnel	$171,565	77.6%
UM	$42,364	16.1%	Operations	$49,542	22.4%
Total	$230,319	100%	Total	$221,107	100%

Anticipated source of funding for the next five years: same sources

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B. Review and Approval Process

2. The Faculty Senate through its Chair, ECOS, and Committees as appropriate shall recommend continuance or discontinuance by vote.

Review in terms of Scope as stated in academic policy 100.0
To provide instruction, scholarship, or service to the University, state or world by: (1) focusing attention on an area of strength and/or addressing a critical issue, or (2) facilitating collaborative, multi-disciplinary endeavors to combine resources from several programs or institutions to address issues of common interest.

Review in terms of the University’s mission.

§ Comments: This is a model program for a Center.

§ Does ECOS/Faculty Senate consider this center controversial? The IHM is not controversial, but it does expand the boundaries of the relationship between the arts and medicine.

§ Is the relationship with academic units beneficial? Absolutely. Dr. Swick has incorporated academics, health professionals and students in a unique and valuable forum

§ Is the program revenue neutral or does it consume more resources than it generates? If so, is the use of University resources justified? IHM has been under budget for its entire existence. The majority of revenue comes from non-UM sources (~84%) The contribution from UM (~14%) is well justified.

§ Is the entity making progress toward objectives? The IHM is exceeding its objectives. Progress is outstanding.

Recommendation:

The Center is well described in the Periodic Review. The Center has met or exceeded all of its goals. It is strongly recommended that the Center continue to enjoy the support of the Faculty Senate.

Justification:

The Center is extremely well justified. The Center has been very active in the community, providing services to both patients and providers of health care and to the educational mission of The University. Dr. Swick has developed, and oversees, a remarkable Center that brings the humanities to medicine and vice a versa. The Review cites a significant series of past and future activities including conferences, a radio show (Collegium Medicum), community outreach, professional training and contributions to the curriculum at The University. The Center has a distinguished Board membership and has presented a series of outstanding seminars.

The Center's revenue is generated by ongoing commitments from St. Patrick's Hospital and Health Sciences Center and two endowments (IMH and Ridge), which provides about 84% of the revenue and by The University, which provides about 16% of the revenue. Additional support comes from the Montana Committee for the Humanities. Since 2001, the Center has been under budget by 3-10%.