He's a Mayo Professor of Public Health in the School of Public Health
and has also held leadership positions on university senate and
faculty committees. His insight into the importance of the report and
its place in a larger conversation about the state of the medical school
was so strong that I will include much of it here.
While President Eric Kaler characterized the report as "a calibration," Luepker contends that "this is a big deal."
Luepker summed up problem:
I think this university in the health sciences has the ability
and resources to be a first-rate place. And while there are certainly
first-rate units and individuals, the whole has a way to go. I think
without a medical school that is moving ahead, none of us will make it.
To move forward, we need leadership and a vision. I think the president
gets that.
Luepker came to the U's medical school in 1976, "when we were in the
top 20." But since then, "we have gradually fallen in the rankings. And
everyone in the country knows it, unfortunately. Something has to be
done."
An earlier, internal report "didn't answer many of the questions that
bedeviled us," Luepker said. Kaler recognized that and announced that
he would bring in an outside group.
The panel noted that the medical school's relationship with Fairview
Health Services is the source of "a great deal of concern." Luepker
shares that concern.
The agreement they forged "is a bad deal," he said, not just because
it doesn't give the university a fair share of revenue. "People talk
about money, and of course money is important... But it's also about
the concepts of teaching and research. Their thinking has never been,
despite many attempts, 'We have a teaching hospital here that does
important research.' "
Luepker praised the panel for noting the friction with Fairview, as
well as the importance of involving faculty in strategic planning and
the need for greater transparency when it comes to finances and costs.
"The president is looking hard, I think, at our administrative
overhead," he said. "We have duplicated functions and we can pare back."
Kaler urged the faculty to accept the current leadership structure in
the Academic Health Center and move on. But Luepker notes that a lot of
the discussion about structure -- whether the dean of the medical
school should also be vice president of health sciences -- is really a
Minnesotan way to approach a bigger conversation about leadership.
"Do we have the right people? The right leadership and visionary leadership?"
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