Dr. Lars Berglund
AMSA 10/20/2017 Guest Speaker Dr. Lars Berglund
Been in charge for ~10 years, and Dean. UC CA 6 medical schools.
Working and competing but are working together as a big health system
It is a large and varied health system
UC Davis school of medicine
50 anniversary next year
School has grown over the year
Accepted ~120 students each year, get ~7000 applications
Interview ~500 applicants, accept about half, and half of that attend
There are not enough drs in CA
Strong on folks going into primary care or family care or internal medicine
Still a major theme.
Refined and have defined tracks.
Prime programs, and the students are placed in different locations.
New program, ACE accelerated 3 year program with keiser
Over the last 15 year there has been a substantial growth in research.
They are ranked in their research funding.
The most prestigious is from the national institute of health.
only ~10% get funding.
For many years the top has been University of San Francisco
UC D in now within the top 30 and this year probably in the top 25
Other funds go to large centers that are being built, large cancer center
UCD became NIH designated last year
Have a clinical trials program.
There is the mind institute It stated because there are many influential community members with children that have autism.
How to impact children at a very young at and give early treatment
Before becoming Dean used to run a center for training resources and outreach for close to 15 years.
Research opportunities for potential med students, med students fellows and others.
Much of what is done is regulated heavily by the government.
There are a lot of faculty who specialize in this . there is a whole infrastructure that supports this.
This allows people in the community access the things that might not otherwise be available.
UCD is the best veterinary school.
How to understand naturally occurring cancers in dogs and cats.
Genetically modified animals are more sensitive to certain desires.
From this there is now a collaboration between the animal trials and human trials.
Air particles research is being done to see how it correlates to lung disease.
In areas of poor air quality there is a higher amount of affected people.
There are primary care clinics and outpatient clinics. The research doesn’t always know what is going on, and the other drs can be disconnected from research.
New building for school for nursing.
Opened with a grant for nursing. Betty Moore
Every time you get money it costs money.
There is a masters program and a DR program. Operating for about 10 years.
Empowering people to take care of themselves
Have medical students focusing of care and connections
Deveolong other formal training programs and master programs.
Every hospital has a need for madix
Masters program in clinical research. Probably going to develop more programs in medical research. Very strong educational and medical program.
A lot of positive things in the health world.
Born in Sweden, done education there.
Education was expensive, High school had to be paid for.
First in family to go through high school
Doesn’t have a college system, has a career programs.
Summer internship and got hooked on medical
Know at the beginning that will do a combined MD PHD program.
Did a post doc
San diego for about ½ a year. Doing science work.
Did research in diabetes and insulin and metabolic steps.
Most recent is doing research on a specific genetic study for factors of Lipid protein A
Has genet impact of genes. Might have had some impact on risk of infections.
Went back to complete medical training.
25 years ago got an offer to move to the US , san diego, Columbia
In an area of NY west of harlem and washington heights.
The medical school is slowly widening its impact on the surrounding area.
There are many students at UCD that are very keen on going on to serve rural underserved areas.
Opening to questions:
MD PhD students are doing 2 years and then going back to do more. You have to have a long term perspective to do research. You will probably get paid a little less, but you will get to know colleges all over the world. You get invited to participate in conferences and it is very rich rewarding field.
Health care is business. You have to make ends meet. You have to be able to make fiscal needs.
UCD now educates most of the DR’s that work at Kaiser. Some are faculty at UC CA.
Application for MD PhD is a bit different. You have to first be accepted in an MD program. Take ~2 a year. Go into a mentor program.
You have to be in it for the long run. You have to have an environment that helps you. To be part of a group to be part of a bigger program.
The only person I know that has a MD JD I personally recruited.
Total research funding is probably close to 300million. NIH is the biggest funder. Cancer registry for the state, Death registry for the state.
Different foundations are interested in very different things.
Some are focused on junior faculty.
Have a very good college of engineering, have a college of biomedical engineering, started about 20 years ago. Lots of diagnostic tools.
Engineers are good at developing solutions for medical problems, and devices.
Something that grew out of the partnership is a lot of imaging for cells and cancer and different diseases. Imaging of the brain. Developing a concept of imaging the total body at one time. A much shorter radiation time, much shorter scanning time. The NIH has contributed 50 million dollars toward this, but it is not covering the cost, and many more dollars will go to it.
With all the technological advances is it putting other drs out of work. Not so far. Some of the advances are better places in a few larger centers but probably not so good all over.
Society as a whole is living longer, so certain diseases are showing up. There is a need to educate PA and other health care providers to help, because they are closer to the patients.
There may be a skill shift of medical stepping up and doing more of local people.
HIV, Legionnaires disease. Infectious diseases was not really a thing, and then they started showing up. And the mechanisms and transportation was unknown. They had to go through very difficult treatment. The advances of treatment may tell us something about the roll of the immune system.
Cancer is a much more varied thing than it use to be. It is harder to treat, mutations mastasties. Our understanding is increasing and I am optimistic about what the future might bring.
Have about 200 published articles about my work, there is plenty of review work that is available.
Technology has become a great tool, and patients might begin demanding certain test and treatments, and it can possibly take some of the burden off the provider and patients become or interactive with their health care.
Drug development is tricky. Even the best drug with lots of good benefits has side effects.
PCSK9 a cofactor in cholesterol. It can get the system cycling to remove the bad cholesterol and help the body. It’s a mechanism that works, with a reasonable approach. No one had a clue that this existed before.
If you're serious about medicine Davis is a good school.
There is a college of Biological science that is great at producing Phd’s. But it is a very hard career. It’s a hard life and not very well paid. But we are trying to offer new tools for student going into the future.
Medicine is fascinating it has something for everyone, whether you are good with your hands, want to work with children or are very analytical.
Many of the science faculty do not have MD, but have Phd’s. You can find a path, but it might be a bit more crowded.
Find a unique skill set, do what you like, and don't give up.
As an undergraduate you can do rotations in research programs, but it’s not always obvious and it take some digging.
Tips for aspiring medical students. You are applying with a lot of other good people, and it’s hard to stand out. Good grades are frequently are not enough, you need a good story and you need to project who you are and why you should be chosen for medical. What would you do that would make us really proud to have you at our medical. Be flexible, be open to possibilities. You have to get in. The country needs you and the money you invest is well worth it, but you have to do something with it.