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Report
of Meeting of the Board of Governors, March 17-18, 2004, Orlando
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Medical
Schools The
first part of the meeting was devoted to a three hour and more workshop on
medical education in Florida. It
explored whether or not there was a need for more physicians and, if so,
how to get them. Dr. Richard A. Cooper of the Health Policy Institute of
Madison, Wisconsin, gave an in depth discussion showing that there was a
significant shortage of physicians looming in the next fifteen years.
This could be solved by expanding current medical school and/or
building new ones. It was noted that the number of medical school
graduates in Florida could be explained in the current schools by 182 for
approximately $22m. However, expansion or new medical schools will not
solve the problem unless new residencies are created and they are
expensive and there has been no expansion for a number of years because of
lack of funding. Dr. Cooper
pointed out that there was no point in expanding the supply of physicians
unless there is a similar increase in residencies.
Presentations
by the Presidents of FAU, FIU and UCF all showed interest in medical
education, FAU was only concerned with a partnership with the University of
Miami. UCF and FIU, while interested in partnerships, have plans as well for
full medical education.
The
Vice-Chair of the BOG, John Dasburg, said that there was now enough
knowledge for the BOG to form a model.
This model, would , presumably, be used to evaluate new proposals for
medical schools. It is not clear when the model would be available.
Comments
made to the press after the meeting by Commissioner Jim Horne indicate that
neither he nor Governor Bush currently favor new medical schools, while
co-chair of the Medical School Ad-hoc Committee, Zach Zachariah was also
negative, not seeing a need for new physicians in Florida at this time. The
situation is fluid, however, and , I believe, a well prepared proposal
within the guidelines of the new model will receive fair consideration.
Community needs also need to be addressed in any proposals.
The
implementation of a new School of Chiropractic medicine at FSU, for which
$9m has been budgeted for the first phase, has not been discussed yet at the
BOG. I had considered bringing up this issue before the BOG but deferred as
I decided it was best to see the legislative record as a whole before
reacting to it. However, there
is a real question as to whether or not a new medical school, chiropractic,
allopathic or osteopathic, should be approved unless it has been fully
vetted by the BOG. Governor
Graham has stated that is what the Constitution now requires, and he may be
correct. I will bring this critical issue up before the full meeting
of the ACFS on May 7 for its opinion and we can take our decision back to
the BOG in May or June for action if deemed necessary.
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Accountability
A special meting of the sub-committee of the Accountability Committee met
to see if it was possible to determine whether or not is was possible to
evaluate student outcomes in courses of study. The meeting was rather
boisterous and sometimes even chaotic. Chairman Uhlfelder repeatedly;
stated that he was note interested in any kind of F-CAT test as has been
attributed to him. Commissioner
Horne warned that time was running out for the ten percent of the budget
$250m that was to be disbursed on the basis of accountability. (Six other
measures have already been adopted). At the end it was determined to have a workshop at the next
meeting to demonstrate how accountability on student performance is being
measured at different universities and to have a number of university
provosts meet to see if they can come up with a methodology/measure that
could be employed in time for legislative acceptance.
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Academic
Freedom. The
Strategic Planning Committee decided not to include Academic Freedom in
the Duties and Responsibilities of the BOG, largely, I believe, on the
basis that it was the domain of the local UBOTS.
I found this a very unsatisfactory outcome, as there are a number
of responsibilities that both bodies have.
I am reassured however, that the BOG will listen to any serious
case that is brought to them, and that, since there is a faculty member on
the BOG, they will have direct access to the BOG should they need it.
I also have confidence that most members of the BOG have a deep
respect for academic freedom.
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Audit
Committee. The
Audit Committee found that FIU had fully met its responsibilities in the
problems with the H-CET program. The
final results of the Federal audit are not yet known, nor are the
consequences facing the university. However,
the university has acted quickly to make sure that safeguards against any
future problems are in place.
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Council
of 100 Funding Plan.
The Board heard a lengthy presentation by the Council of 100, a Council
that consists of the states’ leading businessmen.
They have issued a report entitled We
Must Do Better. The key recommendations are: a redirection of
$366m of funds and a boosting of appropriations by FTE by 14% by 2008-09;
raising Bright Futures standards to a 1070 minimum (it’s now below the
national average); increased need based funding from $80m to $243m;
increasing aid to private universities from $80m to $120m; increasing
tuition by 13% per year for five years so that it reaches the national
average.
Florida
only produces 25 bachelor degrees per $1m dollars spent, versus the national
average of 29. This is because
of its low tuition and low Bright Future levels. In addition Florida
supports 86% of the verge cost of an education, as opposed to the national
average of 73% because of low tuition, and low Bright Futures levels. If
these gaps are closed an additional $400m per year would be available for
higher education. It would also allocate more need based funds to poorer
students. One of the facts
least understood is that when tuition levels are too low, it causes
universities to have less ability to admit students most in need. The
Council believes that if its funding model is adopted then 4,5000 more
students would receive bachelor degrees each year and the return on taxpayer
funds would rise from 25.1 to 27.8 graduates per million dollars spent.
These additional funds would accrue even though appropriated funds remain
relatively level.
This
is one of the most important developments in higher education funding
proposed. It would propel Florida into the leading ranks of higher education
and it should be closely monitored and, I believe, supported. The website of
the council of 100 is www.FC100.org. Click on “Position Papers” and it
is the last report listed.
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Differential
Tuition for Non Degree Seeking Students and Students Taking more than 115%
of their major requirements.
The Board discussed the issue of higher tuition, conceivably out-of-state
tuition, for non degree seeking students and for students taking over 115%
of the degree requirements of their major. Many universities responded and
the Board evidently found these reports so different as to not allow a
single response. So they were
ignored, even though they were, taken together, almost all opposed to the
proposals. In any event, there was little desire to make a statement, but
rather to monitor the process in the legislature and have the various
lobbyists for the universities make their will known. I protested that an
endorsement of the Governor’s plan was very harmful for many of our
students who would not be able to continue their education or take the
courses that they need. There was little support for my position, but Mike
DeGrandy made a motion that would permit any university to petition the
BOG for exemption due to hardship that such regulations would entail. I
would note that the provisions in the House and Senate are evolving (the
House Bill, for example, in its current form, does not penalize students
who take over 115% but instead refuses to allocate any FTE funds to the
universities for courses in excess of that amount). The fact is that 43%
of students who enter our state universities as freshmen exceed 115%.
This is because they are young and are seeking a course of study
that meets both their needs, their abilities and their aptitudes. If this
necessary process is short circuited, we will seriously harm our graduates
and the lives of many students.
Quick
fixes such as new rules that do not take into account the need for many
students to change their majors or who find, at an early age, that their
aptitude or vocation is changing or that see and treat non-degree seeking
students as if they were not citizens of the State, are certain to result in
serious harm to our students body and to our state; we need to move towards
the overall well thought out and long term
solutions proposed by the Council of 100.
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Appropriations.
With regard to overall funding of Higher Education, the Senate Bill to
date funds enrollment growth and tracks the Governor’s budget, allowing
a modest funding increase, while the House bill does not fund enrollment
growth an even foresees a 3.5% curt in funding, which would be disastrous
to higher education in Florida. There
is much more to come as it is early in the session
Howard
Rock
Member,
Florida Board of Governors
Chair,
Advisory Council of Faculty Senates
Professor
of History, Florida International University
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