Applicant Contact Information –

Paul Rosen, MD – Pediatric Rheumatology, Nemours / Alfred I. DuPont Hospital paul.rosen@nemours.org 302-300-8285 (cell)

Gregory Snyder, MS4 – SKMC, Candidate for MD 2015 gregory.snyder@jefferson.edu 610-574-4916 (cell)

Anuj Shah, MS2 - SKMC, Candidate for MD 2017 anuj.shah@jefferson.edu 732-447-4788 (cell)

Niko Kurtzman, MS2 - SKMC, Candidate for MD 2017 nicholas.kurtzman@jefferson.edu 610-716-1474 (cell)

Group/Business Name: MedX

Elevator Pitch

Medical schools and residency programs are ensuring students and house staff learn everything from biochemistry and physiology to the basics of care delivery, but are they offering them the tools to thrive in a healthcare ecosystem defined by “non-medical” factors ranging from pay-for-performance and medical malpractice to population health and work-life balance?

MedX is a free, massive open online course (MOOC) that changes with the changing healthcare landscape, addressing 30 of the most pressing topics that medical students do not learn in medical school, as determined by early-career healthcare professionals and taught by the nation’s experts in health care delivery science and management.

Team Members

Paul Rosen, MD, MPH, MMM – Dr. Paul Rosen is a Pediatric Rheumatologist and Clinical Director of Service and Operational Excellence at Alfred I. DuPont Hospital for Children. He is faculty liaison to the Physician Executive Leadership (PEL) Program of SKMC at TJU, and mentors medical students at SKMC and the UCF College of Medicine in clinical innovation, medical management, and the patient experience. He was named ‘One of the First 100 Innovators’ by the U.S. Federal Agency for Healthcare Research & Quality (AHRQ), and recently spoke at TEDxWilmington on healthcare need for systemic empathy for patients. He received his MD from SUNY Buffalo, MPH from Harvard, and Masters in Medical Management (MMM) from Carnegie Mellon.

Gregory Snyder, MS4 – Gregory Snyder is a graduating fourth year medical student at SKMC who will join the Brigham & Women’s Hospital Harvard Internal Medicine residency program in June. He has been a senior student advisor to the Physician Executive Leadership (PEL) Program, and has maintained a keen interest in the “non-clinical” elements of healthcare since unexpectedly becoming a patient during his MS3 year due to traumatic spinal cord injury. This experience inspired Greg to help other students understand the real concerns of patients and young providers, as they enter a chaotic and confusing healthcare system.

Anuj Shah, MS2 – Anuj is an SKMC student and founder and President of the Physician Executive Leadership Program (PEL) at Jefferson, a program that exposes and educates medical students about the non-clinical aspects of the current healthcare environment by engaging with top healthcare leaders regionally and nationally. Before Jefferson, Anuj spent two years in management consulting at Oliver Wyman in their Health and Life Sciences practice. He helped develop an enterprise ambulatory care strategy for a multi-regional provider and designed a Chronic Care Model for Medicaid / Dual Eligible patients in PA.

Niko Kurtzman, MS2 – An SKMC student with 5 years of software development experience in both applications and bioinformatics, as well as degrees in computer science and economics from Duke University.

Brief Business Description Describe the Business Model – Who are the proposed customers? How will the business generate revenue? Enabling Technology – Please describe any technology required to enable this business and the status of related development

While medical students and residents are the primary initial audience for MedX, significant revenue will not initially be generated through subscription membership. The focus will be free content of high quality and with which end-users can interact. In this way, MedX is differentiated from traditional medical school curricula in both its content, which addresses the non-clinical aspects of practice crucial to success in health care delivery, and its user experience. Rather than students paying tuition for 4 years of training with little or no input as to the content of their curriculum, MedX will allow students to up-vote or down-vote content that they like or dislike and consume only that material that interests them. MedX supplements curricula in medical schools that must focus on the science of medicine due to the sheer volume of what must be taught, by offering a parallel platform for self-directed learning about other critical, non-clinical issues. Changes to medical school curricula are happening now across the country, as well as at Jefferson. Unfortunately, these changes require tremendous amounts of institutional capital, both fiscal and human, to achieve ends that may be obsolete within 5 years in a rapidly changing healthcare delivery landscape. Now, more than ever, a dynamic and continuously improving curriculum for healthcare delivery science is needed. The “X” in “MedX” is appropriately placed, because MedX is variable and determined by the user’s experience.

Revenue Generation: Our platform creates marketing value for partner institutions and advertising value for those who seek the determined eyes of future-oriented medical students. With healthcare reform in the minds of every layman, early-career healthcare providers who want to succeed, based not only on their clinical expertise but also on an in-depth understanding of the US healthcare ecosystem, are an increasingly important asset to their patients, medical schools, residency programs, and future practices alike. Medical startups, hospital systems, pharmaceutical companies, and payers will seek advertising space at the forefront of medical education through MedX. Meanwhile, MedX will offer a baseline quantity of free content available to all-comers, with an additional option to upgrade to MedX Pro for a subscription fee, to be determined. In this way, revenue will be generated initially via advertising (to thousands of early career providers with interest in systemic healthcare issues) and subsequently through premium membership to MedX Pro for those early-career providers most invested in the content.

Finally, while we know that MOOCs have disrupted the business model of higher education in academia (prompting most centers of educational excellence to use MOOCs themselves), it is crucial to understand that social media realizes the value of MOOCs to their member clientele for knowledge supplementation. Lynda.com has offered portable skills and upward mobility to countless members of the tech workforce. Its recent acquisition by LinkedIn on April 9, 2015 generated $1.5 billion.

“If you want to create the future, don’t change the existing model. Make a new model that makes the old way obsolete.” (Buckminster Fuller)

Strategic Team: The program manager of MedX will be Dr. Paul Rosen, and the Curriculum Design Team will consist of Dr. Rosen, Greg Snyder MS4, Anuj Shah MS2 and Niko Kurtzman MS2. Each installation of course content for the MOOC will require a volunteer faculty member and a video production team.

Enabling Technologies: Crowd-sourced data collection on topics that will be up-voted or down-voted to cultivate excellence and relevance of non-clinical topic content (user ratings of material); video; mobile app; online student profile; online merchant for premium subscription; data analysis of user preferences

Measureable Outcomes: MedX will be developed in phases. Phase 1 will involve a pilot program used within a partner institution or institutions, whose medical students and residents will use MedX to their advantage while allowing us to designate points for quality improvement and controlled growth. Stage 2 will include expanded partnership with an increased number of host institutions. Stage 3 will involve app development for use with mobile devices to reach an even broader audience. Future directions may include inclusion of other health professionals, content relevant to pre-med students at Undergraduate universities in the US and abroad, as well as merging with or acquisition by larger physician-oriented networks.

Jefferson Strategic Connection – How might this business further Jefferson’s strategic initiatives?

Jefferson has a history of innovation. To have a future of innovation, Jefferson must brand itself as such.

From what better place to propel a MOOC than an institution that is historically innovative, achieves excellence in graduate and post-graduate level training, and needs to be at the forefront of medical education in order to win big with the New Math of healthcare delivery and Dr. Klasko at the helm?

Moreover, with Philanthropy representing an essential part of the New Math in Jefferson’s equation for success, it is crucial that Jefferson’s brand be seen as philanthropic itself. Jefferson should offer more than direct patient care; it can also add to the value of medical education on a national level. As an innovative approach to medical education that addresses non-clinical issues relevant to the practice and management of medicine, MedX helps to unify Jefferson’s 4 pillars – Academic, Clinical, Philanthropy, Innovation.

One of 4 applicants to medical school applies to Jefferson for medical school at SKMC. Meanwhile, we have the largest alumni network of any private academic medical college. Jefferson can leverage these realities to move medical education forward while expanding the Jefferson brand through these networks. MedX will further establish Jefferson as a change agent in medical education, capturing the eyes of medical students and residents across the country as they explore how to, themselves, positively change healthcare. By virtue of enabling students nationally, this platform will give Jefferson the national brand recognition that it needs as it enters spheres of influence that require buy-in from early-career physicians – telehealth & virtual medicine, entrepreneurship and technology, partnership and collaboration, inter-professional education, emotional intelligence. These are key elements of Dr. Klasko’s ‘optimistic future’ in healthcare.

Personal Interest/Passion – Why is this team interested in pursuing this opportunity?

Our team has been committed to advancing medical education in much-needed directions that are currently and canonically under-represented in the typical medical curriculum. The Physician Executive Leadership (PEL) Program is the brainchild of Anuj Shah, MS2 and represents a collaboration between student leaders and faculty who are highly invested in making sure that medical students gain the skills they need (and pay for). Gregory Snyder joined Anuj Shah in this initiative early on. With the assistance of the SKMC Office of Student Affairs & Career Counseling (specifically, Dr. Susan Rosenthal), PEL has continually brought a unique set of expertise to the SKMC student through key opinion leaders and professionals working in the realms of health policy, physician entrepreneurship, pharmaceuticals, population health, and management. Niko Kurtzman, MS2 and Paul Rosen, MD (faculty liaison) have brought additional expertise to the table, and have helped organize the inaugural PEL Symposium for SKMC students to witness how the business of medicine and clinical innovation occur in the real world. Clearly, MedX represents a commitment to teaching medical students skills, values, and knowledge they need that is engrained in all of these leaders.

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