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Theories without data are like daydreams.


JONATHAN ROTTENBERG
Friday, August 22, 2014 dailytarheel.com Volume 122, Issue 57
By Stephanie Lamm and
Jenny Surane
Senior Writers
With all the money in the
world, Grace Schmits would ask
for just a little more space.
Specifically, more space
for her patients at the North
Carolina Jaycee Burn Center,
where Schmits is a nurse man-
ager. And more space for their
cutting-edge technology that
treats 1,400 burn victims a year.
If we had an unlimited bud-
get, the first thing I would do is
expand space for the (intensive
care unit) rooms and increase
the number of beds in the
clinic, Schmits said. We have a
lot of equipment here, and were
tight on space.
As the UNC-system Board of
Governors finalizes the budgets
for each campus, its research
institutions like the burn center
that are once again on the chop-
ping block for budget cuts.
In May, the N.C. General
Assembly proposed $13.1 million
in cuts to UNC-system centers
and institutes. After months of
compromise, the centers and
institutes narrowly escaped
without the $13.1 million cut.
Now the UNC-system Board
of Governors is debating slash-
ing even more money.
In the 2014-15 state budget,
signed by Gov. Pat McCrory Aug.
7, lawmakers included a provision
requiring the board to consider
taking away $15 million from the
systems centers and institutes
and putting it toward the distin-
guished professorships and its
strategic directions initiative.
During the Board of
Governors Budget and Finance
Committee meeting Wednesday,
Andrea Poole, an assistant vice
president for finance, said they
will discuss the potential cuts
during its meeting in September.
We need to set a date certain
by which were going to reach
this decision, said board mem-
ber W.G. Champ Mitchell.
This is one of those things that
people can drag out forever. It
is a hot button with people who
appropriate our money and we
cant let it drag.
Judith Cone, special assistant
to the chancellor for innovation
and entrepreneurship, said the
frequency of the proposed cuts
doesnt reflect the Universitys
commitment to research.
Im not a fan of the blanket
cuts, its much more complicated
than that I understand the
budget constraints this needs
to be a very thoughtful process at
looking at each one of our centers
and institutes, Cone said. Our
centers and institutes have that
outreach arm to connect us with
the citizens of North Carolina.
Bruce Cairns, director of the
burn center and faculty chair-
man, said while his center is
DTH/KATIE WILLIAMS
Sydney Thornton, clinical coordinator for occupational therapy at UNC Hospitals, creates a dressing for a burn patient.
Research centers ght
to avoid more budget cuts
Board of Governors considers UNC research cuts
By Carolyn Ebeling and Jane Wester
Assistant University Editors
First-year medical school students at
UNC are the guinea pigs for a new curricu-
lum this year.
The curriculum, called Transitional
Education at Carolina, or TEC, launched
this fall and highlights patient care, clinical
experience and a shift away from repetitive
memorization.
The curriculum will focus on understand-
ing and application, said Robert Bashford,
associate dean of admissions for UNC
School of Medicine.
My example is that I learned the Krebs
Cycle. No, I memorized it, and I could spit it
back, six times. I never understood it. Now
Im the example that we would teach what
it means and not necessarily to memorize it
and be able to spit it back, he said.
Bashford said he first heard about poten-
tial changes to the curriculum three years
ago, with active planning beginning about
By Lindsey Brunson
Staff Writer
Same-sex couples in Virginia came within a days
reach of being able to get legally married but a
Supreme Court move will delay the possibility of gay
marriage in the state and in North Carolina.
On Wednesday, the Court stayed a 4th Circuit
ruling that in July struck down Virginias gay
marriage ban. North Carolina falls under the 4th
Circuits jurisdiction, meaning the ruling would
apply to any challenges of its constitutional ban.
The Courts decision means a lower courts rul-
ing that allowed gay marriage is on hold until the
Supreme Court upholds or overturns the ruling.
If the Court decides to hear a gay marriage case
in the 2014-15 term, justices would have to make all
decisions for that term by the end of June.
Things seem to be lining up for (the Supreme
Court) to see a case this term, said Maxine
Eichner, a UNC law professor..
If the Supreme Court had not put the 4th
Circuits ruling on hold, the four North Carolina dis-
trict court cases targeting the states ban would have
claimed the decision as a precedent, said Eichner.
That legal action would likely have overturned
North Carolinas ban on gay marriage, which was
passed in 2012.
This is an important development, said
Eichner. It means we are waiting longer.
Mike Meno, spokesman for the N.C. chapter
of the American Civil Liberties Union, said the
ACLU, which filed the first two North Carolina
suits, will continue to push for rulings in their
cases despite the Supreme Courts action.
Were representing families who need marriage
recognition today, said Meno. They have children
with whom they need legal relationships with.
They have spouses who have braved health condi-
tions, and they need the certainty and dignity and
legal security that comes with marriage.
North Carolinas same-sex lawsuits were not
directly affected by the Supreme Courts delay
because the cases were still in the district courts.
But the Supreme Courts action signals that the
nationwide battle for same-sex marriage rights
might soon reach a decisive moment, if the Court
hears the case in the 2014-15 term.
Eichner said if the Supreme Court hears the
case, it could rule that the federal Equal Protection
Clause prevents bans on same-sex marriage.
Chris Sgro, executive director of Equality N.C.,
said the direction the fight for gay marriage rights
is headed is clear. He said a national poll released
last Friday found that a majority of Americans
favor legalizing gay marriage.
That is just an incredible change from a
decade ago, Sgro said.
state@dailytarheel.com
By Hayley Fowler
Assistant State & National Editor
UNC senior Chelsea Krivanek almost didnt
receive financial aid her freshman year because of
an error on her FAFSA application a mistake,
she said, that resulted from the confusing nature
of the more-than-100-question form.
She said her aid package was delayed by three
months, and since she couldnt afford college
without aid, her stress as a new freshman on
campus was multiplied.
U.S. politicians have taken note of the frustra-
tions students like Krivanek have expressed.
The Higher Education Act, which governs
federal grant, loan and work-study programs,
expired at the end of 2013, and Congress is con-
sidering major changes to simplify the applica-
tion process which could mean the end of
subsidized Stafford loans, said Shirley Ort, asso-
ciate provost and director for the UNC Office of
Scholarships and Financial Aid.
In the 2012-13 school year, 5,561 UNC students
received subsidized loans.
UNC RESEARCH BY THE NUMBERS
$800 million
Annual revenue brought in
4,000
Full-time jobs provided
1,100
N.C. vendors worked with
$75,000
Average salary of researchers
$
Financial aid
applications
could become
simpler
Supreme
Court halts
gay marriage
Subsidized loans might end under
the new Higher Education Act.
The Supreme Court decided to hold
a circuit court ruling in Virginia.
The curriculum now focuses on
patients and clinical experience.
UNC School of Medicines curriculum evolves
The translational education program
SOURCE: UNC SCHOOL OF MEDICINE DTH/DANIELLE HERMAN
Beginning with the frst-year class of fall 2014, the UNC School of Medicine starts its translational education program. The
three-phase curriculum gives students more opportunities to apply their knowledge with patients in clinical settings.
August 2014 to December 2015 March 2016 to February 2017 March 2017 to May 2018
Foundation Phase
The traditional two years of
classroom study has been cut to 16
months. Students learn one organ
group at a time with a focus on
understanding over memorization.
Application Phase
For the next two semesters, students
gain clinical experience by working
closely with patients to apply what
theyve learned during the
foundation phase.
Individualization Phase
Students can customize their classes
with the help of advisers and take more
clinical electives. This phase is designed
to help them decide what kind of
residency they will apply for.
two years ago.
We would never make a change in cur-
riculum unless it were to the advantage of
the student, he said. Weve been doing this
a very long time, teaching medical students;
we wanted to make a change that would
make sense for our students.
Lourens du Pisanie, a first-year medical
student, said he is very excited about the
new curriculum.
They kind of shortened the curriculum
and made it more streamlined and took out
a bunch of stuff that wasnt necessary to
teach us, he said.
Du Pisanie said TEC adds a more per-
sonal aspect to education.
Our first experience with medicine is not
a dissection, but rather through and learning
how peoples lives can be affected by doctors,
he said.
SEE RESEARCH, PAGE 7
SEE CURRICULUM, PAGE 7
SEE SUBSIDIZED LOANS, PAGE 7
From Page One Friday, August 22, 2014 The Daily Tar Heel 7
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Solution to
Thursdays puzzle
Complete the grid
so each row, column
and 3-by-3 box (in
bold borders) contains
every digit 1 to 9.
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All rights reserved. Los Angeles Times Daily Crossword Puzzle
ACROSS
1 Draft order
5 __-A-Lympics: 70s
Hanna/Barbera spoof
9 Wicked!
14 Its pressed in a corner
16 Feature of some stickers
17 See 23-Down
19 __ So Fine: Chiffons
hit
20 Turkic flatbread
21 Conks out
22 Disadvantage
23 Cohort of Larry and
Curly
24 Sound of disapproval
27 See 23-Down
33 Hadnt settled yet
34 Paul McCartney title
35 Sierra __
36 Watch readout abbr.
37 Showy flier
40 Anguish
41 Tickle
43 ET carrier, supposedly
44 Graybacks
45 See 23-Down
49 Elizabeth
Darcy __
Bennet
50 Whatever
51 Toy power
sources
52 Joint high-tech
project
54 PC key
55 Altar line
58 See 23-Down
63 Downed
water, say
64 Some
entryways
65 Having bite
66 Sister of Luke
67 Tom, Dick and Harry,
e.g.
DOWN
1 See 15-Down
2 That makes sense to
me now
3 Investigator in the USS
Cole attack
4 Place for a price
5 Some Tripoli natives
6 One-named Lonely
singer
7 Supportin
8 Author Dostoyevsky
9 Except
10 Have difficulty dealing
(with)
11 Length of a boring class,
so it seems
12 Green-egg layer
13 Ph.D. students, perhaps
15 With 1-Down, Mekong
River capital
18 Feudal land
22 Whiting cousin
23 Clue for 17-, 27-, 45-
and 58-Across
25 Impeded
26 Star Wars surname
27 Claylike
28 Pleeeeease?
29 Turn down
30 Don Quixotes aunt
31 Category
32 Rizzutos Brooklyn
counterpart
37 Foot, in
anatomy
38 Not quite right
39 Great Barrier Reef
setting
42 Distorting
44 Short streets?
46 Filming unit
47 Sponge, e.g.
48 Caf customer
53 Black
54 Italian wine region
55 Harpsichordist Kipnis
56 Prefix meaning half
57 Estimate
words
58 Silent Spring subj.
59 Roth __
60 From, in Dutch names
61 Suffix with ethyl
62 Kidding!
4 1
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SUBSIDIZED LOANS
FROM PAGE 1
RESEARCH
FROM PAGE 1
CURRICULUM
FROM PAGE 1
largely funded with private
donations, he is worried about
programs they work with.
When any program is
cut, there is a ripple effect,
Cairns said. We are impacted
by cuts to the School of
Medicine, cuts to the School
of Government programs and
especially by cuts to the data-
gathering centers.
Cairns said he is concerned
the legislature doesnt prop-
erly value the programs.
The people of the state have
invested in us so that we can
serve them, he said. Its our
job to show them that they are
getting their moneys worth.
Thats the point that Barbara
Entwisle, vice chancellor of
Ort said the loan system,
with different names and var-
ied interest rates, is confusing,
and that some lawmakers want
to streamline loans into a sin-
gle unsubsidized loan program.
That simplicity would give
much greater predictability to
families, she said.
Sandy Baum, an education
policy professor at George
Washington University, said
in an email that there is spec-
ulation that eligible students
dont apply for financial aid
because the application pro-
cess is so overwhelming.
Krivanek said she had to
fill out the detailed forms
herself; most freshmen she
knows dont fill out their own
FAFSA applications.
(The application) asks so
many questions and things
that I thought I would never
have to know, she said.
Goodbye to subsidies
Under the current law, the
federal government pays inter-
est on subsidized loans while
students are enrolled in school
and up to six months after
they graduate. Ort said while
eliminating the subsidy may
make borrowing more expen-
sive, the savings could be used
to increase grant funding.
Baum said fairly affluent
students can get subsidized
loans if they attend a private
college but if these changes
are implemented, they might
not qualify for federal grants.
While many people
believe the dollars now spent
on loan subsidies would be
better spent on Pell Grants,
given the current budget poli-
tics, there is no way to assure
that would actually happen.
Still, Baum said she thinks
loan repayment plans for
low-income students will be
improved.
(They) are really the protec-
tion students need, she said.
Ort also said lawmakers
have proposed changing how
to determine student eligibility.
The proposed change will
allow students eligibility to
be determined by the tax data
from two years prior which
Ort said would minimize
paperwork and shorten the
application.
Delayed outcomes
Though some agreement
has begun forming among
lawmakers during the lengthy
renewal process, the reauthori-
zation will likely not occur until
2015, Ort said.
She said Congress will then
have to establish an implemen-
tation date that allows time for
the Department of Education
and financial aid offices to
update their systems, meaning
students financial aid might
not be affected for two years.
Donald Heller, dean of
the College of Education at
Michigan State University,
said Congress tries to reau-
thorize the act every five
years, but they often take
longer than five years to finish
the reauthorization.
He said that at the five-
year deadline, lawmakers pass
cursory legislation to extend
the act for as long as neces-
sary, ensuring the flow of fed-
eral financial aid continues.
But Ort said bipartisan leg-
islators are finding common
ground in the reauthorization.
There are more common-
alities than differences in the
bills that are being introduced.
A lot have focused on simplic-
ity, accountability and trans-
parency.
state@dailytarheel.com
research, wants administrators
to understand about research
centers and institutes.
These are not hobbies
I think thats how they are
viewed by people outside the
University who dont under-
stand what they are and really
how important they are, said
Entwisle, who oversees the
15 cross-disciplinary research
centers at UNC.
I talk a lot about the
research because thats my
shtick, but these same centers
and institutes are involved
in teaching and training and
service to Carolina. Theyre
creating jobs.
Since June 2008, Entwisle
said the research centers and
institutes she oversees had 35
percent of their budget cut.
I think its hard on
morale, she said. I like to
think that our researchers are
busy doing research and not
focused on that. But I can say
from a directors standpoint,
its very hard.
James Swenberg, who
works with the Center for
Environmental Health and
Susceptibility, said these pro-
posed cuts create a negative
environment for researchers.
Though the center is largely
shielded from state cuts,
Swenberg worries the cuts will
effect the reputation of the
Universitys research centers.
The Universitys budget has
been cut severely since 2008,
and it just keeps continuing,
said Swenberg. I dont think
thats a pretty picture for UNC.
university@dailytarheel.com
Meghan Forstchen, a senior
biology major, said the new
curriculum makes her more
eager to apply for medical
school.
I feel like having more
practical experience and get-
ting this exposure will not only
help prepare me for life after
med school, but also make me
a better doctor, she said.
The curriculum will set stu-
dents up to be lifelong learners
because they cant get every-
thing they need to know in
just four years, Bashford said.
What forced the change
was the huge increase in
knowledge, in facts, in data,
he said.
To take advantage of the
volume of information, medi-
cal students will need to be
comfortable with technology.
We know they know tech-
nology and were trying to play
into what they know about
technology, Bashford said.
So in the old days, we would
memorize, memorize, memo-
rize - thats no longer necessary
because they can look it up.
The new curriculum also
emphasizes medical ethics
and cultural sensitivity.
We look at race, ethnicity,
gender, sexuality, death
giving our students an under-
standing of these big concepts
that cover all of medicine, he
said.
university@dailytarheel.com

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