harvesting health: growing our own health care professionals
Post on 20-May-2015
1.038 Views
Preview:
DESCRIPTION
TRANSCRIPT
Harvesting Health: Growing Our Own Health Care
Professionals
Great Valley Center, Chico, CA
Don Hilty, MD
Professor of Clinical Psychiatry, UC Davis School of Medicine
Director, Rural Program in Medical Education (Rural-PRIME)
Co-Director, UC Merced San Joaquin Valley PRIME
University of California, Davis, School of Medicine
Michelle Villegas-Frazier, MA
Manager, Office of Diversity and Community Engagement
October 27th, 2010
The vision of the Office of Diversity at UC Davis School
of Medicine is to create an environment where
individuals from diverse backgrounds feel included
and respected, produce a physician workforce that
reflects the diversity of the state of California, and
achieve educational and clinical standards of cultural
competence that ultimately will reduce health
disparities and provide the best care for all patients.
Develop a Pipeline• Middle and high school programs• Undergraduate programs• Medical School Preparatory Enrichment Program• Post-baccalaureate programs
Middle and High School Programs
• Middle and high school visits• College fairs and career fairs• Health Professions High School Lecture
Series• Saturday Academy• Summer Scrubs• Anatomy lab
Undergraduate Program
• School visits• Premedical conferences• Individual advising• Premedical advisor training
Medical School Preparatory Enhancement Program
• Designed to assist economically disadvantaged and educationally and/or socio-economically disadvantaged students:
• Prepare to apply to medical school • Successfully complete the MCAT exam.
• Winter and spring seminar covers:• Health care policy, • How to complete the AMCAS application • Prepare for the MCAT.
•Summer • 8-week MCAT preparatory class given by Kaplan testing company.
Post-baccalaureate Programs
• A summer session on learning skills and MCAT preparation• An academic year of upper division science courses• Comprehensive advising on the medical school application process• Comprehensive academic counseling, advising and psycho-social
support.• To promote active learning we provide a multi-dimensional focus
throughout the year on three main areas: Learning Skills, Test Taking
Strategy, and Goal Setting.
How to Pick A College
• Explore your options
• Ask yourself…
• Which campuses have academic programs that most interest me?
• Do I want to be on a large urban campus or a smaller, more intimate one?
• Do I want to be close to home?
• Would I rather be near museums and big-city shopping or places to hike, ski or surf?
• Experience up close
• Be flexible
Internet Resources
www.universityofcalifornia.edu
www.calstate.edu/students/
Health Professions Options
• Multiple options
• Best way to know how is to obtain “hands on
experience”
www.oshpd.ca.gov/HWDD/HealthCareerExploration.html
www.aspiringdoctors.com
How to Develop your Pathway into Medicine
• Multiple pathways• Comprehensive reviews
•Academic preparation
•Extracurricular activities
•Passion
•Clinical experiences
•Research experiences
How to Develop your Pathway into Medicine
Medical EducationOur goal is to train competent and compassionate physicians who will address the health care needs of individuals, families, and communities through collaborative approaches to patient-centered care.
We guide students toward mastery of seven major competencies:
• Patient care
• Knowledge
• Interpersonal and communication skills
• Professionalism
• System-based practices
• Life long learning
• Practice-based learning
Medical Education con’t
• Competency-based: Instructional framework and assessment
methods are linked with graduation competencies, educational
program objectives, and course objectives
• Integrative: An integrative block curriculum weaves content in the
basic sciences and clinical medicine around multi-disciplinary
themes and common clinical presentations
• The longitudinal doctoring curriculum promotes stage-appropriate development
of clinical and professional skills while integrating core principles of patient-
centered care, behavioral medicine, population medicine, ethics, and socio-
economics
Medical Education con’t
• Innovative: Excellent basic science and clinical faculty are
dedicated to student-centered teaching
• Rich mixture of stimulating teaching methods and technologies promote learning
through discovery and collaboration
• Emphasis on self-directed and interactive small-group learning, frequent
formative feedback, and self assessment
• Standardized patients and simulation technologies used extensively for learning
and assessment
• Flexible: Opportunities for career exploration, research, and
community service
• Elective credit offered for participation in student-run, community clinics
School of Medicine Student GroupsAcademic Medicine Integrated Organization
(AMIGOs)
American Medical Student Association (AMSA)
American Medical Women’s Association (AMWA)
Anesthesiology Student Interest Group (ASIG)
Business of Medicine SIG
Christian Medical Fellowship
Diving Medicine Student Interest Group
Education Student Interest Group (ED SIG)
Emergency Medicine (EMSIG)
Family Medicine Interest Group
FMIG
Filipino Americans In Medicine (FAIM)
Flying Samaritans at UCD SOM
(Flying SAM SIG)
Global Health SIG (GHSIG)
Healthy Bodies/Healthy Minds
Interfaith SIG
Integrative Medicine
(Students for Integrative Med)
Internal Medicine (IMSIG)
In Vivo Literary Magazine
Latino Medical Student Association (LMSA)
LGBT People in Medicine
Medical InterCultural Opportunities for Students (MEDICOS-Kenya)
Medical InterCultural Opportunities for Students (MEDICOS-Nicaragua)
Medical Student for Choice (MSFC)
Neurology & Neurosurgery SIG
(Neuro SIG)
Nutrition SIG
Obstetrics and gynecology SIG
Ophthalmology SIG
Orthopaedic Surgery/Sports Medicine SIG
Pathology Student Interest Group
(PathSIG)
Pediatric Student Interest Group (PedSIG)
Peer Support Group
Psychiatry Student Interest Group
Public Health Student Interest Group (PHSIG)
Quality Improvement & Patient Safety
Radiation Oncology Student Interest Group
Rural SIG
Student National Medical Association (SNMA)
Surgery SIG
Wilderness Medicine SIG
“Big-Sib” Program
The Colleges For Advising
IakonaRouleaux ViegaHuGE
Student-run ClinicsEach have a special primary
population/focus, but is not exclusive
to just that population
All have a common system:
Undergrads + med students +
preceptors
Med students see patients
(interview, physical exam, tests) and
consult with preceptors for
assessment and plan
Co-Director and officer positions
available in all
Healthy Bodies, Healthy Minds
WELLNESS ROOM
Student Lounge
Rural-PRIME
A Solution to the Provider Shortage in Rural
California
Don Hilty, MD, Director
Suzanne Eidson-Ton, MD, MPH, Co-Director
Thomas Nesbitt, MD, MPH, Associate Vice-Chancellor for Strategic Technologies &
Alliances
Sneha Patel, Manager
Rebecca Miller, Coordinator
Longitudinal training in rural health, Years 1-5
Supplemental training in public health, culture, and informatics
New facilities and distance learning technologies for students in rural practice settings (“smart classroom”)
MA in Public Health or Medical Informatics, Year 4
How UC Davis Will Do It
Innovative training program fully integrated into our existing curriculum … but with
Doctoring 1
Environmental Health
Agricultural Health
Rural Health Small Groups & Cases (rural physicians participate)
Preceptorships in Rural/Migrant Clinics
Rural-PRIME Orientation
Rural-PRIME Seminar
Rural vs. Urban Models of Healthcare Delivery
Rural Culture
Telemedicine, Medical Informatics, & Simulation
Visits to Rural Practice Sites
Rural SIG Activities
6-week Break
Early August 2nd week JanuaryMid December Mid May
Metabolism/
Reproduction/
Endocrinology,
Pathophysiology
Pharmacology
Human Structure/Function
Year 1
Doctoring 2
Population-based Health
Rural Health Small Groups & Cases (rural physicians participate)
Exposure to Rural Practice via Preceptorships
Patient Diagnosis & Treatment Planning USMLE1
Neuroscience
Systemic Pathology
Pharmacology
CardiologyPulmonaryNephrology
Musculo-Skeletal
HematologyOncology
Rural-PRIME Graduate Advising on Master’s Degree
Seminars: Rural Health, Culture, Telemedicine and Skills and Procedures at the Center for Virtual Care
Research: Didactics on Project Design & Development
Year 2
Surgery Pediatrics
Ob/Gyn Psychiatry
Primary Care
Standard Clerkship OR 4 wk RURAL &
Ortho/ General Inpatient
4 wk RURAL rotation &
Inpatient/ University OB/GYN Rotation
8 wk RURALrotation
Doctoring 3 Epidemiology, Toxicology Population-based Health, Economics of Medicine Doctor-Patient Communication, Cultural SensitivityRural Health Small Groups/Cases (rural physicians & students participate via telemedicine)
ATLS–Advanced Trauma Life Support
ALSO–Advanced Life Support in Obstetrics
4 wk RURAL rotation &
Inpatient, PICU, Oral Health, & Child Ab.
4 wk RURAL rotation &
Integrated Behavioral Health & Telepsych
P/NALS–Ped./NeonatalAdvanced Life Support
Standard Clerkship &
Telemedicine Consults & Visits to Subspec’ts
Year 3
Telemedicine Consults & Visits to Subspec’ts
MedicineACLS-
Advanced Life Support
MastersMasters Public health, medical informatics or otherPublic health, medical informatics or other Locale: UC Davis or otherLocale: UC Davis or other
SeminarSeminar Present one another’s projectsPresent one another’s projects AdvisingAdvising
CourseworkCoursework Didactics: in-person or distance educationDidactics: in-person or distance education Clinical: skills seminars and volunteeringClinical: skills seminars and volunteering
Field workField work Data collectionData collection OtherOther
Year 4
Clinical Rotations Electives: option to shift rural Rotations Applying Specialty Expertise to Primary Care or Specialty Rotations
Didactics Special Study Module (Elective): option to shift rural Other Medical Informatics (e.g., Telemedicine, Handheld Devices, Electronic Health Record)
Scholarly Project in Public Health or Informatics (Complete)
Advising Residency Selection Career Planning
Year 5
Doctoring 4 Teaching or MS “Chief” Contemporary topics: Economics of Healthcare, Practice Management, Team-based Practice & Life-long Learning Strategies, and Special Topics (e.g., Emergency Medical Transport System or Extended Care/Hospice Care in rural areas) Liaison between RP MS and administration, seminar
UC Merced San Joaquin Valley PRIME
A Solution to the Provider Shortage in the Valley
Frederick J. Meyers, MD, MACP
Executive Director, Medical Education & Academic Planning
UC Merced Medical Education and Health Sciences
Executive Associate Dean, UC Davis School of Medicine
Don Hilty, MD, Co-Director
Sneha Patel, Manager
Rebecca Miller, Coordinator
UC Merced San Joaquin Valley-PRIME
Joint UC Davis initiative with UC Merced
Innovative training for future physicians
Community-based research, educational and engagement experiences in the SJ Valley
Partnerships with Valley health systems
The Need for Health Professionals Highest rate of uninsured, under-
insured, publicly insured in California
Shortage of primary care and specialist physicians highest in the state
Two of the poorest counties in the nation – if considered as a separate state, would be the poorest in the country
$845 million spent annually by Valley residents on health care services outside of the region
One of the lowest rates of college education per capita in the state
California is estimated to have a shortage of up to 17,000 physicians by 2014
UC Merced San Joaquin Valley- PRIME Years 1-2
Basic science, pre-clinical and clinical experiences of the UC Davis School of Medicine
Didactic (e.g. seminar) and experiential learning (e.g. PBL) focused on SJ Valley health
Precepting and longitudinal clinic in the SJ Valley
Summer research or community engagement project between years 1-2 in the SJ Valley
Valley - PRIME Years 3-4*
Clerkships and year 4 selectives and electives in the SJ Valley Hospitals and clinics from Stockton to
Bakersfield Urban and rural sites approved by
application process and detailed review Interest expressed from UCSF-Fresno,
Mercy Merced, Children’s Hospital and other sites
*Starting the pilot year as a 4-year program with a suggested master’s in a fifth year
Special AppreciationUC Merced
Chancellor KangProvost AlleyVice Provost Ojcius
HSRIJan WallanderAndy Li Wang
COEMaria PallaviciniJan WallanderFaculty Senate
Congressmen Cardozza & Costa
UC DavisVC/Dean PomeroyRural-PRIMEThomas NesbittFaculty Senate
UCOPJack Stobo Cathryn Nation
UCSF/UCSF-FresnoDavid IrbyJoan Voris
SJ Valley Coalition
top related