Deep in the Heart of Texas Development of An Integrated Rural Training Track Tricia C. Elliott, MD, FAAFP, Steve Shelton, Ph.D., * Jorge Duchicela, M.D.,

Slides:



Advertisements
Similar presentations
The Patient-centered Medical Home: Care Coordination Ed Wagner, MD, MPH, MACP MacColl Institute for Healthcare Innovation Group Health Research Institute.
Advertisements

Effective Hearing Screening Practices in Health Care Settings Randi Winston, William Eiserman, Lenore Shisler.
Midwest Retention Toolkit 2012 Indiana, Minnesota, Wisconsin 600 East Superior Street, Suite 404 I Duluth, MN I Ph or
Recruitment and Retention
GEAR UP Idaho  GEAR UP Idaho is a federal grant program that provides comprehensive, early intervention college access programming to selected Idaho.
MGH Back Bay Patient-Centeredness We are working on becoming certified as a Level 3 (the highest) Patient-Centered Medical Home (PCMH) by the National.
Development of the Consumer Professional Partnership Program (CPPP) Thilo Kroll NRH CHDR Steve Towle SCI Network RRTC on SCI: Promoting Health and Preventing.
Current Workforce Development Efforts and Issues for Consideration for California's Section 1115 Waiver Renewal November 20, 2014 Sergio Aguilar, Senior.
Rural Primary Care Practice and Research Program, FAPR Department of Family Medicine Course Director: Michael Kennedy, MD Course Administrator:
Overview Medicaid Expansion and the 1115 Waiver Program May 9, 2013.
BILL GATES’ CONTRIBUTION IN SKILL DEVELOPMENT
1 Wisconsin Partnership Program Steven J. Landkamer Program Manager Wisconsin Dept. of Health & Family Services July 14, 2004.
Rural Primary Care Practice and Research Program FAPR 905 Department of Family Medicine Course Director: Michael Kennedy, MD Course Administrator: Debra.
Transforming Clinical Practices Grant Opportunity Sponsored by CMS.
David Garr, MD Executive Director South Carolina Area Health Education Consortium Associate Dean for Community Medicine Medical University of South Carolina.
Providing Rural Physicians for Illinois A Proposal for a Simulation-Based Comprehensive Rural Program Sara Rusch, MD, MACP Regional Dean University of.
Grantee: Horizon House Primary Care Partner: Delaware Valley Community Health Cohort: 3 Region: 5 Location: Philadelphia, PA Project Director: Lawrence.
Partnerships: Successes, Challenges and Strategies The Power of Local Communities to Impact Health Care Workforce Hilda R. Heady, Executive Director West.
Panhandle Regional Medical Response System Medical Reserve Corps Development Kim Woods May 9, 2007.
Rural Health - The Forgotten Minority 23rd Annual Minority Health Conference February 16, 2001 Yvette McMiller, MPH NC Office of Rural Health.
New York State AHEC System Community partnerships placing health professionals where they are needed most. Thomas Rosenthal:
Asthma: Shared Medical Appointments
Introduction to Standard 2: Partnering with consumers Advice Centre Network Meeting Nicola Dunbar October 2012.
DRAFT Building Our Future 2017 Fulton County Schools Strategic Plan Name of Meeting Date.
Commmunity-based Advocacy Training – Strategies and Tools for Preparing Pediatricians to Meet the Future Marsha Griffin, MD; Judith Livingston, MEd, MCHES;
Leadership in Psychology TERENCE M. KEANE, PH.D. Associate Chief of Staff for Research VA Boston Healthcare System Professor of Psychiatry & Psychology.
Mary Beth Schell Adam Dodd NC AHEC Digital Library National AHEC: Wednesday June 23, 2010 Using Social Networking Tools to Support Graduate Medical Education:
State-wide Stakeholders Focus Group November 20, 2009 Kim Lamb, Executive Director OREGON HEALTH NETWORK.
Teaching Health Centers Frederick Chen, MD, MPH Bureau of Health Professions Health Resources and Services Administration U.S. Department of Health and.
W ORKFORCE P OLICY C OLLABORATIVE State Office of Rural Health Programs & Services Provider recruitment Hospital and clinic services Emergency preparedness.
Presented by Vicki M. Young, PhD October 19,
Institutional Evaluation of medical faculties Prof. A. Сheminat Arkhangelsk 2012.
DANIEL SPOGEN, MD CHAIRMAN, DEPARTMENT OF FAMILY AND COMMUNITY MEDICINE UNIVERSITY OF NEVADA, SCHOOL OF MEDICINE, RENO.
GENERAL SURGERY TRAINING FOR RURAL PRACTICE: EVOLUTION OVER SIX YEARS Karen Deveney, M.D. Oregon Health & Science University Portland, Oregon.
NEW DIRECTORS ORIENTATION JUNE 20, 2010 LAS VEGAS, NV MICHAEL FRENCH AHEC History and Structure.
MPPDA 2014 Presidential Address Russ Kolarik, MD MPPDA National Meeting April 10, 2014.
Interactive Conference Call Series: Effective Outreach and Enrollment Strategies to Capture HIP Caretakers Panel Presenters: Sherry Gray, Director Rural.
National MEDICAL HOME Autism Initiative Poster Presentation for DEC Conference 2005 Linda Tuchman Ginsberg, PhD
Education, Training & Workforce Update FSP Training for Small Counties June 29, 2007 By Toni Tullys, MPA, Project Director, Regional Workforce Development,
Rx for Success: Sustainable Partnership Models Douglas M. Simmons, DDS, MPH October 25, 2004 Chapel Hill, NC.
Pam Danner, MBA Former Program Director, West Texas AHEC Steve Shelton, PA, MBA Program Director, East Texas AHEC.
NCATE Standard 3: Field Experiences & Clinical Practice Monica Y. Minor, NCATE Jeri A. Carroll, BOE Chair Professor, Wichita State University.
Working With the SORH in Texas: Adventures in Pardnering NOSORH Regional Meeting – May 20, 2015 Texas Organization of Rural & Community Hospitals.
Michigan Center for Rural Health Report of 2011 Activities.
Telemedicine Technology Use Plan Brenda Janot Telemedicine Coordinator
Teaching Health Center Graduate Medical Education Program: Two Year Update American Association of Medical Colleges th Annual Physician Workforce.
6 Key Priorities A “scorecard” for each of the 5 above priorities with end of 2009 deliverables – with a space beside each for a check mark (i.e. complete)
Kaiser Permanente Student Information Anna DePold Hohler, MD, FAAN Assistant Dean for Clinical Site Development and Monica Parker-James, MS Manager of.
Northern Health Strategic Plan – 2009 to Slogan “The Northern way of caring”
EMS Technical Assessments for Critical Access Hospital Communities Mary Sheridan ORHP Grantee Partnership Meeting September 1, 2009 …improving access to.
4.2, 4.3 How Schools are Governed. Local Governance is the basic governing unit for education. A board consists of five people, each elected for a four-year.
Health IT for Post Acute Care (HITPAC) Stratis Health Special Innovation Project Candy Hanson, BSN, PHN December 5, 2012.
AACN – Manatt Study In February 2015, the AACN Board of Directors commissioned Manatt Health to conduct a study on how to position academic nursing to.
Rural Emergency Medicine: A New Elective for Real World Experience Delaney Kinchen, DO 2, Carly Eastin, MD 1, Travis Eastin, MD, MS 1, Rawle Seupaul, MD.
Rural Rotations - Definition - General Experiences - Content-Specific Experiences -William Schwab, MD Department of Family Medicine University of Wisconsin.
Community Based Education - UKZN Entrée Program Moïse Muzigaba University of KwaZulu-Natal.
Increased # of AI/AN receiving in- home environmental assessment and trigger reduction education and asthma self-management education Increased # of tribal.
Coordinating the Goals and Objectives of Family, Rural, and Community Medicine through a Rotation Merger James Leeper, PhD Professor, Community and Rural.
Docs on the Rocks: A Recipe for a Better Cocktail PERRT: Project for Enhanced Rural and Remote Training Robert Miller, MD Associate Professor PERRT Lead.
Background Management of Health Systems or “Practice Management” is required by the ACGME for Family Medicine ACGME Requirements for Health Systems Management.
Drew Keister, MD Kira Zwygart, MD.  Define the audience  The USF primary care clerkship background & structure  The USF-LVH partnership  Addition.
A Novel Faculty Development & Promotion Opportunity for Junior Clinical Track Physician Faculty Jean Malouin, M.D. M.P.H. James Peggs, M.D. Department.
Development of a Residency-Based, Research-Based, Collaborative Partnership in Chogoria, Kenya Roger K. Gerstle, MD, FAAFP Munson Family Practice Residency.
... for our health Building WREN’s Capacity through Strengthening Relationships with Full Support Practices Katherine B. Pronschinske, MT(ASCP)
Strengthening ties to the university: Initial progress toward development of rural Teaching Community Health Centers Peter G. Beatty, Ph.D. Eugene Bailey,
Rural Medical Educator’s Interest Group of the National Rural Health Association Joe Florence, MD Director of Rural Programs – East Tennessee State University.
1 Evaluating the Impact of Academic-Public Health Partnerships on Health Professions Schools & Programs Nancy A. Myers Community Health Sciences Northeastern.
Progress and Challenges of Family Medicine in Albania.
Tracking of Medical Students and their Attitudes and Career Intents
Georgetown University SOM Health Justice Scholars Program
Presentation transcript:

Deep in the Heart of Texas Development of An Integrated Rural Training Track Tricia C. Elliott, MD, FAAFP, Steve Shelton, Ph.D., * Jorge Duchicela, M.D., * Robert Youens, M.D., * Olga Duchicela, M.D., Juanita Caskey and Linda Hubbell UTMB, Family Medicine Department, Galveston and *Youens & Duchicela Clinic, Weimar

Educational Objectives Participants will be able: Outline the steps to create and establish an integrated Rural Training Track. Understand the challenges in establishing an integrated Rural Training Track. Learn strategies to collaborate with key stakeholders for an integrated Rural Training Track. Discuss approaches for recruiting and retaining residents for an integrated Rural Training Track.

Family Medicine Department established in 1971, first academic department in Texas Residency Program in Family Medicine accepted first trainees in 1972, over 270 graduates since University setting with community-based experiences Eight (8) positions per year for traditional family medicine program Two (2) positions per year for rural training track Current Program / Background

Vision To foster interest and enthusiasm for living and practicing in rural area To develop special knowledge and skills to be an effective rural physician

Facts <30 established FM rural tracks in the United States 77% of counties in Texas are rural Even more counties are designated whole or partial HPSA’s and/or MUA’s

Rural Texas Facts Texas has the largest rural population of all states in the U.S. The rural population totals more than 3.3 million residents, which is 13.8% of the state’s total population Rural Texas covers approximately 80% of the state’s total area 82% of the state’s incorporated cities have fewer than 10,000 residents

Primary Care Physicians in Rural Counties

Steps to Create & Establish an RTT (or IRTT) Identify rural FM group practice – Contact FM practice groups with whom you already have a teaching history – Works best with 3 or more FM physicians – All interested in teaching and with time to teach – Exam rooms, support staff adequate for continuity clinic – Space for residents’ office area in clinic – Space for on-site rural residency coordinator’s office and equipment – Adequate patient volume and breadth of problems and procedures – Willingness to dedicate administrative time to project

Steps to Create & Establish an RTT (or IRTT) Organize an RTT consortium – Subset of UTMB FM residency program faculty and staff – East Texas AHEC – The rural FM practice group Obtain approval/support from Institution GME/DIO and ACGME

Steps to Create & Establish an RTT (or IRTT) Establish the operational infrastructure to support the RTT – Funding sources – Program residency coordinator, medical educator for curriculum, project manager – Partner with rural practice physicians – Local, on-site RTT coordinator Meet hospital, nursing home, and appropriate healthcare administrators to ensure approval for residents to practice in institution

Steps to Create & Establish an RTT (or IRTT) Meet with CPA organization for healthcare reimbursement consulting services – Include rural group practice, hospital administrator(s), consortium members – Discuss and make decisions about financial issues with FM group and hospital administrator(s)

Steps to Create & Establish an RTT (or IRTT) Develop patient care practice opportunities to meet residency curriculum requirements – Rely on FM doctors in rural group to recommend and make initial contact with healthcare providers in area, e.g. Specialists who are willing to teach (without salary) Community hospitals and other healthcare agencies Healthcare promotion opportunities in the community Establish business relationships – Follow up with visits by RTT residency program personnel to specialists and administrators – Obtain Affiliation Agreements between program institution and physicians and healthcare agencies

Steps to Create & Establish an RTT (or IRTT) Develop strategies to recruit residents for the RTT – Include FM rural physician group in strategy sessions – Work in partnership with the FM rural group to interview and list applicants for Match Design and implement RTT curriculum – Work with rural physicians to determine what would work best while still being compliant with RRC and ACGME guidelines – Consider “Block” or “Longitudinal” format Purchase and install teleconference equipment for distance learning and education

Curriculum / Schedule

Steps to Create & Establish an RTT (or IRTT) Identify and develop community engagement opportunities for RTT residents Create press releases, announcements, to build community awareness and interest Regular meetings with all members of consortium in attendance Be flexible and creative

Steps to Create & Establish an RTT (or IRTT) Consult with Rural Assistance Center (supported by the Office of Rural Health Policy) – A RTT technical assistance program – Randy Longenecker, M.D. –

Challenges Identifying rural group practice – Developed site check list to assist – Not near existing residency programs – Not near metro area Keeping rural residents engaged with the home base program Building the curriculum in a block vs. longitudinal format while having to follow RRC and other requirements Long-distance training of RTT program coordinator Difficult to recruit residents to RTT in initial year

Collaboration with Key Stakeholders Rely on rural FM group to identify and explain program and its value to the community – Hospital board of directors – Medical staff – Community leaders – Heads of foundations/potential funding sources Sponsor luncheon or dinner for key stakeholders – Opportunity to meet individuals (all parties involved) – Discuss RTT program and plans and impact on community – Residents and Community Meet and Greet – Respond to questions

Collaboration with Key Stakeholders Meet individually with specialist physicians and healthcare administrators – Establish working relationships – Ensure they are clear about the program and specific teaching expectations – Ensure their willingness and ability to participate – In lieu of salary for teachers, offer academic clinical faculty appointments to the Department of Family Medicine on-line access to the medical library resources

Resident Recruiting Website – Develop one specifically for RTT/IRTT – Incorporate RTT/IRTT information in general FM residency program website Residency fairs Posters and brochures for residency fairs FMIG presentations Facilitate medical student rotations in our rural sites Focus on recruitment of medical students from small towns/rural areas

Current Status of UTMB Fam Med IRTT The first IRTT site, The Youens & Duchicela Clinic in Weimar, is ready to accept the first cohort of residents who will move there to start second year of training on July 1, applicants were interviewed for the 2 IRTT positions and 2 applicants matched for Academic Year One additional site will be developed for implementation in 2013

Youens & Duchicela Clinic 3 Partners: Drs. Robert Youens, Jorge Duchicela, and Olga Duchicela Located in Weimar, TX, 128 miles from UTMB Website:

Our Mission To provide residents with quality community-based rural primary care training to serve the citizens of rural Texas.

Questions?