Journal of regional medical campuses最新文献

{"title":"In the Eastern Fields of Eden","authors":"Austin R. Clark, J. T. Smith, C. Tucker, Eli W. Travis, W. Crump","doi":"10.24926/JRMC.V1I5.1472","DOIUrl":"https://doi.org/10.24926/JRMC.V1I5.1472","url":null,"abstract":"The authors have no conflict of interests to report and IRB approval for Treatment of Human Subjects and Treatment of Animal Subjects is not applicable","PeriodicalId":92811,"journal":{"name":"Journal of regional medical campuses","volume":"76 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90933872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Invitation to Walk a Mile in Their Shoes: A Rural Immersion Experience for College Pre-medical Students","authors":"Carli P Whittington, W. Crump, R. Fricker","doi":"10.24926/JRMC.V1I5.1565","DOIUrl":"https://doi.org/10.24926/JRMC.V1I5.1565","url":null,"abstract":"Purpose \u0000To report the outcomes of the first 15 years of an entirely rurally-based college-level program designed to enhance rural students’ understanding of rural health and reinforce their potential affinity for rural practice. \u0000Method \u0000Choice of career, practice site, and evaluation results were collected from 80 program participants for the period 2003-2017. Anonymous pre- and post-survey data were analyzed using the Wilcoxon Mann-Whitney tests to compare survey results of students’ opinions of the importance of understanding traditional medical and social items when choosing a treatment option for very rural patients. \u0000Results \u0000The authors found no statistically significant difference between pre- and post- survey measures of opinions of traditional medical items. However, six of the nine social items showed a statistically significant increase (p <.05). The importance for a physician to understand social factors increased in post-test results for items of faith/spirituality, who prepares the patient’s meals, health beliefs held by the patient, the kind of work the patient does, how ready the patient is to make changes, and where the patient lives. Evaluations were positive and comments supported that the goals were accomplished. Of those completing each stage of training, 83% chose some health career, 58% chose medical school, 31% chose family medicine, and 66% chose primary care. Of those establishing medical practice, 50% chose a rural site. \u0000Conclusions \u0000Rurally-based programs may reinforce college students’ rural affinity, promoting the likelihood of completion of medical school and subsequent rural practice choice. \u0000Funding/Support: None. \u0000Human Subjects: This study was determined exempt by the Baptist Health Madisonville Institutional Review Board. \u0000Conflicts of Interest: None","PeriodicalId":92811,"journal":{"name":"Journal of regional medical campuses","volume":"47 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85300998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Postgraduate trainee views on eHealth at a distributed medical campus.","authors":"S. Benjamin, J. Ho, J. Alfonsi, H. Kellam","doi":"10.24926/JRMC.V1I5.1374","DOIUrl":"https://doi.org/10.24926/JRMC.V1I5.1374","url":null,"abstract":"Purpose: e-Health is a rapidly evolving field that cuts across specialties however; there is a gap in development and evaluation of training for postgraduates in residency programs. This is a multicentre, collaborative effort among faculty from the departments of Psychiatry, Geriatrics and Internal Medicine in partnership with Ontario Telehealth Network to assess the needs of postgraduate residents in ehealth and build a pilot program to address identified learning gaps. \u0000Methodology: We conducted a needs assessment (Appendix A) through an online survey to investigate the self-perceived knowledge, gaps and barriers to eHealth of medical resident physicians at the McMaster University DeGroote School of Medicine Waterloo Regional Campus (WRC), Kitchener, Ontario, Canada \u0000Results: All respondents identified that they would be interested in education in telehealth and all of them felt that they would have to use telehealth in their future practices. However, 83.3% did not feel confident using telemedicine in clinical practice. Based on the results of the needs assessment, we have built a pilot rotation in which postgraduate trainees can practice telehealth skills in an interdisciplinary setting.","PeriodicalId":92811,"journal":{"name":"Journal of regional medical campuses","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75540826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Diffusion of an Innovation: Implementing an Ultrasound Curriculum Across a State-Wide Campus","authors":"T. Wyatt, R. Etheridge, P. Wallach, M. Lyon","doi":"10.24926/JRMC.V1I5.1386","DOIUrl":"https://doi.org/10.24926/JRMC.V1I5.1386","url":null,"abstract":"Introduction \u0000Implementation of point-of-care ultrasound (POCUS) has expanded exponentially in the last 10 years. However, much of the published literature describes the design and delivery process within centralized U.S. medical schools, leaving regional campuses guessing on how best to approach their efforts. \u0000Methods \u0000Using the Diffusion of Innovation Theory, this article describes the Medical College of Georgia’s (MCG) two-year effort to implement and disseminate a POCUS curriculum in both UME and GME across three regional campuses and a partnership campus in Athens. This framework was chosen because it makes visible the adoption process of a new technology within our distributed medical campus system. \u0000Results \u0000Implementation at MCG occurred in three distinct phases. Phase one focused on implementing ultrasound training in 1st and 2nd year of medical school. Phase two included an expansion into GME and the creation of the Center for Ultrasound where dedicated resources were made available to support a unified curriculum. Phase three integrated POCUS into the 3rd & 4th year clerkships. The last phase was unequivocally the most difficult phase to implement, given the amount of complexity in coordinating and assessing ultrasound competence in students spread out across the state. \u0000Discussion \u0000                Given our success in implementing ultrasound across training levels and geographical locations, we have several key insights that may be helpful to other medical schools with a distributed campus system. Key insights include the need for a strong support system for the adoption and integration of POCUS, a team of clinicians/practitioners interested in the innovation’s diffusion across regional and clinical sites, and packaging ultrasound education as a teaching tool, rather than a separate and distinct skill. \u0000Conflict of Interest: None \u0000Human Subjects: Not applicable \u0000Treatment of Animal Subjects: Not applicable ","PeriodicalId":92811,"journal":{"name":"Journal of regional medical campuses","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82442806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editor’s Note: A new book and the GRMC meeting at Learn Serve Lead 2018","authors":"A. Johns, P. Termuhlen","doi":"10.24926/JRMC.V1I4.1524","DOIUrl":"https://doi.org/10.24926/JRMC.V1I4.1524","url":null,"abstract":"The editors are pleased to publish our fourth issue of the JRMC. You will find the published articles informative and inspiring. The JRMC continues to look for submissions that reflect the valuable work being performed on regional medical campuses. \u0000We would like to call attention to The Regional Medical Campus, a new resource book by Michael Flannigan MD with contributors from many of our regional campuses. Please open the attached PDF announcement for further information. \u0000Also, please note the attached schedule for the Group on Regional Campuses meetings during the AAMC Learn Serve Lead in Austin Texas November 2nd and 4th. These are valuable sessions for faculty and administrators of regional campuses. We hope you can take time to attend. \u0000Paula Termuhlen, MD and Alan Johns, MD, MEd \u0000Editors-in-Chief","PeriodicalId":92811,"journal":{"name":"Journal of regional medical campuses","volume":"181 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80209571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Novel Clinical Needs Finding Course Brings Biomedical Engineering Students Together with Regional Medical Campus Students, Residents, and Faculty to Solve Real-World Problems","authors":"R. Rao, Hanna A. Jensen, Thomas K. Schulz, Pearl A McElfish","doi":"10.24926/jrmc.v1i4.1369","DOIUrl":"https://doi.org/10.24926/jrmc.v1i4.1369","url":null,"abstract":"Biomedical engineering is the fastest growing engineering field in the United States, preparing a generation of skilled problem-solvers who, together with healthcare professionals, drive the momentum of novel technologies for prevention, detection, treatment, and monitoring of disease. It is important to the education of biomedical engineers that the dialogue between healthcare professionals and schools of engineering is seamless, constant, and interactive. Lack of sustainable discourse between those who produce technologies and those who use them could reduce the applicability and relevance of the biomedical engineering education1,2. Reciprocally, for healthcare professionals to optimally harness the expertise of their engineering colleagues, a direct interaction is required. \u0000The department of Biomedical Engineering (BMEG) is one of the largest departments within the College of Engineering at the University of Arkansas, with approximately 70 students graduating annually. Established in 2012, as the first and only biomedical engineering program in the state of Arkansas, the department is establishing itself as one of the premier research departments on campus. The department prides itself in its commitment to diversity and has been successful in attracting diverse groups of students to enter the field of science and engineering.  In the spring of 2018, the BMEG undergraduate student body had the highest percentage of female and underrepresented minorities within the college of engineering—53% female and 37% minority. \u0000The University of Arkansas for Medical Sciences (UAMS) is the only allopathic medical school in the state of Arkansas. In 2007, UAMS established UAMS-Northwest as a regional campus in Fayetteville. UAMS-Northwest extends UAMS’ medical education, research, and clinical mission. UAMS-Northwest has ~250 students in the colleges of medicine, nursing, pharmacy, and health professions, as well as 48 family medicine and internal medicine residents. UAMS-Northwest is located more than 200 miles from the main UAMS campus in Little Rock but is only one mile from Arkansas’ land grant university, the University of Arkansas. This proximity of the regional medical campus to the land grant university provides opportunities for collaboration that can benefit the students of both institutions. \u0000This article provides an overview of the implementation and preliminary assessment of a novel Clinical Needs Finding course that was recently instituted as a collaboration between the Department of Biomedical Engineering and the University of Arkansas for Medical Sciences– Northwest Campus.","PeriodicalId":92811,"journal":{"name":"Journal of regional medical campuses","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84389185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Optimizing student learning at the Regional Medical Campus","authors":"Kristen Grine, Angela Hardyk, J. Powell, R. Ridenour, P. Sherbondy, J. Wong","doi":"10.24926/JRMC.V1I4.1391","DOIUrl":"https://doi.org/10.24926/JRMC.V1I4.1391","url":null,"abstract":"ABSTRACT: \u0000INTRODUCTION:         Both benefits and challenges are associated with training medical students in a community-based setting at a Regional Medical Campus (RMC).  At the RMC, close relationships between learner and teaching faculty can truly be fostered. However, those volunteer teaching faculty are frequently conflicted due to time-constraints and practice productivity requirements that may run counter to maximizing learner involvement.  Longitudinal integrated clerkships (LICs) have been studied and promoted as clinical clerkship structures that, through taking full advantage of the on-going relationship between learner, teacher, patients, and practices, optimize the learning environment for medical students on clinical rotations.  In our resource-limited environment, we wished to create longitudinal educational relationships for all UPRC students with preceptors, practices and patients that would achieve the educational benefits of a true LIC yet not overwhelm the limited resources of this small community. \u0000METHODS:                  We created an amalgamative LIC clerkship model that provided a year-long Family Medicine experience integrated within OB-GYN, Surgery and Pediatrics ½-year longitudinal clerkships and three 1-week inpatient adult medicine mini-immersions spaced over the course of ½-year.  Neurology, Psychiatry and Underserved/Rural Medicine (4-weeks each) and subspecialty/elective rotations (2-weeks each) remained in traditional self-contained blocks interspersed within longitudinal experiences.   At 6 and 12 months, we administered a 5-point Likert-type survey to both medical students and teaching faculty asking their perceptions of the educational value and resource requirements for our clinical rotation structure.  Descriptive averages of the ordinal values were reported. \u0000RESULTS:                     There were 11/12 students (92.7%) and 11/21 faculty (52.4%) who responded to the survey.   Both students and faculty believed that some of the longitudinal benefits of the amalgamative structure were achieved.  The students especially noted that attending feedback was beneficial due to the longer interaction and that they had a greater ability to interact with patients.  All told, the faculty teachers found the Amalgamative LIC to be slightly less satisfying than the students. \u0000CONCLUSIONS:                       While logistical limitations necessitated our unique rotation design, some optimization of education was achieved.  Faculty concerns toward adopting this new structure should be considered for other programs structuring LICs in a similar sparsely resourced environment such as a Regional Medical Campus.","PeriodicalId":92811,"journal":{"name":"Journal of regional medical campuses","volume":"82 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83268854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Residency Professional Identity Curriculum and a Longitudinal Measure of Empathy","authors":"W. Crump, C. Ziegler, R. Fricker","doi":"10.24926/JRMC.V1I4.1353","DOIUrl":"https://doi.org/10.24926/JRMC.V1I4.1353","url":null,"abstract":"BACKGROUND AND OBJECTIVES \u0000Empathy measures were used before and after implementation of a structured professional identity curriculum to determine the effect among a group of family medicine residents. \u0000METHODS \u0000The Jefferson Scale of Empathy was completed by 18 residents at all three years of training before, immediately after a six month professional identity curriculum intervention, and six months after the curriculum was completed. The curriculum included one hour luncheon sessions on concepts of profession, burnout, and cynicism as well as thoughtful use of electronic medical records, prevention and management of burnout, mindfulness techniques and reflective writing and drawing. The Baptist Health Madisonville IRB approved the protocol as exempt and the authors have no conflicts of interests. \u0000RESULTS \u0000Similar to previous publications, a decline in empathy across the academic year was found, with a significant decline six months after the end of the curriculum. Residents who attended more sessions showed a non-significant smaller decline, and there were large standard deviations among each training level with some individual residents showing little change across the year. Evaluations of the curriculum were largely positive. \u0000CONCLUSIONS \u0000This professional identity curriculum in this group of residents may have temporarily mitigated the decline in measured empathy that has been described among residents. Results support some aspects of empathy as a trait in some residents rather than a state that is amenable to a training effect. Further study in this residency including longitudinal empathy measurements and focus groups is ongoing. Other programs’ experience with these issues is needed to add to sample size and diversity of training environments to discern which changes are significant and generalizable.","PeriodicalId":92811,"journal":{"name":"Journal of regional medical campuses","volume":"50 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78794143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A New Program for the UAB School of Medicine, Huntsville Branch Campus","authors":"David Bramm, Paula Clawson","doi":"10.24926/JRMC.V1I4.1083","DOIUrl":"https://doi.org/10.24926/JRMC.V1I4.1083","url":null,"abstract":"The Family Medicine Integrated Residency (IR) at the UAB School of Medicine, Huntsville Regional Medicine Campus is designed to attract rural students and to more fully prepare them for Family Medicine residency. The 2017-18 pilot year has six 4th year medical students enrolled for a residency that has 12 intern slots. The IR students follow a unique curriculum to integrate them into the residency and prepare them for the intern year. ","PeriodicalId":92811,"journal":{"name":"Journal of regional medical campuses","volume":"21 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72371749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Changes in Labor and Delivery Patterns and Outcomes after Rural Obstetrical Service Closure","authors":"J. Pearson, Samantha C. Friedrichsen, L. Olson","doi":"10.24926/jrmc.v1i4.1379","DOIUrl":"https://doi.org/10.24926/jrmc.v1i4.1379","url":null,"abstract":"The number of rural hospitals offering labor and delivery services has been declining across the United States for decades. As a part of this trend, labor and delivery services at Cook County North Shore Hospital in Grand Marais, Minnesota were discontinued in July of 2015. The closure necessitates that patients now travel to Duluth, 110 miles away, for hospital-based delivery services. Partnership between Duluth’s regional campus medical school and this rural community has grown to incorporate researching the effects of this closure on the Cook Country region including the community of Grand Marais. A prior study undertaken evaluated patients’ perspectives on this loss of local obstetrical services. This study was undertaken to better characterize the utilization and clinical outcomes of obstetrical care for patients before and after local labor and delivery services were discontinued. Retrospective chart review was done comparing measures before and after delivery services discontinued locally. Although not statistically significant, patterns since closure include an increased percentage of inductions, home births, and cesarean deliveries for women in Cook County.","PeriodicalId":92811,"journal":{"name":"Journal of regional medical campuses","volume":"107 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79330084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}