Journal of regional medical campuses最新文献

{"title":"The Development of Newly Recruited Clinical Teachers at a Unique Regional Medical School Campus","authors":"M. Nuss, R. Cervero, Janette R. Hill, Julie K Gaines, Bruce Middendorf","doi":"10.24926/JRMC.V1I4.1041","DOIUrl":"https://doi.org/10.24926/JRMC.V1I4.1041","url":null,"abstract":"Background \u0000Physicians who become clinical educators need to transform their clinical knowledge to be effective teachers. The objective of this year-long qualitative study was to understand new physician preceptors’ development as clinical teachers. We explored preceptors’ and students’ insights with regard to meaningful teaching and learning interactions to provide evidence for the developmental journey. \u0000Methods                                   \u0000Semi-structured interviews with the 9 new community hospital physicians and 37 medical students occurred at the beginning, weekly and at the end of the year. Weekly rounding observations were also completed. Interview recordings and observation notes were transcribed confidentially and analyzed using inductive thematic analysis. \u0000Results \u0000Irby’s forms of knowledge were selected as the underlying structure for presenting the results. For preceptors, the strongest areas were knowledge of medicine, patients and context. For students, knowledge of medicine was strongest. Knowledge of pedagogy and learners was an area of weakness for preceptors and more work is needed to continue their developmental growth. \u0000Conclusion \u0000This study provides evidence that new teacher-physicians experience learning processes similar to that of 3rd year students learning the clinical practice of medicine: it develops and deepens over time. New community physician preceptors require a robust, ongoing faculty development plan to enable more effective interactions for teaching and learning.","PeriodicalId":92811,"journal":{"name":"Journal of regional medical campuses","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81598644","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":"Family Medicine Preceptorships for First Year Medical Students: Durable Educational Value Amid Healthcare Transformation","authors":"J. Boulger, Emily Onello","doi":"10.24926/JRMC.V1I3.1102","DOIUrl":"https://doi.org/10.24926/JRMC.V1I3.1102","url":null,"abstract":"In existence for decades, the first year required Family Medicine Preceptorship at the Duluth regional campus of the University of Minnesota Medical School has provided students with opportunities to work with regional family physicians.  Exposing medical students to excellent primary care of patients early in the curriculum remains an educational priority.  This time series analysis for the years 1992, 2002 and 2012 examines the physician’s practice structure (physician-owner versus employed physician) along with physician willingness to participate. As anticipated, the data demonstrate a transition from independent practice to larger health systems; physicians in large health systems at 22.9% (1992); 28.8% (2002); and 64.3% (2012). In addition, a downward trend in the percentage of physicians agreeing to serve as preceptors is reported (1992 at 83.61%; 2002 at 70.97%; and 2012 at 61.22%). This time series analysis also provides comparative data summarizing student opinion and evaluation of these experiences from the years 1992, 2012 and 2015. Despite changes in practice structure and fewer physicians agreeing to precept, the data demonstrate consistently high ratings by medical students over time.","PeriodicalId":92811,"journal":{"name":"Journal of regional medical campuses","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75663810","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":"Leadership Succession at Regional Medical Campuses: What incoming leaders might want to know from their predecessors","authors":"G. Cooper, Mark Awuku, Dema Kadri","doi":"10.24926/JRMC.V1I3.1270","DOIUrl":"https://doi.org/10.24926/JRMC.V1I3.1270","url":null,"abstract":"Succession planning and changeover between outgoing and incoming leaders within medical education is an important but largely neglected topic (Rayburn, Grigsby & Brubaker, 2016). The paucity of literature is even more apparent regarding leadership transitioning at regional medical campuses (RMC). With this paper, perhaps one of the first to inform this topic, we hope to bridge this gap by assembling the shared perspectives of an administrator, senior faculty member and a learner from the same RMC. Specifically, this work will focus on the following two questions: \u0000 \u0000 Based on our collective experiences what are the critical issues facing an incoming RMC dean? \u0000Are there practical strategies which might assist an incoming RMC dean with the leadership transition process? \u0000 \u0000 This commentary is the result of our collective experience at Western University’s Windsor Campus, a 10-year old regional medical campus of the Schulich School of Medicine & Dentistry located in southwestern Ontario, Canada. We make the assumption that RMC’s encountering leadership transitions are adequately funded, in this way incoming deans can properly attend to effective leadership succession processes. This paper might be of particular interest to those who are personally transitioning as new RMC deans or who will soon take on such a leadership role. We have no conflicts of interest to declare.","PeriodicalId":92811,"journal":{"name":"Journal of regional medical campuses","volume":"121 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83080244","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":"Regional Medical Campuses in Canada and the United States: A Systematic Review","authors":"T. Fyfe, R. Akins, P. Gagné, Craig E. Cheifetz, Sarina S. Petrocelly, G. W. Payne","doi":"10.24926/JRMC.V1I3.1158","DOIUrl":"https://doi.org/10.24926/JRMC.V1I3.1158","url":null,"abstract":"Introduction \u0000The development of Regional Medical Campuses (RMCs) in Northern America has been a response to the call to increase undergraduate medical student enrollment and meet the societal needs of healthcare access by addressing physician shortages in underserved and in rural areas. We studied the literature on undergraduate RMCs in US and Canada to identify types of studies and leading themes. \u0000Methods \u0000Literature searches were performed within the following databases: Medline OVIDSP, Evidence-Based Medicine Reviews OVIDSP, CINAHL EBSCO, ERIC EBSCO, PsycInfo EBSCO, and Web of Science ISI. Articles were included in the review if they discussed undergraduate medical education in allopathic schools in Northern America (US and Canada), were written in English and related to regional medical campuses. Each article was reviewed and assessed by two of the authors, and information extracted from the literature was thematically analyzed. \u0000Results \u0000Fifty (50) articles were selected for inclusion in the final review. All selected articles fit the definition of Regional Medical Campus developed by the Association of American Medical Colleges’ Group on Regional Medical Campuses (GRMC). The GRMC has defined that RMCs could be of four distinct types: basic science campuses, where students study pre-clinical (basic sciences) courses; clinical campuses, where clerkship training is completed; longitudinal model (for example, Longitudinal Integrated Clerkships) and, usually 4-year campuses, where both pre-clinical and clinical curriculum is delivered. Thirty-six (36) of the reviewed articles (72%) specifically stated that the development of RMCs was in response to the physician shortage and limited access to healthcare in rural areas. Twenty-five (25) articles discussed program models that spanned both basic science and clinical curricula. Of the 50 articles that were included in the final review, 15 (30%) utilized descriptive methodology, and 35 (70%) involved quantitative, qualitative or mixed methods research, with some being considered “program evaluations.” Four major themes emerged from the reviewed articles: workforce, social accountability, distributed medical education, and regional versus main campus settings. \u0000Conclusion \u0000This study is the first comprehensive literature review of publications on Regional Medical Campuses and thus provides a benchmark and direction for future research in the RMCs topic area.","PeriodicalId":92811,"journal":{"name":"Journal of regional medical campuses","volume":"105 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73143080","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","authors":"A. Johns","doi":"10.24926/jrmc.v1i3.1375","DOIUrl":"https://doi.org/10.24926/jrmc.v1i3.1375","url":null,"abstract":"We are happy to publish our third issue of the Journal of Regional Medical Campuses. The response we have received has been excellent, both in numbers and quality of submissions. Our editorial board continues to meet regularly to discuss suggestions from our readers and future plans. Please continue to pass the word of our journal to your colleagues on our regional campuses. \u0000  \u0000I would like to acknowledge the article “Lessons learned through a partnership with Marshallese faith-based organizations to screen for hypertension and diabetes” by Dr. Pearl McElfish from the University of Arkansas for Medical Sciences Northwest Regional Campus. The program she describes was the winner of the 2017 AAMC Regional Medical Campus Star of Community Achievement Award. This award was presented at the GRMC Spring meeting in Washington, DC. \u0000  \u0000Alan Johns, MD, MEd \u0000Co-Editor, Journal of Regional Medical Campuses","PeriodicalId":92811,"journal":{"name":"Journal of regional medical campuses","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80005349","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":"University of Kentucky Rural Physician Leadership Program: A Programmatic Review","authors":"Paul Arnett, T. Stratton, Anthony D. Weaver, C. Elam","doi":"10.24926/JRMC.V1I3.1262","DOIUrl":"https://doi.org/10.24926/JRMC.V1I3.1262","url":null,"abstract":"This article describes the characteristics and results of the Rural Physician Leadership Program (RPLP) at the University of Kentucky College of Medicine. RPLP is a successful example of a regional medical campus designed to train physicians at a regional medical campus to serve rural areas through local partnerships.","PeriodicalId":92811,"journal":{"name":"Journal of regional medical campuses","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87124208","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":"Tracking Medical Students and Graduates from Hometown to Practice using Geographic Information Systems, 2011-2017","authors":"Komal Kochhar, Laurie M Fancher, J. Brokaw, Jeffrey S. Wilson, Peter M Nalin","doi":"10.24926/JRMC.V1I3.1136","DOIUrl":"https://doi.org/10.24926/JRMC.V1I3.1136","url":null,"abstract":"Background: Indiana University School of Medicine (IUSM) through its statewide system provides medical education and clinical experiences across Indiana for more than 1,450 medical students in nine regions, including Indianapolis and eight regional medical campuses (RMCs). The majority of medical students begin their education distributed among the RMCs, and some students continue clinical experiences at the RMCs for their third and fourth years. \u0000Methods: We used a Geographic Information System (GIS) to visualize and document the contribution of our RMCs in Indiana to the physician workforce pipeline. Using data from the 2011-2017 graduating classes, we created a geospatial database that linked key information from student records and public domain sources (e.g., hometown, campus assignment, PGY1 specialty, and practice) with their corresponding locational information. ArcGIS 10.5 GIS software was used to produce a series of maps to visualize patterns in student outcomes among the RMCs over time. \u0000Results: By using GIS to track medical trainees from hometown to practice, we can provide accurate visualization of extensive geographic data. The maps revealed similarities and differences among the RMCs not fully appreciated until visually mapped, including the specialty choice of students from different campuses and the proportion of graduates practicing in medically underserved areas of the state. \u0000Conclusions: GIS maps and their analyses can identify strengths and distinctions among the RMCs while providing accurate descriptions of the role of geography in the professional development journey of the physician workforce. This ongoing project is a major step toward integrating GIS as a familiar tool in academic administration and health workforce research to assist future decision-making by the school leadership.","PeriodicalId":92811,"journal":{"name":"Journal of regional medical campuses","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84394254","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":"Lessons learned through a partnership with Marshallese faith-based organizations to screen for hypertension and diabetes","authors":"P. McElfish, Wanna Bing, Britni L. Ayers, Lisa Smith, M. Stephens, Ralph O. Wilmoth, Jonell S. Hudson, B. Buron, T. Warmack, N. Aitaoto, Sheldon Riklon","doi":"10.24926/JRMC.V1I3.1044","DOIUrl":"https://doi.org/10.24926/JRMC.V1I3.1044","url":null,"abstract":"None at this time. ","PeriodicalId":92811,"journal":{"name":"Journal of regional medical campuses","volume":"62 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77908311","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 framework for faculty development programming at VA and non-VA Academic Medical Centers.","authors":"David R Topor, Andrew E Budson","doi":"10.24926/jrmc.v1i3.1049","DOIUrl":"10.24926/jrmc.v1i3.1049","url":null,"abstract":"<p><p>VA and non-VA Academic Medical Centers (AMCs) serve as training environments for learners from many different professions and academic affiliates, including regional medical campuses. Faculty members at these AMCs need programming to help create and enhance the educational environment for learners. In this paper, we provide a framework for AMCs to develop and implement faculty development programming and provide a case example of how this programming was implemented at one VA AMC. It is the hope that this framework and programming can be adopted by other AMCs to provide faculty members with the programming needed to sustain high quality training environments.</p>","PeriodicalId":92811,"journal":{"name":"Journal of regional medical campuses","volume":"77 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6758930/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76239663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Strategies To Integrate Community Engagement In Medical Student Education","authors":"Sonal Chandratre, Corina Norrbom, Christopher Zeman, A. Prunuske","doi":"10.24926/jrmc.v4i2.3600","DOIUrl":"https://doi.org/10.24926/jrmc.v4i2.3600","url":null,"abstract":"Community engagement during medical education can assist in helping students to obtain the competencies necessary to be a successful community-centered physician. There is an increasing need for physicians to learn about community issues and to understand diverse community perspectives to more effectively improve the health of the community. The necessity of community engagement in medical education to address society’s health challenges is emphasized across the globe. In this article, authors share 12 tips for successfully implementing community engagement in medical student education. The tips were based on a comprehensive literature review and the authors’ experiences developing and implementing a community-engagement program, which incorporates a required two-year community-engaged scholarly project.","PeriodicalId":92811,"journal":{"name":"Journal of regional medical campuses","volume":"246 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72759708","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}