Innovations in Medical Education

Attracting and Training Students for Rural Communities

University of Kansas Faculty Retreat

Dan Hunt, MD, MBA

LCME Co-Secretary

Note: Alaska not to scale

WWAMI Program Site Map

Residency Sites

IntMd

Psych

Fam Family PracticeInternal MedicinePsychiatryPediatrics

Clerkship Sites

Peds

Family MedicineInternal MedicineNeurologyOb/GynecologyPediatricsPsychiatrySurgery

PsychSurg

FamIntMd

Ob/G

Fa m Indicates presence of both Family Medicine Clerkship & Family Practice Residency

1st Year sites

Programs for Healthy Communities(PHC) sites

Rural / Underserved Opportunities Program (R/UOP)

Area HealthEducation Center (AHEC) sitesA

Indicates presenceof both PHC and RUOP

LEGEND

Sandpoint

St. Maries

Moscow

Grangeville

Salmon

Driggs

Mountain Home

Jerome

ShoshoneRupert

Preston

Blackfoot

American Falls

Council

EmmettCaldwell

Nampa

BoiseFam

IntMd

PsychSurg

IntMdFam

Orofino

X

A

X

McCallW

Hailey

W

Plummer

Payette

Cascade Challis

Mud Lake

Arco

Gooding

Fam

Bozeman

Superior

RonanLibby

Whitefish

Cut Bank

Shelby

Choteau

Havre

Helena

DeerLodge

DillonEnnis

Livingston

Red Lodge

Big Timber

Harlowton

Columbus

Lewistown

Glasgow

Sidney

Wolf Point

Glendive

Miles City

Fam

Peds

IntMdMissoula

X

Billings

IntMd

Fam

Fam

ABelgrade

Butte

Kalispell

LaramieCheyenne

Casper

Fam

Fam

Rawlins

Newcastle

Greybull/Basin Sheridan

Torrington

Green River

Thermopolis

Montpelier

WWAMI Rural Integrated Training Experience (WRITE) sites

FerndaleBellinghamAnacortes

Darrington

EverettForks Pt. Townsend

Shelton

Bremerton

E. Grays Harbor

ShoalwaterBay Tribe

Cathlamet

Mt. Vernon

Vancouver

Toppenish

Wenatchee

Othello

Odessa

Ellensburg

YakimaWapato

Grandview

Tonasket

Omak

Chewelah

Friday Harbor

OlympiaMadiganUS Army

Tacoma

Spokane

Pullman

Fam

Ob/G

IntMdX Ob/G

IntMd

Peds

IntMd

Psych

Ob/GPeds

X A

Fam

Fam

Fam

4 xSeattle

PsychFa m

6 xFamFam

Fam

Moses Lake

Tulalip Tribes

Garfield County

South Bend

Federal Way

Sunnyside

Cle Elum

Colville

ColumbiaCounty

Colfax

White Salmon

Puyullap

Republic

ARenton

Pt. Angeles

Goldendale

Fam 2 x

Pasco

MortonOb/GPeds

Fa m

Fam

A

Peds

Peds

Peds

PocatelloFamFamPeds

Peds

Peds

Powell IntMd

IntMd Jackson

Buffalo

Afton

Lander

Riverton

Saratoga

Ob/G

Rock Springs

Wheatland

Juneau

Kodiak Island

Kotzebue

Metlakatla

Petersburg

Sitka

HainesCordova

Glennallen

Seward

Valdez

PalmerWasilla

KenaiSoldotna

Naknek

AnchorageFam

Dillingham

Nome

Homer

AFamOb/G

PsychPeds

Bethel

W

Plains

Ob/G

Stevensville

Fam

Fam

W

W

W

Mossyrock

Gillette

Worland

Cottonwood

Weiser

Fam Wrangell

Surg

Revised 12/04

W

W

W

Cody

Kemmerer

Coeur d’Alene

Sun Valley

Prince of Wales Is.

White Sulphur Springs

Sundance

Malad City

Conrad

Ephrata

Ekalaka

Meridian

Ob/G

Douglas

Galena Fairbanks

PolsonThompson Falls

Colstrip

Poplar

Fort BentonChattaroy

Walla Walla

MattawaWestport

LongviewWoodland

AuburnEnumclaw

KettleFalls

Great Falls

Heart Butte

Eureka

Fa m

Surg

BonnersFerry

Dutch Harbor

W

Peds

Fam

Psych3 xOb/G3 x

Ob/GOb/G

Kirkland

RedmondIntMd6 x

Peds3 x5 x Surg

Ob/G

Davenport

Unalaska

UnalakleetNorth Pole

Whitehall

Clinical Medical Education office

Dayton

W

Leavenworth

HamiltonAnaconda

La Conner

IntMd

Ob/G

Neuro

Neuro

Ob/G

Neuro

Idaho FallsNeuro

Ob/G

Fa m

IntMd

IntMd

IntMd

IntMd

IntMdIntMd

IntMd

IntMd

IntMd

IntMd

IntMdMontesano

IntMd

IntMd

Psych

Pine Bluffs

FACTORS ASSOCIATED WITH ENTERING RURAL PRACTICE

RURAL BACKGROUND POSITIVE CLINICAL AND

EDUCATIONAL EXPERIENCE IN RURAL SETTING

TARGETED CLINICAL PREPARATION FOR RURAL SETTING

Thunder Bay Sudbury

Toronto

NO COURSES OR CLERKSHIPS Integrated 6 Week Modules in first

two years

Typical Week Schedule in Phase 1, (Years 1 and 2)

Week X Monday Tuesday Wednesday Thursday Friday9 – 10 Module

Coordination Session (MCS)

Community Learning Session

Whole Group Session (WGS)

Structured ClinicalSession (SCS)

Lab/ Assessment

10 – 11 Case Based Learning Session(CBL)

11 – 12

12 – 1 Lunch Lunch with Student Affairs

Lunch Lunch Lunch

1 – 2 Topic Oriented Session (TOS)

Student Affairs Opportunity(1 - 2:30)

Personal Study

Topic Oriented Session (TOS)

Personal Study2 – 3

3 – 4 Personal Study

Personal Study

Goals for Integrated Community Experiences

• Immersion in a community to learn about living and practice there

• Experience learning in a remote/rural and Aboriginal community

• Continue development of clinical skills and curriculum content.

Aboriginal Community Sites

Thunder Bay Sudbury

TorontoSpring of the First Year

Thunder Bay Sudbury

Toronto

Integrated Community Experience Sites

Fall and Winter of Second Year

Year 3

• 30-week Integrated Comprehensive Community Clerkship (CCC)

• Two 4-week Electives

Thunder Bay Sudbury

Toronto

Comprehensive Community Clerkship Sites

Third year for 30 weeks

All Placement Sites

Thunder Bay Sudbury

TorontoAboriginal Community SitesIntegrated Community Experience SitesComprehensive Community Clerkship Sites

Advantages of Distance Learning

•Greater involvement and awareness of diverse communities

•Increased capacity for training

•Increased likelihood of physicians choosing to work in underserved settings

Challenges involved in Distance Learning

• Increased costs• Faculty development• Technical infrastructure• Student support systems• Must provide evidence to LCME of

comparable learning and assessment outcomes

BE THE CHANGE THAT YOU WISH TO CREATE

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