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