Taxonomy II Part III (Rural Activities – AHECs)

(28 May 2006 01:24)

NATIONAL PROJECT ON THE COMMUNITY BENEFITS

OF FAMILY MEDICINE RESIDENCY PROGRAMS

CUMULATIVE QUESTIONNAIRE RESPONSES

TAXONOMY SECTION II PART III

*NPCB P2 II.2.14 (5NWCB) Would you describe your residency program as a “rural program”? Yes __ No __

Yes (Phase 2 Responses):

Oahu

Johnstown

Altoona                        (We have a satellite office in an area more rural than Altoona, although it is not designated as such by government)

No (Phase 2 Responses):

Ventura

Long Beach

U Penn

Crozer-Keystone

Jefferson

McKeesport

Shadyside

St Margaret

Fairfax

*NPCB P2 II.2.15 (5NWCB) Would you describe the area in which the residency program is located as a “rural area”? Yes __ No __

Yes (Phase 2 Responses):

Altoona                        (Most specialists think of our area as “rural” and were shocked to hear that we do not meet the government definition)

No (Phase 2 Responses):

Ventura

Long Beach

U Penn

Crozer-Keystone

Jefferson

McKeesport

Oahu

Shadyside

Johnstown

St Margaret

Fairfax

NPCB P2 II.3.0 (SD II.3.0) Does your program have components of training in rural areas? Yes __ No __ Describe:

Yes:

Modesto                      (Hughson is an elective site that is staffed by residency faculty)

Saints                           (An estimated 50% if the residency curriculum takes place in preceptorships, 10% of which are in rural areas; many of the rural preceptors are graduates of the residency program)

Stockton                      (Training program is adjacent to agricultural farmland and serves immigrant labor)

Louisville                      (The affiliated residency program in Glasgow, Kentucky is all rural.  Residents spend one month on a rural AHEC rotation.)

OU Tulsa                     (Residents do a month of a rural rotation during the second year, working in a clinic in a rural area.  We have a sister 1-2 program in Ramona, 30 miles from here.)

OU Oklahoma City      (One required rural month; frequently, residents do elective rural months; half do a discretionary rural month)

Dayton Community       (We have sites as electives, if residents want to do that) in Southern Ohio. All second year residents have a rural rotation in Findley, Ohio)

Tyler                            (We have a community medicine rotation in Kilgore, Texas; we require home visits to patients that live in rural areas)

Miami Valley                (We tailor the curriculum for persons who have decided by the end of their first year that they want to do rural practice.  We have specific courses for rural care)

Mercer                         (We have a required rural rotation in Crawford County, Georgia in a solo physician’s practice)

Klamath Falls               (Our hospital has been defined as a rural hospital by federal authorities. Additionally, residents also spend two months of their second year in clinics in Reedsport and Burns, Oregon, which we regard as frontier medicine)

Mercy Toledo              (We have elective rotations as far a way as Washington, as well as

Las Vegas                    (We have a mandatory one month rotation in any of several rural Nevada counties)

Fresno                          (At Selma and Firebaugh)

Springfield                    (We have an OB clinics and primary care clinic 20 miles away in Gerard, a rural area; we have a rotation in Lincoln, there there is a small rural hospital and large FM group; then we will go to Petersburg for geriatrics, a rural area to the West; and Beardstown for family planning)

Glasgow                       (We are a rural-based program)

Lexington                     (OB rotations in two sites – Stanford and Morehead; pediatric sites vary, depending on availability)

OHSU Portland            (Our surgery rotation is in Ontario, a town of 25,000; each 2nd year resident spends 2 months in John Day or Enterprise, Oregon, two towns of less than 3000 population)

Yes (Phase 2 Responses):

Sparrow                       (One of our family medicine centers is in a small town; in addition we have elective rotational experiences)

Huntsville                      (One month in the second year)

No:

Indiana U Methodist

Whittier

Pomona

Arrowhead

Loma Linda                  (one is expected to begin in 2006)

MCE Birmingham         (The State of Alabama has a rural health board with $1 million a year that compensates a program $2000 a month for residents working in a rural site.  We have had a few residents do this, although not that many.  We have patients from rural areas.)

Glendale                       (Only electives)

Decatur

Natividad                     (Not specifically; residents spend some time in community medicine for educational purposes, rather than clinical care)

Lehigh Valley

Kaiser LA                    (Only elective opportunities)

*NPCB P2 II.3.0.1 (NPCB P2 II.3.0) If the answer to NPCB P2 II.2.15 is no, does your residency program have components of training in rural areas? Yes __ No __

Yes (Phase 2 Responses):

Long Beach                  (We have elective availability as an option; we have had electives in Alaska and Honduras)

Oahu                            (In rural Oahu; and on neighboring islands)

Johnstown                    (Third year residents spend ½ day a week in a rural clinic)

Altoona

St Margaret                  (Electives available in rural areas)

No (Phase 2 Responses):

Ventura                        (Not yet)

Crozer-Keystone

Jefferson

McKeesport                 (Only as an elective)

Shadyside                     (Only as electives)

Fairfax

No Response:

U Penn

*NPCB P2 II.3.0.3 (5NWCB) Are all residents required to spend some part of their residency time in a rural site?

Yes __ No __ If yes, describe requirement:

Yes:

Oahu                            (Three blocks of 4 weeks each of 39 total over the three years have to be in a rural setting)

Johnstown                    (Third year residents spend one half day a week in a rural clinic)

Altoona                        (Several half days during rotations in year one and two;  in third year residents spend 50% of their time in a rural office and 50% in our family medicine center)

No:

Ventura

Long Beach

U Penn

Crozer-Keystone

Jefferson

McKeesport

Shadyside

St Margaret

Fairfax

*NPCB P2 II.11 (SD II.11 (4NWCB)) Does your program have a relationship with an Area Health Education Center? Yes __ No __

Yes:

Klamath Falls

Lehigh Valley

Mercy Toledo

Tyler

Las Vegas

Fresno

Springfield

Glasgow

Lexington

OHSU Portland

Yes (Phase 2 Responses):

Sparrow

Crozer-Keystone

Jefferson

McKeesport

Oahu

Johnstown

Altoona

No:

Kaiser LA

No (Phase 2 Responses):

Huntsville

Ventura

Long Beach

U Penn

Shadyside

St Margaret

Fairfax

*NPCB P2 II.11 (SD.II.11a) If NPCB  P2 II.11 is yes, identify the AHEC: ______________________

Klamath Falls               (Cascades East AHEC)

Lehigh Valley                (East Central Pennsylvania AHEC)

Mercy Toledo              (Urban AHEC site for training (at Gandy Center, MCO and Mercy Healthcare)

Tyler                            (Lake Country AHEC)

Las Vegas                    (Southern Nevada AHEC; Nevada Geriatric Education Center; Eastern Nevada Center)

Fresno                          (California AHEC)

Springfield                    (One in Chicago, based at Midwestern University)

Glasgow                       (South Central Kentucky AHEC)

Lexington                     (Kentucky Statewide AHEC)

OHSU Portland            (Oregon AHEC and its five regional centers are coordinated through OHSU)

Phase 2 Responses:

Sparrow                       (AHEC grant funded through Michigan State University)

Crozer-Keystone          (Southeast Pennsylvania AHEC)

Jefferson                       (Northeast Pennsylvania AHEC)

McKeesport                 (Southwest Pennsylvania AHEC)

Oahu                            (Hawai’i State AHEC; Big Island AHEC; Neighbor Island AHECs; Western Pacific AHEC for Palau and Saipan)

Johnstown                    (Hershey Med School’s AHEC; UPMC’s AHEC)

Altoona                        (South Central AHEC)

*SD.II.11b If SD.II.11 is yes, describe how you relate to the AHEC. Describe any joint activities in community assessment or provision of services:

Klamath Falls               (AHEC was the major impetus and funding support for the family medicine center 14 years ago; they did supply funding to offset some costs; they provide for OHSU students interested in rural practice to study here)

Lehigh Valley                (We have had representation on their board; they participated in meetings setting up our translation services)

Mercy Toledo              (Nothing has been done)

Tyler                            (We are loosely associated with the AHEC, which is managed by UTMB Galveston; they have a stand alone entity on the UT Tyler campus; they have done some small grants with us, and have aided the residency’s educational efforts both financially and through making expertise available to us.  They have helped us administer a grant to allow the residency to provided locum tenans for rural docs; they are a very friendly group of whom we probably do not take full advantage)

Las Vegas                    (Collegial relationships; no formal affiliations; community education, resident and medical student training; simulated patients; coordination by AHECs of our rural rotations)

Fresno                          (Lectures; provision of services; education)

Springfield                    (We had a contract to provide slots for learners other than physicians and places for various allied health professions; AHEC trained our faculty to work with them)

Glasgow                       (AHEC helps organize a bimonthly community medicine lecture for residency; the AHEC assists in placing medical students on rotations; they assist in resident rotations and provide some library support)

Lexington                     (Students have required AHEC rotations; residents are provided housing for their AHEC rotations; the AHEC office relates to University of Kentucky’s recruitment office and our Kentucky Clinic North, a population-based HPSA for black and Latino populations.  The AHEC assists in preceptor training through community-based faculty initiatives, and co-sponsors the Practice-Based Research Network)

OHSU Portland            (Rural rotations are developed by AHECs)

Phase 2 Responses:

Sparrow                       (In Jackson, Michigan, the AHEC funds a dedicated faculty position; residency programs are piloting relationships)

Crozer-Keystone          (We have done educational lectures together; AHEC has co-sponsored talks on managed care)

Jefferson                       (We do CME; population health outreach; smoking-tobacco cessation initiatives; asthma education)

McKeesport                 (Activities are educational; getting medical students into sites; obtaining medical electives for residents;  although not now a close relationship, it has potential)

Oahu                            (Sometimes residents are involved with outreach.  Community outreach with Big Island AHEC; there, we are looking to build a new rotation; Director of AHEC is 20% time with us)

Johnstown                    (They have provided us with faculty development support)

Altoona                        (The program director was a past AHEC board member; our behavioral scientists is their secretary-treasurer; they have provided us with medical student rotations, but nothing else)

Last Updated (28 May 2006 01:24)