Can We Get to a Doctor?

1. Can We Get to a Doctor? • Lesson Essential Question – • What geographic patterns emerge when you map data? • What can analyzing the data tell about the map? • Vocabulary • Accessibility • Geographically

2. Can We Get to a Doctor? • Geography High School Standard Benchmark Addressed • Standard One: MAPS. 9-12a. Students will identify geographic patterns which emerge when data is mapped, and analyze mapped patterns….. • Learning objectives • Learn how to organize data into categories and then use those data to produce a thematic map. • Learn ways to analyze a thematic map using a GIS.

3. Can We Get to a Doctor? • Lesson Scenario and Problem • After completing Lesson I students should have a better idea of some of the difficulties involved in getting to a doctor, especially if private auto transport is unavailable. Alex and Chris were surprised and wondered whether reaching a doctor varied across the whole of Sussex County. They decided to explore this question geographically, using a Geographic Information System (GIS) approach. Students take the role of Alex and Chris again and follow in their footsteps. • This lesson introduces students to Geographic Information Systems analysis. It is not designed to teach students how to conduct GIS programming. Rather, the nature of a GIS is first introduced followed by a demonstration of how it can be used to analyze geographic patterns. This knowledge is a necessary part of all the unit lessons that follow.

4. Can We Get to a Doctor? Step 1 • Cornell Notes – GIS Intro

5. Can We Get to a Doctor? Step 2 Take out the map of Sussex County you made of the location of the ten doctors in Lesson I. Then look at a larger list of doctors compiled from the Yellow Pages. This time the list contains just the doctors who practice family medicine or who are internists (doctors who deal with all aspects of the body). They are the doctors people are most likely to visit on a regular basis. Using this list, add dots for each doctor’s location to your map.

6. YELLOW PAGES FAMILY, GENERAL PRACTICE, AND INTERNIST PHYSICIANS WITHIN 40 MILES OF DEWEY BEACH, DELAWARE Beachview Family Health And Laser Center 550 Atlantic Ave, Millville, DE 19967 75th St Medical Center 7408 Coastal Hwy, Ocean City, MD 21842 Girgis Family Practice S 550 Dupont Hwy, Milford, DE 19963 Borodulia Nicholas N MD 1209 Coastal Highway, Ocean View, DE 19970 Martin Lisa A DO Millsboro, DE 19966 Pa-C Sue Isaacs Millsboro, DE 19966 Peninsula Regional Medical Center - Primary Care Dagsboro, DE 19939 Squires Nancy MD Routes 113 & 26, Dagsboro, DE 19939 Dagsboro Family Practice 29475 Vines Creek Road, Dagsboro, DE 19939 Prentiss W. Adkins Sr., DO 29475 Vines Creek Road, Dagsboro, DE 19939 Haldar Maria Valenzuela MD 524 Union Street, Milton, DE 19968 Holmon Julie MD 424 Mulberry Street, Milton, DE 19968 Milton Health Center Committed to Healthy Community 524 Union Street, Milton, DE 19968 Wagner Charles G MD 424 Mulberry Street, Milton, DE 19968 Wagner Patricia RN 424 Mulberry Street, Milton, DE 19968 (302) 684-2000

7. YELLOW PAGES FAMILY, GENERAL PRACTICE, AND INTERNIST PHYSICIANS WITHIN 40 MILES OF DEWEY BEACH, DELAWARE • Nanticoke's Family Practice Center 351 North Dual Highway, Laurel, DE 19956 • Stout Joyce MD 351 North Dual Highway, Laurel, DE 19956 • Glover Dennis MD 30668 Sussex Highway, Laurel, DE 19956 • Jerome Alex MD 30668 Sussex Highway, Laurel, DE 19956 • Peninsula Regional Medical Center - Primary Care Network Administration, Family Medicine, Laurel 30668 Sussex Highway, Laurel, DE 19956 • Aguillon H Paul MD 401 Concord Road, Seaford, DE 19973 • Lobo Vincent DO 203-205 Shaw Avenue, Harrington, DE 19952 • Parasher Vinod K PA 1451 Kings Highway, Lewes, DE 19958 • Haldar Maria Valenzuela MD 524 Union Street, Milton, DE 19968 • Davis Eilleen DO 25 Bridgeville Road, Georgetown, DE 19947 • Halko Nadine MD RR 14, Bridgeville, DE 19933 • Kundu Moushimi MD RR 14, Bridgeville, DE 19933 • Lynn Romano MD RR 14, Bridgeville, DE 19933 • Smith Kenneth MD RR 14, Bridgeville, DE 19933 • Cargo Jon D MD 30613 Sussex Highway, Laurel, DE 19956

9. YELLOW PAGES Beachview Family Health And Laser Center550 Atlantic Ave, Millville, DE 19967 75th St Medical Center7408 Coastal Hwy, Ocean City, MD 21842 Girgis Family PracticeS 550 Dupont Hwy, Milford, DE 19963 Borodulia Nicholas N MD1209 Coastal Highway, Ocean View, DE 19970 Martin Lisa A DOMillsboro, DE 19966 Pa-C Sue IsaacsMillsboro, DE 19966 Peninsula Regional Medical Center - Primary Care Dagsboro, DE 19939 Squires Nancy MDRoutes 113 & 26, Dagsboro, DE 19939 Dagsboro Family Practice29475 Vines Creek Road, Dagsboro, DE 19939 Prentiss W. Adkins Sr., DO29475 Vines Creek Road, Dagsboro, DE 19939 Haldar Maria Valenzuela MD524 Union Street, Milton, DE 19968 Holmon Julie MD424 Mulberry Street, Milton, DE 19968 Milton Health CenterCommitted to Healthy Community 524 Union Street, Milton, DE 19968 Wagner Charles G MD424 Mulberry Street, Milton, DE 19968 Wagner Patricia RN424 Mulberry Street, Milton, DE 19968 (302) 684-2000 Berlin Family Medicine10445 Old Ocean City Boulevard, Berlin, MD 21811 Peninsula Regional Primary CareBerlin, MD 21811 Wilson Family Practice901 Lakeview Avenue, Milford, DE 19963 Girgis Family PracticeS 550 Dupont Hwy, Milford, DE 19963 Mian Jamshid MD10514 Racetrack Road, Berlin, MD 21811 Ocean Pines Family Medicine10514 Racetrack Road Suite C, Berlin, MD 21811 Peninsula Regional Medical Center - Primary Care Network Administration, Family Medicine10514 Racetrack Road Suite C, Berlin, MD 21811 Nanticoke's Family Practice Center351 North Dual Highway, Laurel, DE 19956 Stout Joyce MD351 North Dual Highway, Laurel, DE 19956 Glover Dennis MD30668 Sussex Highway, Laurel, DE 19956 Jerome Alex MD30668 Sussex Highway, Laurel, DE 19956 Peninsula Regional Medical Center - Primary Care Network Administration, Family Medicine, Laurel30668 Sussex Highway, Laurel, DE 19956 Aguillon H Paul MD401 Concord Road, Seaford, DE 19973 Lobo Vincent DO203-205 Shaw Avenue, Harrington, DE 19952 Parasher Vinod K PA1451 Kings Highway, Lewes, DE 19958 Haldar Maria Valenzuela MD524 Union Street, Milton, DE 19968 Davis Eilleen DO25 Bridgeville Road, Georgetown, DE 19947 Halko Nadine MDRR 14, Bridgeville, DE 19933 Kundu Moushimi MDRR 14, Bridgeville, DE 19933 Lynn Romano MDRR 14, Bridgeville, DE 19933 Smith Kenneth MDRR 14, Bridgeville, DE 19933 Cargo Jon D MD30613 Sussex Highway, Laurel, DE 19956 Cargo Jon D MD30613 Sussex Highway, Laurel, DE 19956 Halko Nadine MD30613 Sussex Highway, Laurel, DE 19956 Cargo Jon D MD30613 Sussex Highway, Laurel, DE 19956 Kundu Moushimi MD30613 Sussex Highway, Laurel, DE 19956 Lynn Romano MD30613 Sussex Highway, Laurel, DE 19956 Smith Kenneth MDBy Appointment 30613 Sussex Highway, Laurel, DE 19956

10. Can We Get to a Doctor? Step 2 • Examine the pattern of dots. • What can you conclude about the distribution of doctors in Sussex County? • What additional information is needed to see whether everyone in Sussex County has equal access to a doctor? • Write a list in your research notebook of what other types of map layers you would like to see.

11. Can We Get to a Doctor Step 3 • One item on your list should be that you would like to know where people live in Sussex County. With that information, you can see whether more doctors are found where people live. • You will find a blank outline map of Sussex County zip code areas and a list of the number of people in each zip code at the time of the 2000 Census. Notice that the data have been arranged from the largest to the smallest population. Divide the data into five groups and give each group a different color. Then color the corresponding zip code area.

13. Sussex County Pop Chart

15. Can We Get to a Doctor Step 3 • Now you have two map layers, one of doctors and one of population. Compare the two layers and you are doing GIS analysis. • Are doctors fairly distributed among the population so that everyone has equal access to medical care? • Are there some areas that are better served than others? Some areas that are not as well served? • Write your answers to these questions in your research notebook.

16. Can We Get to a Doctor Step 4 • One of the advantages of using a GIS is the ability to measure the information being mapped because it is stored digitally. Let’s see how this might help our analysis. We have prepared another version of the maps you just made. This time, we have used our GIS to lay the distribution of doctors over the zip code areas of population, and we have classified the population into ten instead of just five categories. • Review the responses you wrote in your notebook to the questions posed in step three above. Do you wish to change or enlarge on any observations you made?

18. Can We Get to a Doctor Step 4 • Now let’s explore another aspect of our analysis. • Who are the people in Sussex county who have to travel the farthest to reach a doctor? • We can use the measuring ability of our GIS to produce a map that shows how far each zip code area is away from a doctor • Write your answer to this question in your research notebook.

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21. Can We Get to a Doctor Step 5 • What would you like to know about the people who have better or worse ability to get to a doctor in the county? • Make a list of the criteria you could use as the basis for another map layer.

23. Class Work • Write a letter to the local newspaper, with your opinion of an article the newspaper published recently with the headline: “GETTING TO THE DOC. TOUGHER FOR THE POOR” Use the information you have gathered from your research to justify the position you take in your letter.

24. Exit Ticket • What impact does location have on your life? Explain with specific examples.