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Learn about the medical education programs offered at Christiana Care Health System (CCHS) and the benefits of their branch campus in Delaware. Discover the various clinical rotations available and the advantages for both students and the state.
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Medical Education at CCHS: Presentation for Delaware Healthcare Commission Neil Jasani, MD VP, Academic Affairs Lisa Maxwell, MD Director, Undergraduate Medical Education
11,000+ Employees 1,500 + Medical-Dental staff
We are a small state, but….. Among hospitals in the United States • 17th in admissions • 20thin emergency visits • 23rdin total surgeries Among hospitals on the East Coast • 10thin admissions • 10thin emergency visits • 11thin total surgeries
Great Clinical Experience • 279Residents & Fellows • 18 residencies • 6 fellowships • Medical, NP, PA, Pharmacy, Podiatry and Allied Health students
Over 20 Residency & Fellowship Programs • Internal Medicine (41) • Medicine – Pediatrics (16) • Family Medicine (18) • Emergency Medicine (36) • EM/FM (10) • EM/IM (15) • General Surgery (30) • Diagnostic Radiology (24) • Obstetrics & Gynecology (24)
Fellowships: • Cardiovascular Disease Fellowship (13) • Interventional Cardiology Fellowship (2) • Nephrology Fellowship (2) • Surgical Critical Care Fellowship (2) • Otolaryngology Fellowship (1) • Vascular Interventional Radiology Fellowship (1) • Sports Medicine Fellowship (2)
New Fellowships: • Heart Failure and Transplant Fellowship: (1) • Medical Physics: (1) • Conceptual Phase: Pain and Palliative Care Fellowship (partnering with A. I. duPont Hospital for Children)
Medical Students: 7 2% 11 4% 14 5% 26% 76 64% 190
NP students 2011-2012 Schools University of Delaware Wilmington University Penn State Immaculata College Drexel • 7/2011-6/2012: 81 students • 7/2012- Present: 59 students
Allied Health • 1973-First affiliation with Delaware Technical and Community College • Programs: • Diagnostic Medical Sonography • Histo-technology • Nuclear Medicine Technology • Physical Therapy Assistant • Radiologic Technology • Respiratory Therapy Technology
Allied Health: 2012-2013 • 146 students across all programs • 14 Program Coordinators and Instructors
Overview of Medical School Years 1 & 2 Basic Science Lectures / Small Groups Some Clinical Experiences Years 3 & 4 Clinical Rotations Inpatient / Outpatient Some Basic Science
Years 3 & 4 • Consists of Clinical Rotations • Required “Core” Rotations • Internal Medicine, Family Medicine, Surgery, OB, Psych, EM, Peds) • Electives • Many schools (including Jefferson) utilize large affiliate networks to provide clinical training in the 3rd and 4th years.
Years 1 & 2 Jefferson Campus • Years 3 & 4 • 20 Affiliate Sites • CCHS = largest • Students participate in a lottery for rotation sites • Rotations at many sites
Idea of a Branch Campus • Medical schools are expanding • Expansion typically follows one of two models: • “In Place” • More students on existing campus and facilities • “Regional campus model” • offer some curriculum to a portion of the class (most commonly clinical education).
Rationale for a DE Branch Campus • Delaware has no medical school • One of 5 in the country • Jefferson acts as the medical school for DE • CCHS is the largest affiliate
DE Campus • Started 2 years ago • Jefferson students spend 3rd and 4th year in Delaware for clinical rotations • CCHS, AI DuPont • Voluntary • Chosen by students in 2nd year
Advantages of Branch Campus For Students: • Eliminate orientation to constantly changing locations • Learning one computer system • Learning one hospital system • Creating connections with students, residents and faculty • Becoming part of local culture • Personal relationships for mentoring, letters of recommendations, etc.
Advantages of Branch Campus For DE: • Engaged / invested learners • Potential pipe-line
Status of DE Branch Campus • 29 current Branch Campus Students • Class of 2013 11 students • Class of 2014 6 students • Class of 2015 12 students
Conclusions • Anecdotally- Branch Campus students are very satisfied • Formal Exit Interviews and Evaluations of first graduating class pending • Match results Pending • Attractive to students from DE • As expected
Path Forward • Increase enrollment • Promoting earlier and frequently • Explore feasibility of more official DIMER linkage • Mentoring • Conferences • Admissions Process • ? Commitment of DIMER students to DE Branch Campus
Path Forward • Explore expansion of clinical opportunities in DE • Inter-Professional training • DHSA • Rural Rotations