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Innovations in Medical Education Attracting and Training Students for Rural Communities. University of Kansas Faculty Retreat Dan Hunt, MD, MBA LCME Co-Secretary. WWAMI Program Site Map. Ferndale. Bonners Ferry. Eureka. Republic. Cut Bank. Bellingham. Peds. Anacortes. Fam.
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Innovations in Medical EducationAttracting and Training Students for Rural Communities University of Kansas Faculty Retreat Dan Hunt, MD, MBA LCME Co-Secretary
WWAMI Program Site Map Ferndale Bonners Ferry Eureka Republic Cut Bank Bellingham Peds Anacortes Fam Friday Harbor Heart Butte Tonasket Colville Shelby Havre Sandpoint Mt.Vernon Whitefish Glasgow La Conner Fam Fam Darrington Omak Kettle Falls Pt. Angeles Fam Tulalip Tribes Ob/G Peds Poplar Seattle Conrad Wolf Point 6 x Ob/G Everett Chewelah IntMd Libby Forks Pt. Townsend Kalispell 3 x Redmond Fam Psych 4 x 3 x Peds Fort Benton Thompson Falls Ob/G Spokane Ronan Fam Ob/G 6 x 3 x 5 x Surg Chattaroy Fa m Polson Bremerton Ob/G Choteau 2 x Plains A Kirkland Leavenworth Fam Fam Renton Sidney Shelton IntMd Federal Way Odessa IntMd IntMd X Peds Ephrata Auburn X A Wenatchee Fa m Great Falls Ob/G Fa m Enumclaw Coeur d’Alene E. Grays Harbor Lewistown Superior Puyullap Olympia Peds Davenport IntMd Montesano St. Maries Cle Elum Missoula Moses Lake Tacoma Glendive Psych Psych Westport Madigan US Army Ellensburg IntMd IntMd m Fa Plummer Surg Othello Mattawa South Bend Ob/G Helena Ob/G Morton Colfax Fa m Orofino Yakima Fa Fa m m Shoalwater Bay Tribe Peds Moscow Pullman Harlowton Wapato Ob/G Garfield County Peds White Sulphur Springs Stevensville Deer Lodge Peds Toppenish Ob/G Cathlamet Columbia County Dayton Sunnyside Woodland Peds Mossyrock Miles City Longview Grandview Walla Walla Billings Butte Ekalaka Pasco Hamilton Goldendale Vancouver Colstrip Fam Grangeville Bozeman Fam Anaconda Columbus Cottonwood Big Timber A WhiteSalmon IntMd X Whitehall IntMd Belgrade Ob/G W Livingston McCall Salmon W W IntMd W W W IntMd Red Lodge Ennis IntMd X Dillon W Fam Boise Powell Sheridan Council Cascade Greybull/Basin Challis IntMd Weiser Sundance IntMd Fam IntMd Cody Gillette Payette IntMd Buffalo Mud Lake Neuro IntMd Emmett Worland Newcastle Fam Sun Valley Psych Kotzebue Fam Caldwell Hailey Surg Jackson IntMd Driggs A Arco Thermopolis W IntMd Nampa Fam Neuro Meridian Nome IntMd IntMd Idaho Falls Pocatello Surg Fairbanks Galena Fam Peds Blackfoot Shoshone Gooding Ob/G Casper Riverton Peds Fam Rupert North Pole Mountain Home X Psych Douglas Unalakleet Afton Fam AmericanFalls Jerome Montpelier Anchorage Malad City Lander Glennallen Fam Neuro Fam Preston Wasilla Torrington Peds Ob/G Palmer A Wheatland W IntMd Psych Bethel Kemmerer Laramie Valdez Rawlins W Pine Bluffs Kenai Cheyenne Cordova Green River Ob/G Haines IntMd LEGEND Soldotna Dillingham Rock Springs A Homer Ob/G Saratoga Seward Juneau Fam IntMd Clerkship Sites Residency Sites Naknek 1st Year sites Clinical Medical Education office Family Medicine Internal Medicine Neurology Ob/Gynecology Pediatrics Psychiatry Surgery Petersburg Fam Area Health Education Center (AHEC) sites Family Practice Internal Medicine Psychiatry Pediatrics Fam Fam A Wrangell IntMd Kodiak Island Sitka IntMd Neuro Programs for Healthy Communities(PHC) sites Dutch Harbor Psych Prince of Wales Is. Ob/G Note: Alaska not to scale Metlakatla WWAMI Rural Integrated Training Experience (WRITE) sites Peds Peds W Rural / Underserved Opportunities Program (R/UOP) Unalaska Indicates presence of both PHC and RUOP Psych Revised 12/04 Indicates presence of both Family Medicine Clerkship & Family Practice Residency Fa m Surg
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
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.
Thunder Bay Sudbury Aboriginal Community Sites Toronto Spring of the First Year
Thunder Bay Sudbury Integrated Community Experience Sites Toronto Fall and Winter of Second Year
Year 3 • 30-week Integrated Comprehensive Community Clerkship (CCC) • Two 4-week Electives
Thunder Bay Sudbury Comprehensive Community Clerkship Sites Toronto Third year for 30 weeks
Aboriginal Community SitesIntegrated Community Experience SitesComprehensive Community Clerkship Sites Thunder Bay Sudbury All Placement Sites Toronto
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