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New York State AHEC System: Paradigms and Outcomes Presentation to the NAMME NE Regional 2012 Spring Conference February 18, 2012 Francisco Lucio, JD, Program Director, MSI AHEC. Presentation Overview. NYS AHEC System General Overview K-12 Program Highlight (MASH/SHIP)
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New York State AHEC System: Paradigms and OutcomesPresentation tothe NAMME NE Regional 2012 Spring Conference February 18, 2012Francisco Lucio, JD, Program Director, MSI AHEC
Presentation Overview • NYS AHEC System General Overview • K-12 Program Highlight (MASH/SHIP) • College Program Highlight (MedPrep/CHSC) • Graduate Program Highlight (SEARCH) • Outcome Data Highlights • Faces of AHEC and MedPrep Video • Q & A
Mission NYS AHEC System Mission “…to enhance access to quality health care and improve health care outcomes by addressing the health workforce needs of medically disadvantaged communities and populations through partnerships between the institutions that train health professionals and the communities that need them most.”
Statewide Capacity Statewide Capacity 127 West 127th St., Ste. 221, NY, NY 10027 212 534-AHEC, msiahec.org
K-12 Program Highlights M*A*S*H Camp (Medical Academy of Science and Health) Middle and high school students • Focus on learning what health professionals do each day by participating in activities that highlight their job duties • hospital-based programs • Introduction to health occupations at various levels – clinical and non-clinical • Participate in interactive, hands-on activities that highlight the skills, equipment, technology, and resources used by health professionals • Length of camps vary from 3 to 5 days • Over 2,000 students have participated
K-12 Program Highlights Summer Health Internship Program (SHIP) HS Juniors/Seniors and College Freshmen/Sophomores • Placements in hospitals and community based health centers/organizations • 20 hours weekly with physicians and other health providers • Six-week program • Weekly didactic sessions presentations by local health professionals • Field trips • Exposure to a variety of health professional careers and community health issues • Students produce projects on a community health issue • Over 600 students have participated
MedPrep Program • 3 summer program • Mount Sinai School of Medicine, New Jersey Medical School, and Columbia University School of Physicians and Surgeons, & MSI AHEC • MCAT Preparation, Clinical & Research Experience • 240 participants since 2009
College Program Highlights • Collegiate Health Service Corps • 3-month program • 5-hour training curriculum • Engage in service learning projects with medically underserved populations • Focus on primary care disciplines • Learn about the National Health Service Corps • Exposure to primary care professionals • Receive First Aid and CPR Certification
Graduate Program Highlights SEARCH—Student/Resident Experiences and Rotations in Community Health • Funded by HRSA (competitive grant application) • CHC & community-based HPSA sites • Clinical rotations & community experiences • Faculty development/support for preceptors • Statewide network to meet primary care needs of the underserved • Multi-disciplinary
Graduate Program Highlights SEARCH—Student/Resident Experiences and Rotations in Community Health
Graduate Program Highlights 85% agreed or strongly agreed that “Based on this experience I am now considering working in a medically underserved area” Highly probably (rank 5/5) Probable (rank 4/5)
Measuring Outcomes • Ultimate impact: Diverse health care workforce that provides access to quality health care for all New Yorkers • In addition to this Long Term Outcome, must measure Short Term and Intermediate Outcomes along the way . . . .
Short Term Outcomes • Standardized Pipeline Evaluation • Continuing Education event evaluations (post session, post conference, post-post conference) • SEARCH pre/post program evaluations (preceptor and student)
Short Term Outcomes – K-12 “[I] want to learn more about many things now,” “I feel strongly about being in the medical field.”
Intermediate and Long Term • Tracking Survey • National Student Clearinghouse (NSC) queries • Social marketing tools • Alumni events • Faces of AHEC initiative • “Googling”
Intermediate - NSC College Enrollment among 18-24 year olds • AHEC Participants – 75.6% (2617/3461) • Overall in US – 39.6% (based on 2008 data from US Dept of Education) • New York State – 51%† • Low income families from New York State – 37.3% 92% attend(ed) NYS colleges and universities *Percentage of 18- to 24-year-olds enrolled in colleges and universities, by race/ethnicity and sex: Selected years, 1980–2008. U.S. Department of Education Institute for Education Statistics †National Center for Education Statistics, 2009, Tables 105 and 203. † †College Participation Rates by State for Students from Low Income Families - postsecondary.org
NSC Within each Racial/Ethnic Category, the college participatory rate is higher than US 75% 71% 68% 58 % 58% 44% 32% 22%
Intermediate-NSC National Student Clearinghouse Database • College major information available for 82% of the college students • 678 (82%) were majoring or had majored in health related fields • Most commonly reported healthcare related majors: • Biology – 86 mentions • Nursing – 79 mentions • Physical therapy – 25 mentions • Most commonly reported non-healthcare related majors: • Education – 21 mentions • Liberal Arts – 15 mentions • Criminal Justice – 12 mentions
Intermediate-Tracking Survey • 82% of those planning to pursue a career in healthcare indicated that AHEC influenced their decision • Most common explanations of AHEC influence: • Exposure/Awareness to health professions – 33.2% • Decide on/narrow career path w/i healthcare – 13.4% • Confirmed Choice – 12.1% • Increased Interest – 7.4%
Intermediate-Tracking Survey • 57% plan to work/would consider working in an underserved area • Common themes of plans for underserved area: • 21.8% mentioned a specific community (1/2 mentioned his/her hometown) • “I'd like to return to Allegany County” • “I would like to come back home to Jamestown and work as a pharmacist in one of our local pharmacies” • 20% unsure of exactly where • 11% said they would like to work in a rural area
Intermediate/Long Term-Tracking Survey † *For planning a health career: Minority/disadvantaged n = 589 and for non-disadvantaged n = 659 † Indicates statistical significance
Long Term Outcome NY Metro Region Office “The first two years of medical school can leave you feeling ambivalent . . . . So much of that time is so textbook focused that I was longing for something more meaningful. Through AHEC, I worked at the Institute for Family Health doing a summer program visiting various soup kitchens, meeting homeless patients under the supervision of passionate doctors and nurse practitioners and doing research on the appropriate medical management of homeless patients with hypertension and diabetes. Today I am medical director of one of the Institute’s clinics in the south Bronx. I also help direct both the ECHO Free Clinic, where I first worked as a medical student, and the NYC Free Clinic where we provide an access point to care for uninsured patients. Thank you AHEC for reminding students of the meaning behind medicine.” Dr. Sarah Nosal, MD Medical Director Urban Horizon Family Practice, South Bronx
Faces of AHEC Where are they now? How did AHEC help them get there?
Faces of AHEC Northern AHEC (NAHEC) Program: High School internship placement at pharmacy, Potsdam, NY Currently in: College at UMass Amherst Career pursuit: Studying Psychology “My experience at Kinney Drugs was indispensable and one of the most valuable learning experiences that I have had.” London Woodfolk
Faces of AHEC Hudson Mohawk AHEC (HM AHEC) Program: Worked with AHEC members at Hudson Headwaters Health Network Currently: Rural Medical Education Program at Upstate Medical University Career Pursuit: Physician “My experiences with the family medicine department here and the rural medicine program have only solidified my desire to serve as a physician in a rural area.” John Quaresima
Faces of AHEC Brooklyn Queens Long Island AHEC (BQLI AHEC) Program: SHIP (2010) Currently: at SUNY Downstate Medical Center, PA program Career Pursuit: Physician Assistant “Through participating in BQLI AHEC, I have learned the ethical principle, laws, and guidelines related to providing safe and quality care to patients. The program helped me to be more knowledgeable of the patients' rights particularly confidentiality and cultural, religious, and spiritual issues.” April Joy Rivers
Faces of AHEC Erie Niagara AHEC (ENAHEC) Program: Summer Scholars Currently: SUNY Buffalo Exercise Science undergraduate program Career Pursuit: Doctorate in Physical Therapy “AHEC has affected my educational and career pursuits by making sure that I was on the right track to getting where I needed/wanted to be. They helped me with letters of recommendations, searching for universities that provided the majors that would lead me into my career, and networking.” Darlene Volmy
Faces of AHEC Catskill Hudson AHEC (CHAHEC) Program: SEARCH Currently: 4th year medical student NYCOM Career Pursuit: Physician “I researched about how LGBTQ community is treated within the medical field. I had the opportunity to interview LGBTQ members about their experiences. I realized that several doctors are uncomfortable asking about sexuality identifications, which really alienates patients. I learned the importance of asking certain questions and creating a clinical environment that is welcoming to ALL people.” Priyal Patel
Faces of AHEC Brooklyn Queens Long Island AHEC (BQLI AHEC) Program: SHIP (2005) Currently: 5th Year at Sophie Davis School of Biomedical Education 7yr BS/MD program (2nd year medical student) Two Time 1st place fitness champion for city college of New York Certified ISSA Personal Trainer Karif J. Patterson
MedPrep Scholars Program Testimonial Video