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The program will start promptly at 1:30 PM

The program will start promptly at 1:30 PM. For technical assistance please contact Tech Support at 404-969-0387 or email at support@healthtecdl.org. Teaching Medical, PA, or NP Students in Community Practices What Community Practitioners Need to Know.

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The program will start promptly at 1:30 PM

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  1. The program will start promptly at 1:30 PM For technical assistance please contact Tech Support at 404-969-0387 or email at support@healthtecdl.org

  2. Teaching Medical, PA, or NP Students in Community Practices What Community Practitioners Need to Know For technical assistance please contact Tech Support at 404-969-0387 or email at support@healthtecdl.org

  3. Presentation Objectives By the end of this presentation, attendees will: Understand some of the issues related the physician shortage in Georgia. Know why community practices are well-suited for the training of medical, NP and PA students. Appreciate the key role that Georgia’s AHECs play in facilitating health sciences education in the state. Be able to decide if their clinical practice is suitable for teaching medical, NP and PA students. Realize that they can be excellent preceptors with minimal amount of additional training. If you have any technical issues, please contact 404-969-0387 or email support@healthtecdl.org

  4. Georgia Has a Physician Shortage Georgia ranks 9th in population, but 39th in total physician supply per 100,000 population Georgia ranks 34th among the 46 states that have medical schools in the number of medical students per 100,000 population If you have any technical issues, please contact 404-969-0387 or email support@healthtecdl.org

  5. Where Do Med Students End Up Practicing? Medical students practicing in Georgia: MCG: 52.9% Emory: 38.1% Mercer: 57% Morehouse: 47% All Georgia medical schools: 47.5% National average in states with medical schools: 39% retention rate If you have any technical issues, please contact 404-969-0387 or email support@healthtecdl.org

  6. Addressing Physician Shortages in Georgia Additional efforts are being made to increase the number of physicians in Georgia by increasing medical school class size: MCG: Increasing class size (190-200) Developing new regional campus in Athens (40 students entering in 2010). Mercer => Savannah: 30 students per year (began 2008) If you have any technical issues, please contact 404-969-0387 or email support@healthtecdl.org

  7. Causes for Physician Shortages in Georgia Distribution If you have any technical issues, please contact 404-969-0387 or email support@healthtecdl.org

  8. Causes for Physician Shortages in Georgia Distribution Decreasing attractiveness of primary care compared with specialties with higher salaries or “controllable lifestyles.” If you have any technical issues, please contact 404-969-0387 or email support@healthtecdl.org

  9. Educational Debt of Graduating Medical Students in GA’s Medical Schools • National Debt Level of Medical Students: • 50% with ≥$80,000 • Median debt nationally: $115,000 (pub. schools); $150,000 (priv. schools) If you have any technical issues, please contact 404-969-0387 or email support@healthtecdl.org

  10. Causes for Physician Shortages in Georgia Distribution Decreasing attractiveness of primary care compared with specialties with higher salaries or “controllable lifestyles.” Physician demographics & work preferences: Younger generation: preference for working shorter hours, greater emphasis on family & quality of life issues Increasing numbers of female physicians If you have any technical issues, please contact 404-969-0387 or email support@healthtecdl.org

  11. Because of the current and projected unequal distribution of primary care physicians, there is an increased need to train PA’s and NP’s to help meet the health care needs of the citizens of Georgia . . . . .

  12. Medical School: The Big Picture If you have any technical issues, please contact 404-969-0387 or email support@healthtecdl.org

  13. Medical School: The Big Picture Transformation Physicians Students If you have any technical issues, please contact 404-969-0387 or email support@healthtecdl.org

  14. Medical School: The Big Picture Transformation Physicians How Does It Happen? Students If you have any technical issues, please contact 404-969-0387 or email support@healthtecdl.org

  15. First 2 Years of Medical School Basic Science Foundation Clinical Skills Communication Skills Professionalism Cultural Competence Principles of Life-long Learning If you have any technical issues, please contact 404-969-0387 or email support@healthtecdl.org

  16. 3rd Year  Clinical Training Internal Medicine: 8 Weeks Surgery: 8 Weeks Neurology: 4 Weeks Elective: 4 Weeks Pediatrics: 6 Weeks OB/GYN: 6 Weeks Family Medicine: 6 Weeks Psychiatry: 6 Weeks** **4 weeks in 2009, with 2 week Intersession If you have any technical issues, please contact 404-969-0387 or email support@healthtecdl.org

  17. Where Do Medical Students Get Their Clinical Training? Venues for training learners are changing: Less inpatient, more ambulatory Inadequate clinical opportunities near the academic medical center Need for more realistic experiences for students, especially in primary care Results: Community-based learning opportunities Opportunities to interact with other health care providers => “Real World” If you have any technical issues, please contact 404-969-0387 or email support@healthtecdl.org

  18. Critical Role of Community-Based Teaching Sites in the School of Medicine Third year core clerkships: 30% at geographically separated sites distant from MCG 50% are ambulatory-based Community-based sites in: Medicine Surgery Family medicine Pediatrics Neurology OB/Gyn Emergency Medicine Psychiatry If you have any technical issues, please contact 404-969-0387 or email support@healthtecdl.org

  19. If you have any technical issues, please contact 404-969-0387 or email support@healthtecdl.org

  20. If you have any technical issues, please contact 404-969-0387 or email support@healthtecdl.org

  21. http://www.foothillsahec.org/default.htm

  22. Role of AHEC in Medical Student Education On-site coordinator with community preceptors and MCG Housing assistance Assistance with logistical support for students (when needed) Educational support when needed (helping with exams in Pediatric Clerkship, for example) If you have any technical issues, please contact 404-969-0387 or email support@healthtecdl.org

  23. To study the phenomenon of disease without books is to sail an uncharted sea, while to study books without patients is not to go to sea at all. Medicine is learned by the bedside and not in the classroom. -Sir William Osler, M.D. If you have any technical issues, please contact 404-969-0387 or email support@healthtecdl.org

  24. What Really Needs to Be Accomplished in the “Clinical” Years of Training? If you have any technical issues, please contact 404-969-0387 or email support@healthtecdl.org

  25. What Really Needs to Be Accomplished in the Clinical Years of Training? Knowledge: Basic science knowledge needs to be reorganized into clinically relevant structure “Disease-Based”  “Sign or Symptom-Based” Development of clinical associations, applications Facts  Patient-focused Knowledge  Action If you have any technical issues, please contact 404-969-0387 or email support@healthtecdl.org

  26. Goal for Clinical Teaching Encounters Help the learner develop his/her clinical knowledge by creating a new link or association from every patient If you have any technical issues, please contact 404-969-0387 or email support@healthtecdl.org

  27. What Are the Links or Associations That You Want to Teach? Knowledge Clinical presentation of diseases History-taking questions/content Differential diagnosis Natural history of diseases Therapy Management Anticipatory guidance If you have any technical issues, please contact 404-969-0387 or email support@healthtecdl.org

  28. What Really Needs to Be Accomplished in the Clinical Years of Training? Knowledge: Basic science knowledge needs to be reorganized into clinically relevant structure “Disease-Based”  “Sign or Symptom-Based” Development of clinical associations Development of new clinical knowledge Skills: Development of basic clinical skills If you have any technical issues, please contact 404-969-0387 or email support@healthtecdl.org

  29. Clinical Skills Students Need to Learn from Their Preceptors History-Taking Skills Verbal Non-verbal Organization Physical Examination Skills Reporting Skills Oral & Written Technical Skills Reading X-Rays Interpreting lab studies Writing prescriptions If you have any technical issues, please contact 404-969-0387 or email support@healthtecdl.org

  30. What Really Needs to Be Accomplished in the Clinical Years of Training? Knowledge: Basic science knowledge needs to be reorganized into clinically relevant structure “Disease-Based”  “Sign or Symptom-Based” Development of clinical associations Development of new clinical knowledge Skills: Development of all basic clinical skills Prepare for residency training (Med Students) Pass USMLE Step 2CK, 2CS Make a career choice  prepare for the “Match” If you have any technical issues, please contact 404-969-0387 or email support@healthtecdl.org

  31. “The natural method of teaching the student begins with the patient, continues with the patient, and ends his studies with the patient, using books and lectures as tools, as means to an end” Sir William Osler, M.D. If you have any technical issues, please contact 404-969-0387 or email support@healthtecdl.org

  32. Why Are Community Physicians Uniquely Qualified to Teach Medical, NP and PA Students? If you have any technical issues, please contact 404-969-0387 or email support@healthtecdl.org

  33. Community Physicians Are Uniquely Qualified to Teach Medical, NP or PA Students Provide more opportunities for students to see “real world” patients History-Taking and Physical Exam Skills Written records, oral presentations See diseases and conditions they’ve only read about If you have any technical issues, please contact 404-969-0387 or email support@healthtecdl.org

  34. Community Physicians Are Uniquely Qualified to Teach Medical, NP or PA Students Provide more opportunities for students to see “real world” patients History-Taking and Physical Exam Skills Written records, oral presentations See diseases and conditions they’ve only read about Provide more opportunities for students to apply their clinical knowledge: Differential diagnosis, evaluation Management/Treatment/Follow-up If you have any technical issues, please contact 404-969-0387 or email support@healthtecdl.org

  35. Community Physicians Are Uniquely Qualified to Teach Medical, NP or PA Students Provide more opportunities for students to see “real world” patients History-Taking and Physical Exam Skills Written records, oral presentations See diseases and conditions they’ve only read about Provide more opportunities for students to apply their clinical knowledge: Differential diagnosis, evaluation Management/Treatment/Follow-up More clinical opportunities  more learning If you have any technical issues, please contact 404-969-0387 or email support@healthtecdl.org

  36. Community Physicians Are Uniquely Qualified to Teach Medical, NP or PA Students Provide more opportunities for students to see “real world” patients History-Taking and Physical Exam Skills Written records, oral presentations See diseases and conditions they’ve only read about Provide more opportunities for students to apply their clinical knowledge: Differential diagnosis, evaluation Management/Treatment/Follow-up More clinical opportunities  more learning Serve as role models If you have any technical issues, please contact 404-969-0387 or email support@healthtecdl.org

  37. “It is much more important to know what sort of a patient has a disease than what sort of a disease a patient has.” -Sir William Osler, MD If you have any technical issues, please contact 404-969-0387 or email support@healthtecdl.org

  38. What is Needed to Teach Students in a Community-Based Practice? If you have any technical issues, please contact 404-969-0387 or email support@healthtecdl.org

  39. What is Needed to Teach Students in a Community-Based Practice? Patients Space: An exam room where he/she can work at a slower pace and not slow you down Internet connection at the office Excellent clinical and office staff A willingness to teach what you already know . . . . . A little bit of extra time If you have any technical issues, please contact 404-969-0387 or email support@healthtecdl.org

  40. What About the Quality of the Training by Community-Based Preceptors Academic Medical Center vs. Community Sites Students comparable in 1st 2 years of medical school Students at community sites: Performed same on NBME subject test Performed better on in-house written exam Received higher clinical grades (assigned by faculty) Saw more than twice as many patients Pediatric Clerkship 1997-2002 If you have any technical issues, please contact 404-969-0387 or email support@healthtecdl.org

  41. Common Questions If you have any technical issues, please contact 404-969-0387 or email support@healthtecdl.org

  42. Common Questions What am I supposed to teach? Is there a curriculum? The students receive an orientation to the clerkship at MCG before going to their community practice. They are provided a curriculum and other learning resources by their clerkship director or MCG-based instructor Lectures (if part of the training) are typically videotaped and provided as CD’s or streaming video. You will be given all the resources and information you need to be a successful preceptor. If you have any technical issues, please contact 404-969-0387 or email support@healthtecdl.org

  43. Common Questions I’ve never done this before. How do I get the skills needed to teach a student in the office? The Clerkship Director or experienced educators at MCG will provide you with training. It’s actually very simple – taking less than an hour or so to get started. Patients are the best teachers – your role is find common teaching points or “links” for the student to remember from the patients they see. If you have any technical issues, please contact 404-969-0387 or email support@healthtecdl.org

  44. Common Questions What about evaluations? How do I grade the student? The Clerkship Director or course instructor will provide you information and instructions about grading your student. There is a specific form that is used, and usually it is done on the Internet. The course director will provide you with feedback on how your student(s) performed annually, and how they compared with other students on that course or clerkship assigned to other sites. If you have any technical issues, please contact 404-969-0387 or email support@healthtecdl.org

  45. Common Questions What requirements are necessary for me to perform in order to be a preceptor? A Faculty Appointment at MCG: You need to fill out an application form for a faculty appointment. It’s not too bad – much less onerous than applying (or reapplying) for credentials. If you have any technical issues, please contact 404-969-0387 or email support@healthtecdl.org

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