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WWAMI 2012 40 Years of Medical Education in Idaho

WWAMI 2012 40 Years of Medical Education in Idaho. Mary Barinaga, MD IHPEC Presentation July 23, 2012. WWAMI Founding Goals 1971. Provide access for citizens of Northwest to publicly-supported medical education

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WWAMI 2012 40 Years of Medical Education in Idaho

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  1. WWAMI 201240 Years of Medical Education in Idaho Mary Barinaga, MD IHPEC Presentation July 23, 2012

  2. WWAMI Founding Goals 1971 • Provide access for citizens of Northwest to publicly-supported medical education • Increase number of primary care physicians and address maldistribution of physicians • Create community-based medical education • Expand GME and continuing medical education • Avoid excessive capital costs and duplication of resources by using existing educational infrastructure

  3. WWAMI Non-metro percent of population by state 12% 65% 34% 70% 33%

  4. Idaho Physician Workforce Data • 49th in nation for physicians per 100K population (182.2) • 48th in nation for primary care physicians per 100K population (67.2) • Total active physicians in Idaho: 2872 • 23.3% (670) over age 60 • 86% (2474) over age 40 Source: AMA Physician Masterfile 12/31/2010

  5. Idaho WWAMI Workforce Progress • Rate of return • 49% (national – 39%) • Return on Investment • 72% (all WWAMI graduates practicing in Idaho) • Graduates selecting primary care specialties • 45% (five year average, 2006-2010)

  6. Practice Sites 1976-2010

  7. UWSOMRural/Underserved Programs • R/UOP 1988 • WRITE 1996 • Underserved Pathway: 2006 • Rural required third-year clerkships (Family • Medicine, Internal Medicine, OB/GYN) • Rural clinical electives

  8. TRUSTAdmissions: A Separate Process • Where have you lived/worked from birth until • present? • How do you imagine your personal and • professional lives intersecting ten years from now? • What obstacles have you overcome in your life to • get to the point of applying for medical school? • Why have you applied to participate in the TRUST • program?

  9. TRUSTThe Students’ First Year Experience • Rural Health Class • Continuity visits • Journal Club • Evening experiences • Underserved Pathway

  10. R/UOP • Month long immersion clinical experience • Over 120 of 220 UWSOM students will participate in Summer 2012 • Most students complete a community-oriented scholarly project • Highly rated

  11. WRITE SITES W Lynden/Birch Bay W W Ferndale Grand Coulee Montana Newport W W W W W W W W W W W W Port Angeles Chelan Shelby W W W Libby Port Townsend Whitefish Sandpoint Shelton W W W W Spokane Moses Lake Ellensburg Lewistown Helena Washington W Butte Miles City W W W W W W Dillon McCall W Alaska Powell Wyoming Hailey Boise W W Idaho Lander Douglas Wasilla Anchorage W Juneau Cheyenne W WRITESite Kodiak WWAMI Regional Office Note: Alaska not to scale

  12. WRITE Student Objectives • Become familiar with a rural community • Become a member of the rural healthcare team • 20 week continuity experience • Social integration into a rural community • Instill confidence and professionalism • Become independent learners

  13. WRITE Practice Outcomes • 31 graduates into practice • 23/31 (74%) into primary care • 15 FM • 6 IM • 2 Peds

  14. WRITE graduates in Rural Practice • 12/31 (39%) into rural practice • 9 Family Medicine • 1 Internal Medicine • 1 Pediatrics • 1 Emergency Medicine

  15. TRUST:The Students’ Fourth Year Experience • Work on career development • Participate in sub-internships • Establish links with regional residency programs • Explore integrated residency • Billings pilot

  16. TRUST Continuum • Choose students with a background or interest in rural/underserved medicine • Educate students within a longitudinal rural continuity experience throughout 4 years of medical school • Choose GME with a rural/underserved emphasis • Return students to rural/underserved communities –Success!!!

  17. Questions? Mary Barinaga, MD barinm@uw.edu

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