Hosting Health Professions Students for Clinical Training Rotations

1. Hosting Health Professions Students for Clinical Training Rotations The Why, The What and The How-To Indiana Rural Health Association Annual Conference June 10, 2009 Indianapolis Jennifer Custer, BA Michael Edwards, BS Richard Kiovsky, MD Lynn Olszewsky, MSA, RN Aleshia Panbamrung, MA

2. Indiana Health Workforce Needs • IN currently needs 5000 more MDs/DOs statewide – 1000 of whom need to be primary care MDs/DOs – to appropriately care for the state’s population In a state where family medicine physicians provide 66% of all rural primary care, 2 of 11 FM residency programs recently closed reducing FM resident enrollment by 12-15 • IN significantly underutilizes mid-level providers 11.9 PC NPs per 100,000 Hoosiers meets barely 1/3 of the national benchmark Until 07, PAs had no prescriptive authority; PAs still relatively uncommon in either rural or urban IN • IN will be short 20,000 RNs by 2020 if current trends continue

3. Indiana Health Workforce Distribution • 53% of IN counties are Medically Underserved Communities and Populations Areas • 64% of IN counties are Primary Care Health Professional Shortage Areas • Encompasses 836,638 individuals or 13.4% of the state’s population • 38% of Indiana counties are Mental Health Professional Shortage Areas • 14% of Indiana counties are Dental Health Professional Shortage

4. Proposed Solutions to Improve Health Workforce and Distribution Needs • Expand training capacity for critical-shortage health care professions • Establish rural and community health training programs designed to train primary care providers • Require clinical training experiences in rural and urban inner-city primary care, medically underserved settings • Offer targeted, best practice financial aid incentives for health care students and professions committed to working in shortage areas

5. Improving Workforce Needs & Distribution Through Clinical Teaching Students from areas of need practice in areas of need… A cohort study of IU Medical School graduates from 1988 to 1997 found that students from rural areas were 4 - 5 times more likely to practice in rural areas Students who train in areas of need practice in areas of need… The same cohort study of 2,500 IU Medical School graduates from 1988 to 1997, further documented that students trained at one of the regional campuses were more likely to practice in a rural area and more likely to have chosen a primary care specialty.

6. Key Elements for Successful Clinical Training Rotations • Personnel • Facilities • Policies • Community Resources Case Studies & Experiences from Regional Area Health Education Centers

7. Are You Ready? • Assess organizational readiness & capacity to initiate or expand clinical training opportunities Louise Anderson, landerson@isugw.indstate.edu West Central AHEC NWI NEI Jennifer Craig, jlcraig3@usi.edu Southwest AHEC Michael Edwards, medwards@hoosieruplands.org Southeast /South Central AHEC WCI MICI Kim Jones, kmjones@stvincent.org Metro Indy/Central Indiana AHEC SESCI Lynn Olszewski, lynno@calumet.purdue.edu Northwest AHEC SWI Aleshia Panbamrung, panbamra@ipfw.edu Northeast AHEC

8. Questions& Answers