Www.usask.ca/medicine College of Medicine Curriculum Committee Retreat December 17, 2008 William L....

www.usask.ca/medicine

College of MedicineCurriculum Committee Retreat

December 17, 2008

William L. Albritton, MD, PhD, FRCP(C)

Dean, College of Medicine


Issues Arising from the AFMC FUTURE OF MEDICAL EDUCATION IN CANADA Project

• 1. Social Responsibility and Accountability • 2. Access to Medical Education and Admissions Processes• 3. Integration and Timing of Basic and Clinical Sciences• Education• 4. Prevention and Population Health• 5. Culture of Medicine and the Hidden Curriculum• 6. Community-based education • 7. Generalism, with a Particular Focus on Family Medicine• 8. Inter-professionalism, Team-based Care and the Role of• the Physician• 9. Life-long learning and the Continuum of Medical • Education• 10. Change Management, Leadership, and Innovation


MEDICAL EDUCATION IN SASKATCHEWAN

• Saskatoon– Assoc Dean– Graduate programs– Facilities (academic/clinical)

• Regina– Assoc Dean– Undergraduate/graduate programs– Facilities (academic/clinical)

• Rural programs– Assoc Dean– Undergraduate/graduate programs– Facilities (academic/clinical)


RURAL MEDICAL PROGRAMS

• Medical Education (Current)– Undergraduate electives– Rural Family Medicine Residency

• Medical Education (Future)– Rural track or stream

• Undergraduate Admissions• Undergraduate Curriculum• Postgraduate training (FM/Specialties)



• Rural Curriculum

• East Tennessee State

• Northern Ontario School of Medicine


ETSU – Community Partnerships

RPCT - a piece of the Pipeline

1° and 2° SchoolsCollege

Medical School

Residency

Community

ETSU

Rural Primary Care Track


ETSU Rural Programs – Community PartnershipsPIPELINE

Community Schools–High School Summer Camp

–School Based Projects

–Career Fairs

College–PreMed-Med Program (PMMD)

–Summer health related jobs with rural communities for Premed students

Medical School–Rural Primary Care Track

–Community Preceptorships

–International Experiences

–Rural Health Fairs

-Burdick Grant Activities

–Rural 4th year Electives

–Service Requirements in communities

–Extra curricular experiences – FMIG, RAM, etc.

–SEARCH (NHSC – TPCA experiences)

-Summer research opportunities

-Appalachian Preceptorship

-Rural Preceptors Dinner

Residency–Block and longitudinal rotations

-Rural Experiences

-Supervision of Medical Students at Rural Health Fairs

–Tennessee Rural Health Recruitment and Retention Center Activities (TRHRRC)

–Placement activities – NHSC, HPSA/ MUA

-Rural Recruitment Dinner

Fellowship

-Rural Primary Care Fellowship

•Rural Preceptor Faculty Development-HRSA Faculty Development Grant Activities

-Preceptor Advisory Group

CME-Rural location

-Primary Care Research Day

-RHAT

Regional, National and International Experiences-Electives, Selectives

-Volunteer experiences


The RPCT Curriculum


Of the first 25 graduates who have completed residencies Years 1-7

• Twenty (80%) are now in practice in towns of less than 25,000 persons

• Thirteen practice in Tennessee• Five others in rural counties in

Virginia, North Carolina, Kentucky and West Virginia

• Two are members of the ETSU faculty


A Look at Primary Care/Not an Obligation Lots of Flexibility to Suit Individual Interests

Urban, Subspecialty, Public Health, Anything Else! Quillen Is Famous For Rural Community

Partnerships“ETSU’s Quillen College of Medicine is ranked third in the nation for excellence in rural medicine education by U.S. News & World Report in its "America's Best Graduate Schools" 2007 edition”

Close Knit Community Lots of Fun

Some Considerations…


You Can’t Fall in Love with Something You Never

Experience!

If you want a Rural Health Workforce you need to provide Medical Students and other Health Professional Students with Rural Experiences…….



• College of Medicine Integrated Plan 2008-2012– Distributed Medical Education (Initiative

1.15) • Smaller urban and rural sites• All trainees in core disciplines would have

learning experiences away from the tertiary centres

• Some trainees would have a significant subset of program delivered in rural sites



• REFERENCES

• QUESTIONS

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