Preparing Rural Doctors for Illinois: Curricula & Partnerships that Work

Panel Presentation 8-13-2015

“I am looking forward to the time when we as physicians, along with you, will be responsible to the degree that this challenge to rural medical care will be successfully met.” Jack Gibbs, MD

From: “Impressions after Five Years of Rural Practice”, a presentation at the 15th National Conference on Rural Health, February, 1960. Printed in Illinois Medical Journal, Volume 118, Number 5, November, 1960.

Preparing Rural Doctors for Illinois

Moderator Tom Golemon, MD, Chair Dept. Family &

Community Medicine, UICOM-PeoriaWelcome Greetings from Sarah Rusch, Regional DeanOutline of panel discussion & time rulesQuestion & Answer

Partners on Panel: Bob Senneff, CEO, Graham Hospital, Canton Remi Satkauskas, MD, Preceptor from

Geneseo/Kewanee Alyssa Lawler, M4 and RSPP Alumnus; RIMSAP

student Linda Agyapong, M4 and RSPP Alumnus Paul Pedersen, MD, RIMSAP Board Chair Craig Davenport, MD, RMED Director, UICOM-

Rockford Jim Barnett, MD, RSPP Director, UICOM-Peoria

Preparing Rural Doctors for Illinois: RSPP

Jim Barnett, MD, RSPP Director, UICOM-Peoria

Partnerships that WorkStudents

Hospitals

Medical Staff

University Faculty

Community/Financial Partners

A bit of history re “stool legs”:Graham Hospital, Canton– 1909RIMSAP/Medical Student Loan

Fund Board—1946 RMED—1993RSPP—1997 (1st class)Dr. Satkauskas to Kewanee area

—1996

Rural Student Physician Program (RSPP)Started in 1996 under leadership of

Dr. John Halvorsen and directorship of Dr. Linda Batek.

A third year (M3) program: longitudinal integrated clerkship.

Students spend 7 months in rural community simultaneously learning from the major medical disciplines.

Also 5 months of block rotations in Peoria.

RSPP Outcomes82 Alumni of the programLast review in 2013 of residency

grads (64 alumni):◦72% Primary Care (FM, P, M-P)◦67% are in IL◦53% are rural

Longitudinal Integrated ClerkshipsRSPP is modeled after RPAP

(Rural Physician Associate Program) of Minnesota

Established in 1971 now with over 1300 graduates.

Minnesota RPAP82% grads are in primary care.58% practice in rural settings.Rural origin has only a small association

with choosing rural practice (according to this study)!◦About 60% raised rural work there.◦About 40% raised “metro” work rural.

Halaas GW, Zink T, etal. Recruitment and Retention of Rural Physicians: Outcomes From the Rural Physician Associate Program of Minnesota. J Rural Health. 2008;24(8):345-352.

Rural Program Outcomes:Systematic review of medical school

programs with focused rural curriculum: 50-60% grads practice rural.◦ This provides some hope in face of statistics:◦ 20% of US population is rural; 9% of doctors are

rural; 3% of med students planning to go rural.

Rabinowitz HK, Diamond JJ, etal. Medical School Programs to Increase the Rural Physician Supply: A Systematic Review and Projected Impact of Widespread Replication. Academic Medicine. 2008;83(3):235-243.

Rural Program OutcomesRabinowitz (etal.) proposes

expanding these programs so 125 medical schools have at least 10 students/year in this type of program.

RSPP seeks to work with partners to expand from our current average of 5 students a year to 10 students.

Preparing Rural Doctors for Illinois: RMED

Craig Davenport, MD, RMED Director, UICOM-Rockford

Established in 1993, is “designed to recruit students from rural areas, who will upon completion of residency training, return to rural Illinois for practice.”

“Grow Your Own…”◦Pipeline◦Recruitment and Retention

Committee Interview Process

RMED Curriculum RMED Students participate in the regular curriculum as

well as the supplemental, required Rural Health Professions (RHP) curriculum.

RHP is a longitudinal, interprofessional based course with RPHARM◦ Community health needs and interventions◦ Rural-specific health issues and hazards

16-week Community Preceptorship◦ COPC - community-oriented primary care project.

Our Results…To date:

◦about 180 graduates

◦80% Primary Care

◦75% Rural IL◦>80 IL

Communities◦>60 IL Counties

Preparing Rural Doctors for Illinois: Hospitals

Bob Senneff, CEO, Graham Hospital, Canton

Preparing Rural Doctors for Illinois: Preceptors

Remi Satkauskas, MD, Preceptor from Geneseo/Kewanee

Preparing Rural Doctors for Illinois: Community/Financial Partners

Paul Pedersen, MD, RIMSAP Board Chair

Preparing Rural Doctors for Illinois: Students!

Alyssa Lawler, M4 and RSPP Alumnus; RIMSAP student

Linda Agyapong, M4 and RSPP Alumnus

Question & Answers Session

Please do this:

Identify yourself Address your question to panel

member(s)

Wrap Up

Thanks to Panel ParticipantsThanks to AudienceBest Wishes for Rural Practices in

the Future!

Dr. Jack Gibbs (Canton/Havana)“I am looking forward to the time

when we as physicians, along with you, will be responsible to the degree that this challenge to rural medical care will be successfully met.”

From: “Impressions after Five Years of Rural Practice”, a presentation at the 15th National Conference on Rural Health, February, 1960. Printed in Illinois Medical Journal, Volume 118, Number 5, November, 1960.