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NCRHP Annual Report 2007-2008 / 1 University of Illinois College of Medicine at Rockford Martin Lipsky, MD, regional dean Mitchell King, MD, associate dean for academic affairs The National Center for Rural Health Professions (NCRHP) Michael Glasser, PhD, associate dean for rural health professions, National Center director Sergio Cristancho, PhD, research assistant professor, community outreach and research specialist Dale Flach, MEd, assistant director, rural health policy division Marcela Garcés, MD, MSPH, research, outreach and community health specialist Cindy Harper, administrative support Matt Hunsaker, MD, RMED director Martin MacDowell, DrPH, MBA, assistant director for curriculum development Mark Meurer, MS, assistant director, recruitment and public relations Rhonda Meyer-Boeke, MBA, business manager Ben Mueller, MS, assistant director, community outreach Karen Peters, DrPH, assistant director for research and evaluation Michelle Royster, A+, Network+, MCP, applications analyst Ellen Smith Blokus, support staff Pat Stoffregen, support staff Kim Sweet, MPH, project coordinator Joella Warner, RN, MAT, CDE, nurse educator and teaching associate Vicki Weidenbacher-Hoper, MSW, National Center coordinator, MPH program coordinator Howard Zeitz, MD, National Center codirector Direct inquiries to: The National Center for Rural Health Professions 1601 Parkview Avenue, Rockford, Illinois 61107-1897 Phone: 815.395.5780 / Fax: 815.395.5781 www.ncrhp.uic.edu This annual report reflects progress made in the 2007–2008 academic year. Cover and other illustration/design/production/editing by Barbara D. Berney. Healthy people…healthy rural communities ANNUAL REPORT 2007/2008

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NCRHP Annual Report 2007-2008 / 1

University of Illinois College of Medicine at Rockford

Martin Lipsky, MD, regional dean Mitchell King, MD, associate dean for academic affairs

The National Center for Rural Health Professions (NCRHP) Michael Glasser, PhD, associate dean for rural health professions, National Center directorSergio Cristancho, PhD, research assistant professor, community outreach and research specialistDale Flach, MEd, assistant director, rural health policy divisionMarcela Garcés, MD, MSPH, research, outreach and community health specialistCindy Harper, administrative supportMatt Hunsaker, MD, RMED directorMartin MacDowell, DrPH, MBA, assistant director for curriculum developmentMark Meurer, MS, assistant director, recruitment and public relationsRhonda Meyer-Boeke, MBA, business managerBen Mueller, MS, assistant director, community outreachKaren Peters, DrPH, assistant director for research and evaluationMichelle Royster, A+, Network+, MCP, applications analystEllen Smith Blokus, support staff Pat Stoffregen, support staffKim Sweet, MPH, project coordinatorJoella Warner, RN, MAT, CDE, nurse educator and teaching associateVicki Weidenbacher-Hoper, MSW, National Center coordinator, MPH program coordinatorHoward Zeitz, MD, National Center codirector

Direct inquiries to:The National Center for Rural Health Professions1601 Parkview Avenue, Rockford, Illinois 61107-1897Phone: 815.395.5780 / Fax: 815.395.5781 www.ncrhp.uic.edu

This annual report reflects progress made in the 2007–2008 academic year.

Cover and other illustration/design/production/editing by Barbara D. Berney.

Healthy people…healthy rural communities

AnnuAl RepoRt2007/2008

Table of contents

Message from the directors: Powering the rural health workforce ...........................................4

National Center for Rural Health Professions .....................................................................................6

NCRHP partners and Center components .........................................................................................................6

Advisory Committee ..........................................................................................................................................6

In memoriam: Kindra Westendorf ......................................................................................................................7

Significant events and recognition ..........................................................................................................8

National Center well represented at annual Research Day ................................................................................8

Academic Medicine highlights RMED Program .................................................................................................8

From Tokyo to Aledo: Japanese student learns rural medicine ........................................................................9

Thai delegation meets with National Center ......................................................................................................9

Dutch students conduct community project .....................................................................................................9

Powering the rural healthcare workforce ...........................................................................................10

RMED recruitment ............................................................................................................................................10

RMED admissions ............................................................................................................................................10

RMED matriculants ...........................................................................................................................................10

RMED Recruitment and Retention Committee ................................................................................................ 11

No Harm on the Farm tour ................................................................................................................................12

4-H Health Jam a big hit...................................................................................................................................13

RMED Class of 2012 ........................................................................................................................................14

Rooted in rural healthcare: An RMED student’s journey from the farm to the physician’s office ..................15

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Powering interdisciplinary programs ...................................................................................................16

Rural interdisciplinary internships in northern and southern Illinois................................................................16

Health careers camp enlightens rural students ............................................................................................... 17

National Center collaborates with Arkansas AHEC .........................................................................................18

Nursing and the National Center: From Kikuchi to Rockford: new National Center advisor

brings her passion for rural family health ....................................................................................................19

UIC College of Pharmacy update .....................................................................................................................20

Powering networks of health professionals ......................................................................................21

Match Day 2008 ...............................................................................................................................................21

RMED grads practicing in Illinois ......................................................................................................................21

RMED students complete preceptorships .......................................................................................................22

RMED Class of 2008 ........................................................................................................................................22

Southern Exposure: RMED on the road in Illinois ............................................................................................23

National Center collaborating hospitals ...........................................................................................................24

Powering outreach, service and community capacity building .................................................25

Corazon Sano, Vida Sana/Healthy Heart, Healthy Life ....................................................................................25

Cultural Competence Curriculum: navigating the healthcare system in the U.S. ...........................................25

Cristancho and Garcés return to Colombia .....................................................................................................26

Publications .....................................................................................................................................................27

The Network: Towards Unity for Health

National Center participates in annual Network: TUFH conference

in Bogotá, Colombia ............................................................................................................inside back cover

NCRHP Annual Report 2007-2008 / 3

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Message from the directors

This has been a busy year, filled with many great strides, as well as tragedy. As a center, we continue to address rural health disparities, particularly through health workforce education with an interdisciplinary or interprofes-sional focus. This remains an important and powerful direction of our numerous programs. In this regard, this past Octo-ber, then-presidential candidate Barack Obama, responding to the National Rural Health Association question, “How would your administration address the ongo-ing healthcare workforce crisis in rural communities?”, stated that “I am acutely aware that financial access through insurance is a hollow victory if there are no facilities and providers available to provide healthcare. That is often the dilemma in rural areas. Two-thirds of the federally designated health professional shortage areas in the United States are found in rural America. “I believe that success in developing our rural healthcare workforce relies on a multifaceted effort. Access to an adequate rural health workforce is con-tingent on producing and deploying more

Powering the rural health workforce

healthcare providers for rural areas, as well as retaining those providers in rural healthcare settings. Rural America needs a robust healthcare workforce pipeline that ensures access to essential health-care services for rural communities. This is a challenging goal, but one that Joe Biden and I are very committed to.” In the following pages, we present the activities of the National Center for Rural Health Professions in working to meet this challenge identified by President Obama. Our annual report theme is “Powering the Rural Health Workforce.” Highlights include:

RMED class The new M1 class was ad-mitted to the University of Illinois College of Medicine in August. This is our 16th

class and consists of 15 students from 14 different Illinois counties and nine differ-ent colleges and universities. Since the establishment of the program, we now have had a total of 232 RMED students.

Centralia preceptorship This year, St. Mary’s Good Samaritan Hospital and the NCHRP collaborated to add a summer preceptorship in Centralia. It was a suc-cessful inauguration, with four students representing the disciplines of medicine, pharmacy and social work. This follows from five years experience with the inter-disciplinary preceptorhship at Katherine Bethea Shaw (KSB) Hospital in Dixon, Ill., which this year had six students representing the disciplines of medicine, nursing, public health, dentistry, social work and pharmacy.

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“No Harm on the Farm” tour This event, which focuses on safety and health risks in farming, took place on a 750-head dairy farm and was attended by 13 medical and two nursing students. The tour is the result of collaboration amongst the local community, the RMED Program, the nurs-ing program at Highland Community Col-lege in Freeport, the University of Illinois Extension and Stateline FARM RESCUE.

Network: Towards Unity for Health conference The problems in a rural workforce occur not only Illinois, but also nationally and internationally. We presented a theme session and a work-

shop at the annual meeting of Network: Towards Unity for Health in Bogotá, Colombia. The conference theme was “Adapting Health Services and Health Professions Education to Local Needs: Partnerships, Priorities and Passions.”

Publication in Academic Medicine We had the opportunity to disseminate details and outcomes of the RMED Program nationally through the October 2008 issue of Academic Medicine. Our paper, “A Comprehensive Medical Educa-tion Program Response to Rural Primary Care Needs,” identified several future challenges in program development and disparity reduction, including recruitment of students from the growing number of rural minority populations, expansion of the current number of program slots and continued integration of the program with other health professions to address the needs of rural populations.

As always, we want to express our ap-preciation to our many partners in rural health professions education and health disparity reduction. You will see them acknowledged in the stories that follow. In the coming year, we look forward to these continuing partnerships and de-velopment of new programs addressing workforce needs and equity in health.

In memoriam Finally, tragedy struck our program this year with the death of Kindra Westendorf, one of our second-year RMED students. She will be missed and our thoughts and prayers go out to her family. This annual report is dedicated to her memory.

Michael Glasser, PhD

Howard Zeitz, MD

NCRHP Annual Report 2007-2008 / 5

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National Center for Rural Health ProfessionsAcademic partners Center components

Dentistry Health Professions EducationMedicine Faculty DevelopmentNursing Research and EvaluationPharmacy Community OutreachPublic Health Health PolicySocial Work

Advisory committee

Name Organization

David Bartels, PharmD ............................... College of Pharmacy - UIC at RockfordJames Bono, MHA ..................................... College of Pharmacy - UICJulie DeRousch, MPH, CDE........................ College of Medicine - U of I at RockfordDale H. Flach, MEd..................................... NCRHP - U of I at RockfordMichael Glasser, PhD ................................. NCRHP - U of I at RockfordRick Hampton ............................................. College of Medicine - U of I at Rockford Eric Henley, MD, MPH ............................... College of Medicine - U of I at RockfordMatthew Hunsaker, MD ............................. NCRHP - U of I at RockfordLinda Kaste, DDS, PhD ............................... College of Dentistry - UICAsako Katsumata, ME, RN......................... College of Nursing - UIC at RockfordPatricia Lewis, PhD .................................... College of Nursing - UIC at RockfordMartin Lipsky, MD ...................................... College of Medicine - U of I at RockfordShannon Lizer, DNSc .................................. College of Nursing - UIC at RockfordMartin MacDowell, DrPH, MBA ................ NCRHP - U of I at RockfordMark Meurer, MS ....................................... NCRHP - U of I at Rockford Ben Mueller, MS ........................................ NCRHP - U of I at RockfordRobbin Nelson, MSEd ................................ University Outreach and Public Service - U of I at RockfordKaren Peters, DrPH..................................... NCRHP - U of I at RockfordMary C. Ring, MS ....................................... Illinois Hospital AssociationEllen Schellhause, MSLS ........................... UIC Library of Health SciencesDarryl Vandervort ....................................... Katherine Shaw Bethea Hospital, Dixon, IllinoisVicki Weidenbacher-Hoper, MSW ............. NCRHP - U of I at RockfordJoella Warner, RN, MAT, CDE .................... NCRHP - U of I at RockfordHoward Zeitz, MD ...................................... NCRHP - U of I at Rockford

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NCRHP Annual Report 2007-2008 / 7

Kindra Jean Westendorf, 24, formerly of Effingham, passed away Monday, November 10, 2008, at her home in Rock-ford, following surgery for an injury. An M2 student in the College of Medicine at Rockford’s RMED Program, Kindra served as secretary for the pediatric interest group. After gradua-tion from Effingham High School in 2002, she attended Southern Illinois University Edwardsville on a volleyball scholarship, graduating with a bachelor of science degree in biomedical science in 2006. She is survived by her parents, brother and sisters, grandmother and many other loving relatives and friends. Memorials may be made to a charity of the donor’s choice.

In memoriam: Kindra Jean Westendorf

Left: Flame of Hope Sculpture on the Avenue in Kindra’s home town of Effingham. Above: Kindra’s classmates hold her John Deere tractor at the memorial service. Below left: Kindra poses with her classmates in Metropolis during the annual Southern Exposure trip.

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2007-2008 significant events and recognition

Academic Medicinehighlights RMED Program

The RMED Program was recently cited in a March 2008 article in Academic Medi-cine, titled “Medical School Programs to Increase the Rural Physician Supply: A Systematic Review and Projected Impact of Widespread Replication” (2008 Mar;83(3):235-243). Authored by How-ard Rabinowitz, MD, James Diamond, PhD, Fred Markham, MD, and Jeremy Wortman, the article reviewed the out-comes of comprehensive medical school programs designed to increase the rural physician supply and investigated the development of a model to estimate the impact of their widespread replication. A second article in Academic Medicine focused on the RMED Program and its success since 1993. “A Com-prehensive Medical Education Program Response to Rural Primary Care Needs,” was published in the October issue (2008 Oct;83(10):952-61). The article is au-thored by Michael Glasser, PhD, Matthew Hunsaker, MD, Kim Sweet, MPH, Martin MacDowell, DrPH, and Mark Meurer, MS.

National Center well represented at annual Research Day

The 13th annual Research Day was held March 26, 2008, at the Rockford campus. Faculty and students representing the NCRHP won numerous poster awards. Winners were as follows:

Supporting Model Public Health Practices: “Expectations regarding aging and diabetes self-management in rural primary care patients”; Betsy McGee, M4/MPH candidate, Michael Glasser, PhD.

Best Student Technical Poster: “Rural and urban patient satisfaction with office visit communication at family

medicine residency program clinics”; Kara Simonson, M2, Martin MacDowell, DrPH, MBA, Michael Glasser, PhD, Linda Chang, PharmD.

Best Student Technical Poster: “Nutrition and exercise in a rural area fourth grade”; Douglas A. Lanoue, M4.

Excellence in Rural Health Disparities “Rural and urban patient satisfaction with office visit communication at family medicine residency program clinics”; Kara Simonson, M2, Martin MacDowell, DrPH, MBA, Michael Glasser, PhD, Linda Chang, PharmD.

Excellence in Rural Health Disparities “A peer-led, popular, education-based, oral health promotion curriculum targeting Latino and migrant communities”; Maria Silva, DDS, Karen Peters, DrPH, Susan Bauer, MA, MPH.

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Dutch students conduct community project

The National Center recently hosted two senior medical students from Maastricht University in the Netherlands. Arriving in Rockford in summer 2008, Erwin de Bliek and Rein Posthuma studied at the Na-tional Center until October. While here, Erwin and Rein worked on a community research project entitled “Type 2 diabe-tes patients’ perceptions of and satisfac-tion with healthcare in rural areas.” The National Center wishes Erwin and Rein successful medical careers.

Dr. Glasser with Dutch students Erwin and Rein.

Thai delegation meets with National Center

The National Center for Rural Health Professions continues to garner attention from around the world. On June 5, 2008, a delegation from Thailand visited with NCRHP faculty to discuss rural medicine and how the Center can help in developing medical education for rural Thailand. NCRHP’s Michael Glasser, PhD, Matthew Hunsaker, MD, and Bernard Salafsky, PhD, hosted the Thai delegation and offered their expertise.

From Tokyo to Aledo: Japanese student learns rural medicine

In March 2008, the National Center was pleased to host Eri Ueda, a medical stu-dent from the Tokyo Medical and Dental University in Japan. While in the US, Eri had the opportunity to shadow physicians and staff at Mercer County Hospital in Aledo, Ill., a critical access hospital site. While in Aledo, Eri was immersed in the areas of rural public health and the work-ings of a rural critical access hospital.

“I was very impressed to see family doctors at work,” said Eri. “They did everything from dermatology to gynecol-ogy and psychiatry. They support patients from birth to death. Primary care medi-cine is not common in Japan, yet. I think people need one doctor who understands the patient’s whole condition,” she adds. We wish Eri much success as she con-tinues her medical education in Japan.

NCRHP Annual Report 2007-2008 / 9

10 / NCRHP Annual Report 2007-2008

Powering the rural healthcare workforceRMED recruitment

RMED recruits throughout Illinois, search-ing for well-qualified students who desire to return to rural Illinois as primary care physicians upon completion of medical school and residency training. Efforts target students of all ages, beginning in grade school, and focus primarily on those just starting their college careers or actively applying to medical school. RMED recruited at the following events this past year:

• More than 20 college visits• U of I Health and Graduate Career Fair• U of I College of ACES Career Fair• Benedictine University Health

Career Fair• Illinois Hospital Association Rural

Hospital Annual Meeting• Illinois Rural Health Association

Annual Meeting

RMED continues to build relationships with the U of I College of Agriculture, Consumer and Environmental Sciences (ACES); U of I Extension and 4-H; Illinois Rural Health Association; Illinois Critical Access Hospital Network (ICAHN); Il-linois Hospital Association; Illinois Farm Bureau and the Illinois Leadership Council for Agricultural Education.

RMED admissions

After 16 cycles, RMED has received applications from 98 of Illinois’ 102 counties (96 percent). Matriculants number 232, including the RMED Class of 2012, and come from 86 of Illinois’ 102 counties (84 percent). Christian County became a matriculating county this year. Fifteen students joined the RMED Class of 2012, representing 14 different counties and attending nine different colleges or universities. RMED selects students based on their leadership, community service, academic success and dedication to rural, primary care medicine.

Matriculants

No Matriculants

EDW

ARDS

FORD

MOULTRIE

SHELBY

CUMBERLAND

CALHOUN JERSEYFAYETTE JASPER

WAYNE

HAM

ILTON

WASHINGTON

PERRY

JOHNSON HARDIN

HANCOCK

MASON

LOGAN

CHRISTIAN

GREENEMONTGOMERY

STARKPUTNAM

CLARK

BOND

CLAY

GALL

ATIN

UNION POPE

SCHUYLER

CASSBROWN

CARROLL

MARSHALL

HEND

ERSO

N

IROQUOIS

McLEAN

DeWITT

MACON

PIATT

CHAMPAIGN VERMILION

DOUGLAS

EDGAR

COLES

MADISON

EFFINGHAM

CLINTON MARION RICHLAND

CRAWFORD

LAW

RENCE

WAB

ASH

WHITE

SALINE

JEFFERSON

FRANKLIN

WILLIAMSON

ST. CLAIR

MONROE

RANDOLPH

JACKSON

MASSACPULASKI

ALEXANDER

WOODFORDPEORIA

TAZEWELLFULTON

McDONOUGH

ADAMS

PIKE SCOTT

MORGAN SANGAMON

MACOUPIN

JO DAVIESS

STEPHENSON

WINNEBAGO

BOON

E

McHENRY LAKE

OGLE

DeKALB KANE

DuPAGE COOKWHITESIDE LEE

LaSALLE

KENDALL

WILL

LIVINGSTON

GRUNDY

KANKAKEE

ROCK ISLAND HENRYBUREAU

MERCER

KNOXWARREN

MENARD

RMED matriculants

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Committee members

Robert Ayers, MDFamily PhysicianSt. Mary’s Medical Center, Galesburg

Mary Jane Clark, RN, MSManager, Community Health Mapping

ProgramWestern Illinois UniversityIllinois Institute for Rural Affairs, Macomb

Kurt Crowe, MD ‘97Family Physician, RMED Alumnus KSB Medical Group, Amboy

Dale H. Flach (Ex-Officio)Assistant Director, Rural Health Policy

Division, NCRHPUniversity of Illinois College of Medicine

at Rockford

Jorge Girotti, PhD (Ex-Officio)Associate Dean and Director of

Admissions, Urban Health ProgramUniversity of Illinois College of Medicine

at Chicago

Matthew L. Hunsaker, MD ‘95 (Ex-Officio)

Director, RMEDUniversity of Illinois College of Medicine

at Rockford

Steven Macke, MDFamily PhysicianCork Medical Center, Marshall

Jeri Marxman, PA, PPEExtension Specialist, Public Policy

EducationUniversity of Illinois, Urbana

Sharon Mumford, RN, MSNMassac Memorial Hospital, Metropolis

Glenn Netto, MD ‘80 (Ex-Officio) Director of Medical EducationOSF HealthCare Systems, Rockford

Garie Pierre-Louis (Ex-Officio)Recruitment and Admissions CounselorUniversity of Illinois College of Medicine

at Chicago

Douglas ScheiderPresidentScheidairy Farms, Inc., Freeport

Pat Schou, RN, MSExcecutive DirectorIllinois Critical Access Hospital Network,

Princeton

Darryl Vandervort President and CEOKatherine Shaw Bethea Hospital, Dixon

Lori WilliamsVice President, Small and Rural Hospital

AffairsIllinois Hospital Association, Springfield

Linda WilsonPhysician RecruiterFreeport Health Network, Freeport

RMED Recruitment and Retention Committee

First row, l-r: Dale Flach, John Plescia, Darryl Vandervort, Sharon Mumford, Jeri Marxman.Middle row, l-r: Doug Scheider, Pat Schou, Kurt Crowe, MD, Matt Hunsaker, MD.Back row, l-r: Steve Macke, MD, Erin Barkau, Linda Wilson, Brett Hurliman, Carrie Hood.

NCRHP Annual Report 2007-2008 / 11

Student representatives

Erin Barkau, M3, RockfordColleen Dickinson, M3, Rockford Carrie Hood, M4Brett Hurliman, M3, RockfordJohn Plescia, M3, Rockford

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No Harm on the Farm tour

Rescue personnel begin life-saving procedures during a mock tractor rollover accident at the annual No Harm on the Farm tour. Farm owner, Doug Scheider, discusses farm safety issues with RMED and nursing students.

The annual No Harm on the Farm tour was held October 9, 2008, at the farm of Doug and Dan Scheider near Freeport. The 750-head dairy farm became a learning center for 13 second-year RMED students and two nursing students from Sauk Valley Community College. The walking tour of the farm was highlighted by discussions, led by Doug Scheider, concerning his daily activities on the farm and the safety and health risks associated with his profession. Matt Hunsaker, MD ‘95, RMED director, Chip Petrea, PhD, University of Illinois

Extension specialist in farm safety and Shannon Lizer, PhD, director of nursing at Highland Community College, added to the discussions on such topics as chemi-cal exposure, livestock handling, dust inhalation and hearing loss. Following the walking tour, students witnessed a mock tractor rollover acci-dent conducted by Mark Baker, coordina-tor of Stateline FARM RESCUE. Approxi-mately 25 rescue personnel were on the scene with the OSF trauma helicopter also participating. Students saw firsthand the emergency procedures that take

place when a farm accident occurs. RMED student Ryan Fitzgerald summed up the experience. “The tour allowed us to visualize and see firsthand the potential hazards that are present in the farming community.” Matt Mason, RMED student, agreed. “The hands-on, real-world examples that we experienced during the farm tour gave me a true appreciation for not only the dangers of farm life, but also the amount of community and professional support that goes into approaching and resolving farm-related emergencies.”

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NCRHP Annual Report 2007-2008 / 13

4-H Health Jam a big hit

The third annual 4-H Health Jam, Sep-tember 25-26, drew 96 fourth- and fifth-graders from Jo Daviess, Lee, Ogle and Stephenson Counties in northern Illinois. Funded by a generous gift from Archer Daniels Midland, the event aims to increase students’ knowledge of health, nutrition and healthcare careers. A two-day camp, Health Jam allows students to interact with RMED, phar-macy, dental and nursing students during numerous workshops. “Health Jammers” learned about heart health and cardiovas-cular disease, pharmaceutical products, oral health, diabetes, dietetics and nutrition and exercise. They had opportu-nities to see and touch a cow’s heart and

simulate packaging a prescription. Jammers also traveled to Katherine Shaw Bethea (KSB) Hospital in Dixon, Ill., where they experienced real-world healthcare as they toured the hospital’s physical therapy, dietary, EMS, imaging and laboratory departments. They expe-rienced meal preparation in the kitchen, balance testing with physical therapy and CAT scanning in the imaging department. During the eight-week classroom follow-up, students continued learning activities and participated in the “Walk Across Illinois” program, keeping track of their daily exercise to determine whether they had walked enough miles to travel the entire state.

4-H Health Jam was coordinated by the U of I Extension; UIC Colleges of Medicine, Dentistry and Pharmacy; U of I National Center for Rural Health Professions; KSB Hospital; Highland Community College Nursing Department and four area schools. The National Center thanks Archer Daniels Mid-land for their financial support of this program. One day, these students may be our doctors, nurses, pharmacists, dentists or other healthcare profession-als, taking care of rural Illinois residents.

Ninety-six fourth- and fifth-graders participate in Health Jam. Top right: Students learn about anatomy with RMED student Clay Ford. Lower right: Jammers had a hands-on experience in the physical therapy department at Katherine Shaw Bethea Hospital in Dixon, Ill.

NCRHP Annual Report 2007-2008 / 13

14 / NCRHP Annual Report 2007-2008

William Bailey Carlinville, Macoupin CountyErica Barkau Okawville, Washington CountyAshlea Canady Ogden, Champaign CountyErin Canopy Hopedale, Tazewell CountyJoshua Carpenter Macomb, McDonough CountyErica Davis Charleston, Coles CountyChad Gridley Rock Falls, Whiteside CountyMegan Hedlund, Sandwich, DeKalb CountyChristopher Howse Assumption, Christian County

Jillian Kaskavage Oregon, Ogle CountyNathan Kenyon Peru, LaSalle CountyAudreen Louis Chatham, Sangamon CountyRachel Maurer Saybrook, McLean CountyMolly Mennenga St. Joseph, Champaign CountyMeghan Romba Park Ridge, Cook CountyNatalie Sgarlata Sycamore, DeKalb CountyAndrew Zidow Peru, LaSalle County

RMED Class of 2012

RMED Class of 2012 feeder schools

• Augustana College• Benedictine University• Elmhurst College• Illinois Wesleyan University• Millikin University• Northern Illinois University• Northwestern University• Purdue University• Southern Illinois University-Carbondale • University of Illinois Urbana-Champaign • Western Illinois University

First row, l-r: Natalie Sgarlata, Meghan Romba, Audreen Louis, Jillian Kaskavage, Molly Mennenga.Middle row, l-r: Erica Davis, Ashlea Canady, Megan Hedlund, Erica Barkau, Rachel Maurer.Back row, l-r: Andrew Zidow, Joshua Carpenter, Chad Gridley, Nathan Kenyon, Christopher Howse.Not pictured: William Bailey, Erin Canopy.

14 / NCRHP Annual Report 2007-2008

NCRHP Annual Report 2007-2008 / 15

From a young age, I drew sat-isfaction from making the sick healthy once again. But rather than beginning my career in

healing as a physician, I began by helping my dad as a “veterinarian” on my family’s beef and sheep farm outside of Lanark. Becoming a veterinarian seemed logical, since there is more livestock around Lanark (population 1600) and surrounding Carroll County than people. However, I soon realized that the interaction with livestock was less than satisfying and I preferred patients who could talk to me about their chief complaint. Oddly enough, my connection to RMED began with the national Future Farmers of America organization. After graduating high school, I served Illinois as state FFA reporter for a year. This required me to postpone college while acting as an ambassador for agriculture and FFA. As I was fulfilling my role as ambassador at the University of Illinois ACES Career Fair, I spoke with then

dean of the College, Chuck Olson, who explained to me about RMED. The fol-lowing year, Mark Meurer visited Illinois Wesleyan and presented information to students about the RMED Program. It immediately struck me as a perfect op-portunity for someone with my roots. Since joining the RMED Class of 2011, I have begun to understand the substan-tial benefits of being trained to practice primary care in rural Illinois. Beginning in my first year of medical school, the RMED staff has placed a strong emphasis on visiting healthcare facilities and working with healthcare providers in rural Illinois. This has allowed me to develop a sense of where I will be in the future, who I will be working with and what my environ-ment will be like. Only a year and a half into medical school, I already feel like I have been exposed to several models of healthcare around the state. From a small clinic in Marshall, Ill., to its associated hospital in Terre Haute, Ind., it is clear that everyone is proud of their rural location and the quality of ser-vices they can provide. I have also had the opportunity to see several collaborating healthcare providers at work. Beginning

with EMTs at a simulated farm accident scene, to shadowing a nurse practitioner through the Freeport Health Network, I have been introduced to others whose main goal is the same as mine—to help our patients maintain their health. RMED also creates opportunities for its students that other students at the Rockford campus might not have. I was able to complete a six-week preceptorship through the NCRHP and KSB Hospital in Dixon. This preceptorship, offered exclu-sively to RMED students each summer, allowed me to interact with other disci-plines in the healthcare field. Understand-ing how everyone connects to provide a patient with the best possible care is an ongoing theme in RMED. Another op-portunity is acting as a counselor for the Rural Health Careers Camp each summer at Northern Illinois University. Educating younger, aspiring students about the value of remaining in rural Illinois is critical to maintaining the healthcare workforce.

Rooted in rural healthcare

An RMED student’s journey from the farm to the physician’s office

Emilee Bushman, M2

RMED is an innovative solution to counteract the workforce crisis arising throughout our country. This is evidenced by representatives from around the country, and even the world, visiting Rockford to learn more about the special learning techniques being employed here. Illinois is fortunate that its rural areas are receiving the attention and commitment they deserve.

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Powering interdisciplinary programsRural interdisciplinary internships in northern and southern Illinois

The rural interdisciplinary health profes-sions internships took place this past summer at KSB Hospital in Dixon, and for the first time, at St. Mary’s Good Samari-tan Hospital in Centralia. The internship is an intensive six-week experience that brings together students and profes-sionals from various health professions. Teams comprised six students from medi-cine, nursing, public health, dentistry, social work and pharmacy at Dixon and four students from medicine, pharmacy and social work in Centralia. The internship offers students an interdisciplinary clinical component, com-bined with a community service-learning project, a classroom component and a continuation component. The goal of the internship is to increase students’ under-standing of interdisciplinary healthcare in a rural setting.

Top, l-r: Centralia participants Ben Mueller, NCRHP; Rosalyn Lugar, social work; Amanda Hodges, pharmacy; Heather Mitchell, pre-medicine; Kevin Sun, medicine; Greg Sims, CEO, St. Mary’s Medical Group, Inc. Left, l-r: KSB participants Ben Mueller, NCRHP; Joe Ferguson, dentistry; Chris Burks, social work; Shalaurey Jones, public health; Beth Popovich, nursing; Tammy Nguyen, pharmacy; Jillian Kaskavage, medicine (RMED); Howard Zeitz, MD, NCRHP.

16 / NCRHP Annual Report 2007-2008

NCRHP Annual Report 2007-2008 / 17

Fifty-one high school students from Am-boy, Durand, Byron, DeKalb, Dixon, For-reston, Genoa, LaSalle, Ottawa, Rochelle, Streator and Winnebago participated in the Rural Health Careers Camp, held June 6-8 on the Northern Illinois Univer-sity (NIU) campus. The U of I at Rockford and NIU partnered, for the fourth year, to offer the camp. The camp encourages rural students to pursue health careers and return to a rural Illinois community to practice. “The Rural Health Careers Camp seeks to develop or encourage interest in health careers. Students participate in hands-on activities, interact with health professionals and students, and learn about health careers training. Evaluations indicate that events like this camp can motivate young people to plan for educa-tion after high school. This is especially important to young people from rural areas who may not be aware of the many health career options,“ said Martin Mac-Dowell, DrPH, MBA, associate professor at U of I at Rockford. On the first day, campers witnessed a simulated medical emergency. DeKalb County’s fire department rescue squad and several health professionals staged a medical intervention in response to a car

accident. “The objective of this demon-stration is to show how each member of the healthcare team cooperates to transport, stabilize, diagnose and treat the patient,“ said Matt Hunsaker, MD, team physician and RMED director. The hands-on activities were designed to expose students to a variety of health professions. Students toured Kishwaukee Hospital, viewed a human cadaver in the anatomy lab, visited physical therapy, clinical services, nursing and nutrition labs and completed the computer-based Career Cruiser program, which compares differ-ent careers in the health professions. On the last day, camp counselors

shared tips about choosing a college, how to stay on track academically and the importance of job shadowing. Rep-resentatives from NIU’s admissions and financial aid office concluded the event by providing campers and their parents with information about scholarships, financial aid and applying to college. This year’s camp was sponsored by the NCRHP, NIU’s College of Education department of counseling, College of Health and Human Services, and depart-ment of biological sciences; Northern Illinois Area Health Education Consortium (AHEC); Kishwaukee Hospital; city of DeKalb fire department and RMED.

Rural Health Careers Camp enlightens rural students

Above: Campers learn their way around in the lab. Right: Fifty-one students attended this year’s event.

NCRHP Annual Report 2007-2008 / 17

18 / NCRHP Annual Report 2007-2008

The National Center collaborated with the Arkansas AHEC to compare rural healthcare professional shortages and study the perceptions about recruiting and retaining rural healthcare profession-als in Illinois and Arkansas. Rural hospital chief executive officers (CEOs) were surveyed to get their percep-tions of rural healthcare shortages. Using a survey previously developed by the NCRHP and sent to 28 CEOs in Illinois, the Arkansas AHEC surveyed 110 CEOs. The findings showed that 51 respond-ing CEOs from both Illinois and Arkan-sas reported physician shortages. In Arkansas, shortages were found in family medicine, internal medicine, cardiology, obstetrics-gynecology, general surgery and psychiatry. Most reported short-ages in Illinois were for family medicine, obstetrics-gynecology, orthopedic surgery, internal medicine, cardiology and general surgery. Additionally, registered nursing and pharmacy were the top two

allied health professions shortages. Also studied were the community at-tributes associated with ease of physician recruitment. Six factors were identified and assessed for their importance in influ-encing ease of recruitment. Three factors identified as determining whether or not physician recruitment was easy were: community support for family; community cooperates and perceives a good future; and community attractiveness. Similarities in shortages and attributes influencing recruitment in both states suggest that efforts and policies in health professions workforce development can be generalized between regions. The study further reinforces some important known issues concerning retention and recruitment, such as the importance of identifying providers whose preferences are matched to the characteristics and lifestyle of a given area. Study results will be published in the Journal of Rural Health in 2009.

National Center collaborates with Arkansas AHEC

18 / NCRHP Annual Report 2007-2008

NCRHP Annual Report 2007-2008 / 19

My name is Asako Katsumata, I am a doctoral student at the UIC College of Nursing. I also have been on the academic staff at the UIC College of

Nursing, Rockford Regional Program since 2002. As partners of the National Center, our students, including me, have enjoyed various opportunities to participate in research programs, farm tours, health fairs and internship programs. Having many opportunities to work, not only with other nursing students, but also with students from other health professions, has con-tributed to building a good foundation for future collaboration and to raising aware-ness of the interdisciplinary approach. I have worked with Joella Warner, RN, MAT, CDE, and Paul Burkholder, MD, on a community-based diabetes project in Mercer County, and in 2007, I complet-ed a six-week interdisciplinary internship program in Dixon, Ill. The National Center has provided me rich opportunities to engage in hands-on learning experiences

in rural settings. It has been quite inter-esting to discover the many similarities in issues related to rural health between Illinois and Japan, where I was born and raised. My involvement and passion in rural and community health cannot be separated from my childhood family life. In 1975, my father took a position as director of a small public clinic in Kikuchi, a rural farming community. My father, Yoshitaka Takekuma, MD, PhD, had been very active in rural health since he was a medical student. In the 1960s, he became heavily engaged in a healthcare reform movement and dedicated himself to improving the health and lives of the people in rural communities. A physi-cian and hematologist, he had practiced and taught at the Kumamoto Univer-sity School of Medicine in Kumamoto. However, he left academia to find a place to practice his “ideal” medicine. He was passionate about the health of farmers, as he, himself, was a child farmer after World War II. He was determined to be a doctor after encountering an incident of pesticide poisoning of his younger brother, who became unconscious in

the middle of the rice paddies while my father and his brother were working. From that perspective, my father was very familiar with farming, the culture of farming communities and specific health issues among farmers. I still remember vividly when we moved to Kikuchi, where the clinic was located. The clinic was closed due to a shortage of doctors. Even then, there were not many doctors who wanted to practice in rural communities. The clinic was very old and it was standing right next to the property of a national TB sanatorium. My family brought a goat, a dog and a couple of hens and roosters with us. Later, three horses and a few

Nursing and the National Center

From Kikuchi to Rockford: new National Center advisor brings her passion for rural family health

Asako Katsumata, ME, RN

ducks joined the family. As a part of my father’s ideal practice, the clinic had a small plot of land to practice organic farming for educational purposes. My life as a child was heavily involved in mini-farm chores, listening to stories of people in the community and witnessing how the community mobilized when the clinic hosted community-wide events. Looking back to what had passionately engaged my father, I see the approach was quite progressive, probably way ahead of its time. Healthcare at the clinic focused on primary care medicine, lifestyle changes, nutrition education for good eating, a comprehensive health screening program for the population over

NCRHP Annual Report 2007-2008 / 19

Phot

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urte

sy D

r. Ta

keku

ma

20 / NCRHP Annual Report 2007-2008

UIC College of Pharmacy update

The UIC College of Pharmacy will open a regional campus in Rockford in 2010. The plan originally called for admissions to the first class in fall 2009, however, funding issues delayed the start for one year. Renovation of space at the Parkview campus is underway with scheduled completion in early 2010, at the same time as the building addition currently under construction. The College of Pharmacy will have adequate space to enroll 50 students per class. All classrooms will employ state-of-the-art distance education equipment to teach the core curriculum. Recitations, laboratory sessions and elective classes will be taught by faculty in Rockford. David Bartels, PharmD, has been appointed clinical professor and vice dean for the Rockford campus. A nationally rec-ognized expert in the drug therapy of diabetes, Bartels has been on the College of Pharmacy faculty for 30 years. A search committee has begun recruit-ing three basic science faculty members for Rockford. These individuals will join

the faculty in mid-2009 to establish their research programs and prepare for student instruction. Additional faculty and staff will be added as the program progresses. The Chicago campus of the UIC College of Pharmacy will continue its excellence in research and academics. It currently ranks second among colleges of pharmacy in NIH funding and ninth academically, according to US News and World Report. The Rockford campus will also strive to develop strong research and academic programs, maintaining an emphasis on rural health to help provide pharmacists for rural underserved com-munities throughout Illinois. Similar to the RMED Program, an RPharm Program will recruit students from rural communities. RPharm stu-dents, along with RMED students, will receive training in rural health issues and will complete the majority of their fourth-year clerkship training in rural com-munities throughout Illinois. In addition, RPharm students will complete service projects in their assigned communities in similar fashion to their RMED counter-parts. It is hoped that after graduation, these individuals will return to rural Illinois communities to practice pharmacy and contribute to improving healthcare.

40 years old, follow up by public health nurses, health promotion and prevention and early detection of illnesses. Since I was raised in the framework of “health promotion and disease prevention,” it was quite natural for me to be interested in community health and primary healthcare. Before coming to Rockford, I worked

for five years for the school of nursing at Saga University, Saga, Japan, as a nurse educator and research associate. I was actively involved in research projects that investigated geriatric populations in rural communities. Those experiences cultivated my interests in geriatric issues, as well as in nursing research. Currently, I am working on my doctor-ate, a historical study of a community-based primary healthcare movement in

Kumamoto. In this study, I am looking into the personal stories and experiences of community members and stakeholders who were engaged in a healthcare re-form movement in a rural state in Japan. Through this project, I would like to document the history of community en-gagement in a healthcare reform move-

ment, as well as to record the voices of community leaders who contributed to promoting the health of rural communi-ties in Kumamoto. I am very excited to be a part of the National Center and I hope that the part-nership with the College of Nursing will continue to thrive. I am looking forward to working, not only with locally rooted programs, but also international collabo-ration programs in the very near future.

Local health fairs emphasize rural community health and are well attended.

NCRHP Annual Report 2007-2008 / 21

UIC College of Pharmacy update Powering networks of health professionals

March 20, 2008, brought family and friends to the College of Medicine to witness the annual Match Day ceremony. After all the envelopes were opened, RMED students had matched with some of the leading residency programs in the nation. Following are the residency choices and locations for the RMED Class of 2008:

Kurt DavisFamily Medicine: Brazos Valley Family Medicine Residency, Byran, Texas

Chris DickinsonPreliminary Surgery: Loyola University School of Medicine, Maywood, Ill.

Carrie HoodObstetrics/Gynecology: Case Western/Metro Health Medical Center, Cleveland, Ohio

Doug LanoueFamily Medicine: Mercy Family Medicine Program, Des Moines, Iowa

Monica MartensFamily Medicine: La Grange Memorial Hospital, La Grange, Ill.

Betsy McGeeInternal Medicine/Psychiatry: University of Iowa Hospitals and Clinics, Iowa City, Iowa

Kyle MinorEmergency Medicine: University of Wisconsin Hospital and Clinics, Madison, Wisc.

Tom MurphyFamily Medicine: University of Illinois College of Medicine, Peoria, Ill.

Kate WalkerFamily Medicine: Memorial Hospital, South Bend, Ind.

Adam YoungPreliminary Surgery: Northwestern University/McGaw Medical Center, Chicago, Ill.

Match Day 2008

EDW

ARDS

FORD

MOULTRIE

SHELBY

CUMBERLAND

CALHOUNJERSEY

FAYETTEJASPER

WAYNE

HAM

ILTON

WASHINGTON

PERRY

JOHNSON HARDIN

HANCOCK

MASON

LOGAN

CHRISTIAN

GREENEMONTGOMERY

STARK

PUTNAM

CLARK

BOND

CLAY

GALL

ATIN

UNIONPOPE

SCHUYLER

CASSBROWN

CARROLL

MARSHALL

HEND

ERSO

N

IROQUOIS

LIVINGSTON

McLEAN

DeWITT

MACONPIATT

CHAMPAIGN VERMILION

DOUGLAS

EDGARCOLES

MADISON

EFFINGHAM

CLINTON MARION

RICHLAND

CRAWFORD

LAW

RENCE

WAB

ASH

WHITE

SALINE

JEFFERSON

FRANKLIN

WILLIAMSON

ST. CLAIR

MONROE

RANDOLPH

JACKSON

MASSAC

PULASKI

ALEXANDER

WOODFORDPEORIA

TAZEWELLFULTON

McDONOUGH

ADAMS

PIKESCOTT

MORGAN SANGAMON

MACOUPIN

JO DAVIESSSTEPHENSON

WINNEBAGO

BOONE McHENRY LAKE

OGLE

DeKALB KANE

DuPAGE

COOKWHITESIDE LEE

LaSALLE

KENDALL

WILL

GRUNDY

KANKAKEE

ROCK ISLANDHENRY

BUREAU

MERCER

KNOXWARREN

MENARD

number of graduatespracticing

total: 91

1 1

2 1

1

3

3

4

4

4

3

3

3

4

2

2

2

2

2

2

1

1

1 1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

2

1

1

3

1

1

1

1

1

1

11

1

#

RMED grads practicingin Illinois

NCRHP Annual Report 2007-2008 / 21

22 / NCRHP Annual Report 2007-2008

RMED students complete preceptorships

The RMED Class of 2008 successfully completed their 16-week preceptorships around the state of Illinois. These students were located at the following sites:

Student Name Physician Community County—————————————————————————————————————————————— —————————————————————————————

Kurt Davis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Dr. Ann Marty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Monticello, Ill. . . . . . . . . . . . . . . . . . . . . . . . . . .PiattChris Dickinson. . . . . . . . . . . . . . . . . . . . . . . . .Dr. Gregory Reckamp . . . . . . . . . . . . . . . . . . . . . . . . . . . Oregon, Ill. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .OgleCarrie Hood . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Dr. Evan Belfer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Murphysboro, Ill. . . . . . . . . . . . . . . . . . . . . . . .JacksonDoug Lanoue . . . . . . . . . . . . . . . . . . . . . . . . . . . .Dr. Phillip Zumwalt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Watseka, Ill. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .IroquoisMonica Martens . . . . . . . . . . . . . . . . . . . . . . .Dr. Richard Twanow . . . . . . . . . . . . . . . . . . . . . . . . . . . . Spring Valley, Ill. . . . . . . . . . . . . . . . . . . . . . . . .BureauBetsy McGee . . . . . . . . . . . . . . . . . . . . . . . . . . .Dr. Gonzalo Florido . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Kentland, Ind. (Watseka) . . . . . . . . . . . .IroquoisKyle Minor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Dr. Beth Kalnins . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Pecatonica, Ill. . . . . . . . . . . . . . . . . . . . . . . . . . .WinnebagoTom Murphy . . . . . . . . . . . . . . . . . . . . . . . . . . . .Dr. Christine Baumgartner . . . . . . . . . . . . . . . . . . . . Galesburg, Ill. . . . . . . . . . . . . . . . . . . . . . . . . . . . .KnoxKate Walker . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Dr. James Turner. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Marshall, Ill. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .ClarkAdam Young . . . . . . . . . . . . . . . . . . . . . . . . . . . .Dr. Mary Beth Shear/ . . . . . . . . . . . . . . . . . . . . . . . . . . Sycamore, Ill. . . . . . . . . . . . . . . . . . . . . . . . . . . . .DeKalb Dr. Michael Thornton

RMED Class of 2008

Row 1, l-r: Thomas Murphy, MD, Kyle Minor, MD, Adam Young, MD, Chris Dickinson, MD, Douglas Lanoue, MD.Row 2, l-r: Monica Martens, MD, Betsy McGee, MD, Dean Martin Lipsky, MD, Kathryn Walker, MD, Carrie Hood, MD.

Not pictured: Kurt Davis, MD

22 / NCRHP Annual Report 2007-2008

NCRHP Annual Report 2007-2008 / 23

First-year RMED students saw, firsthand, the opportunities and communities of southern Illinois during the annual Southern Exposure trip April 18-19, 2008. Students toured several rural hospitals and clinics, while meeting hospital admin-istrators, recruiters and physicians. Participating hospitals and clinics in this year’s tour were St. Mary’s Hospi-tal, Centralia; Union County Hospital, Anna; St. Joseph Memorial Hospital, Murphysboro; Massac Memorial Hos-pital, Metropolis; Shawnee Health and Development Corporation, Murphysboro; Memorial Hospital Carbondale and SIU Residency Program; and Crossroads Com-munity Hospital, Mt. Vernon. Thank you to the sponsoring organiza-tions in southern Illinois. We appreciate your commitment and participation in the RMED Program.

Southern Exposure: RMED on the road in Illinois

NCRHP Annual Report 2007-2008 / 23

24 / NCRHP Annual Report 2007-2008

EDW

ARDS

FORD

MOULTRIE

SHELBY

CUMBERLAND

CALHOUN

JERSEYFAYETTE

JASPER

WAYNE

HAMILT

ON

WASHINGTON

PERRY

JOHNSON HARDIN

HANCOCK

MASON

LOGAN

CHRISTIAN

GREENEMONTGOMERY

STARK

CLARK

BOND

CLAY

GALL

ATIN

UNIONPOPE

SCHUYLER

CASSBROWN

CARROLL

MARSHALL

HEND

ERSO

N

IROQUOIS

McLEAN

MACONPIATT

CHAMPAIGN VERMILION

DOUGLAS

EDGARCOLES

MADISON

EFFINGHAM

CLINTONMARION RICHLAND

CRAWFORD

LAW

RENCE

WAB

ASH

WHITE

SALINE

JEFFERSON

FRANKLIN

WILLIAMSON

ST. CLAIR

MONROE

RANDOLPH

JACKSON

MASSAC

PULASKI

ALEXANDER

WOODFORDPEORIA

TAZEWELLFULTON

McDONOUGH

ADAMS

PIKESCOTT

MORGAN SANGAMON

MACOUPIN

JO DAVIESSSTEPHENSON

WINNEBAGO

BOON

E McHENRY LAKE

OGLE

DeKALB KANE

DuPAGE

COOK

COOK (S)

WHITESIDE LEE

LaSALLE

KENDALL

WILL

LIVINGSTON

GRUNDY

KANKAKEE

ROCK ISLANDHENRY

BUREAU

MERCER

KNOX

WARREN

DeWITT

MENARD

PUTNAM

8

4

5

2

21

9

14

22

12

1318

16

25

67

19

20

11

15

1

17

23

10

24

3

1. Anna

2. Centralia

3. DeKalb

4. Dixon

5. Fairfield

6. Freeport

7. Galena

8. Galesburg

9. Gibson City

10. Herrin

11. Litchfield

12. Macomb

13. Marion

14. Marshall/

Terre Haute

15. Mattoon

16. Metropolis

17. Monticello

18. Murphysboro

19. Ottawa

20. Pittsfield

21. Pontiac

22. Princeton

23. Robinson

24. Spring Valley

25. Watseka

CHICAGO

National Center collaborating hospitals

24 / NCRHP Annual Report 2007-2008

NCRHP Annual Report 2007-2008 / 25

Powering outreach, service andcommunity capacity building

Cultural Competence Curriculum: Navigating the healthcare systemin the U.S.

The Consumer Cultural Competence (CCC) in Health Care Settings is a multi-faceted program developed by AHEC that was designed to:

a) Empower healthcare consumers to conceptualize optimal physical, mental and social well-being from a personal perspective, and

b) Proactively access, navigate and utilize the U.S. healthcare system in order to achieve and maintain it.

To assess the effectiveness of this program in rural areas, the community outreach research team tailored the curriculum to the cultural and social characteristics of the Hispanics living in rural communities in Illinois. During the month of April 2008, a series of four Spanish-language community workshops were conducted in Rochelle, Ill. Members of the Hispanic community attended the workshops, where they interacted with local health providers and received information about how to better navigate the healthcare system.

Corazon Sano, Vida Sana/Healthy Heart, Healthy Life

On May 21-22, the community outreach research team conducted a Spanish language capacity-building community program called “Corazon Sano, Vida Sana/Healthy Heart, Healthy Life.” This basic cardiovascular disease (CVD) prevention training is designed for Hispanic community leaders in rural Illinois. Workshop materials were adapted from “Salud para su Corazon/Your Heart, Your Life” curriculum, a nationally recognized program supported by the National Institutes of Health. Thirteen participants representing the communities of Beardstown, Carbondale, DeKalb and Danville attended the training. This educational activity aimed to enable community leaders to work with their local Hispanic Health Committees to organize community workshops and present educational materials about cardiovascular health in a culturally competent way.

NCRHP Annual Report 2007-2008 / 25

The community outreach research team at the Healthy Heart, Healthy Life workshop.

26 / NCRHP Annual Report 2007-2008

NCRHP faculty and academic staff members Sergio Cristancho, PhD, and Marcela Garcés, MD, MSPH, will spend the next two academic years in Colombia, South America. Their decision was motivated, in part, by a requirement of the Ful-bright fellowship Sergio received several years ago, but also by a desire to strengthen their ongoing international research and collabo-rations with Latin America. While they are away, they expect to continue working with NCRHP and their Rockford col-leagues on two ongoing projects in Illinois communities: one on accul-turation and cardiovascular disease

Cristancho and Garcés return to Colombia

(Cristancho, PI; Garcés, Co-Is; Peters; Aguero; and Mueller), and another on mental health, acculturation and chronic disease among Hispanic immigrants (Pe-ters, PI; Mueller, Co-Is; Cristancho; and Garcés). They will also continue working on the Amazon CBPAR study, NCRHP’s leading international research project during the last year. Cristancho will also be teaching in the department of family and community medicine using distance learning technology. The couple also plans to help the College of Medicine at Rockford, the NCRHP and the department of family and community medicine to strengthen exist-ing international programs and partner-ships developed earlier in Rockford, and to explore new opportunities that will ultimately benefit students, faculty and underserved communities in Illinois and Latin America. Based in Medellin, called the “city of the everlasting spring,” they will teach, conduct research and advise national projects as joint faculty at the Univer-sidad de Antioquia, one of Colombia’s leading research universities.

26 / NCRHP Annual Report 2007-2008

NCRHP Annual Report 2007-2008 / 27

Citation

Buki LP, Garcés DM. Latina breast cancer survivors’ lived experiences: diagnosis, treatment, and beyond. Cultur Divers Ethnic Minor Psychol. 2008;14(2):163-167.

Cristancho S, Garcés M, Peters K, Mueller B. Listening to Hispanic communities in the Midwest: a community-based participatory assessment of major barriers to health care access and use. Qual Health Res. 2008 May;18(5):633-646.

Cristancho S, Vining J. Intergenerational differences in the transmission/acquisition of Traditional Ecological Knowledge (TEK) in the Amazon and the Peten rainforests. Cult Psychol. In press.

Farris R, Pearson T, Fogg T, Bryant L, Peters K, Keyserling T, Fitzpatrick A, Neal W. Building capacity for heart disease and stroke prevention research: The cardiovascular health intervention research and translation network. Health Promot Pract. Accepted.

Glasser M, Hunsaker M, Sweet K, MacDowell M, Meurer M. Responding to rural primary care needs: outcomes and lessons learned from a comprehensive medical education program. Acad Med. Under review.

Glasser M, Hunsaker M, Sweet K, MacDowell M, Meurer M. A comprehensive medical education program response to rural primary care needs. Acad Med. In press.

Glasser M, Pathman D. Community-oriented education: staying on target [editorial]. Educ Health. 2008;21(2):242.

Glasser M, Pathman D. Global poverty, human development, and the brain drain [editorial]. Educ Health. 2007;20(3):140.

Glasser M, Pathman D. World health care reformers unite! [editorial]. Educ Health. 2008;21(3):290.

Glasser M, Pathman D. World Health Day and Education for Health [editorial]. Educ Health. 2008;21(1):200.

Hong S. Factors affecting exercise attendance and completion in sedentary older adults: a meta-analytic approach. J Phys Act Health. 2008;5(3):385-397.

MacDowell M, Glasser M, Fitts M, Fratzke M, Peters K. Perspectives on rural health workforce issues: Illinois-Arkansas comparison. J Rural Health. Under review.

Mistretta M. Differential effects of economic factors on specialist and family physician distribution: a county level analysis. J Rural Health. 2007;23(3):215-221.

Publications

NCRHP Annual Report 2007-2008 / 27

28 / NCRHP Annual Report 2007-2008

Citation

Mistretta M, Nusbaum N, Wegner J. An educational intervention to police and firefighters on elders at risk: limits of education alone as a strategy for behavior change. Educ Gerontol. 2007;33(10):801-809.

Mojtahedi MC. Valentine RJ, Arngrimsson SA, Wilund KR, Evans EM. The association between regional body composition and metabolic outcomes in athletes with spinal cord injury. Spinal Cord. 2007;45(5):1-6.

Nusbaum N. End-of-life nursing home care: resource allocation and ethics. Annals of Long-Term Care. 2007;15:23-26.

Nusbaum N. Rehabilitation. In: Ham RJ, et al, eds. Primary Care Geriatrics: A Case-Based Approach. 5th ed. Mosby Elsevier; 2007:179-193.

Nusbaum N. Healthcare disparities as a healthcare quality management challenge. Health Care Manag. 2007;26(4):347-353.

Nusbaum N. What physicians need to know when catastrophe strikes. South Med J. 2007;100(11):1151-1152.

Opacich KJ. Human immune deficiency virus. In: C. Trombly, ed. Occupational Therapy for Physical Dysfunction. 6th ed. Williams & Wilkins; 2007:1345-1357.

Opacich KJ, Lizer S. An occupational perspective of health disparities among children of an embedded rural workforce. Am J Occup Ther [special issue on health disparities]. Submitted.

Peters K, Gupta S, Stoller N, Mueller B. Implications of the aging process: opportunities for prevention. J Agromedicine. 2008;13(2):111-118.

Prohaska T, Peters K. Physical activity and cognitive functioning: translating research to practice with a public health approach. Alzheim-ers Dement. 2007;3(2)(suppl 1):58S-64S.

Publications, cont.

28 / NCRHP Annual Report 2007-2008