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www.usask.ca/medicine
College of MedicineCurriculum Committee Retreat
December 17, 2008
William L. Albritton, MD, PhD, FRCP(C)
Dean, College of Medicine
www.usask.ca/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
www.usask.ca/medicine
www.usask.ca/medicine
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)
www.usask.ca/medicine
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)
www.usask.ca/medicine
RURAL MEDICAL PROGRAMS
• Rural Curriculum
• East Tennessee State
• Northern Ontario School of Medicine
www.usask.ca/medicine
ETSU – Community Partnerships
RPCT - a piece of the Pipeline
1° and 2° SchoolsCollege
Medical School
Residency
Community
ETSU
Rural Primary Care Track
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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
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The RPCT Curriculum
www.usask.ca/medicine
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
www.usask.ca/medicine
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…
www.usask.ca/medicine
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…….
www.usask.ca/medicine
RURAL MEDICAL PROGRAMS
• 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
www.usask.ca/medicine
RURAL MEDICAL PROGRAMS
• REFERENCES
• QUESTIONS