West Virginia Rural Health Education Partnerships Advisory Panel Meeting Minutes May 12, 1997 Days Inn, Flatwoods, West Virginia Dennis McCutcheon called the meeting to order. He opened the meeting by asking for introductions of any new members or guests. There were no new members. On the move and the second, the motion to move the consent calendar was approved. Presentation: Dr. Ken Shannon-WVU School of Medicine - Family Medicine · 1995 Family Medicine residents at the 5 WV residency training programs (WVU-Morgantown, WVU-Charleston, MU-Huntington, Community hospital based program-Clarksburg, Community hospital based program-Wheeling) were surveyed. · The (2) objectives of the survey were: 1) quantifying family medicine residents perceptions of adequacy of training in certain areas of education and 2) characterize the family medicine residents perceptions of importance of various factors in their decisions whether to practice in WV and in rural underserved areas. · 73 out of 110 surveys were returned · The following questions were asked: 1) year of training (19-1st Year, 28-2nd Year, and 26-3rd Year), 2) how well is your residency program preparing you for the following aspects of rural practice: Obstetrics, ICU/CCU, Orthopedics, Preventive Health, Practice Management, Managed Care, and Procedures (see summary below), 3) do you plan to practice in West Virginia (34-yes, 22-no, 17-uncertain), 4) what would or did influence your decision whether to stay in West Virginia (see summary below), 5) Do you plan to practice in a rural community or health manpower shortage area (26-yes, 28-no, 19-uncertain) · Summary -- · The majority (47%) of family medicine residents plan to practice in West Virginia. These number are lower (36%) when asked if they plan on practicing in a rural area. 3rd year students are more likely to say they will practice in WV or rural area. · Preventive Health was rated extremely high (4.17 on a scale of 1-5) when asked about the students perceived preparation in that area. Obstetrics and Orthopedics were rated the lowest and all other areas were rated in the mid-range. Perception of adequacy of training could well impact their decision on practice location. · The factors that were scored highest by those intending to practice in WV were: family ties, familiarity with geographic area, existing practice availability, spouse/family influence and lifestyle factors. · The factors scored highest by those not intending to practice in WV were: spouse/ family influence, lifestyle factors, cultural factors, medical legal climate and on-call support. · The factors most discriminating to those who intend to practice in WV were: familiarity with geographic location, practice availability and family ties. · The factors most discriminating to those who do not intend to practice in WV were: medical legal climate and educational systems. · The factors scored highest by those who intend to practice in a rural area were: spouse/ family influence, familiarity with local area, existing practice availability, scope of practice required and financial factors. · The factors scored highest by those who do not intend to practice in a rural are were: spouse/family influence, on-call coverage, college support, financial factors and scope of practice required. · The factors most discriminating were: spouse/family support, educational system, on-call coverage and consultation availability -- these factors were rated low by those intending on practicing in a rural area, but rated high by those intending on not practicing in a rural area. Presentation: Sarah Lee Neal, Tom Whittier, Brian Williams and Steve Thomas Community-Campus Partnerships for Health Conference in San Franciso, Ca. April 26-29 · It was a great experience and our group was extremely well received. Some of the distinguishing factors that have helped us move forward with this program are: 1) visionary leadership of Dr. Don Weston, 2) an exceptional group of Deans, 3) a real role in governance, and 4) this is not just service to the community -- it’s about better education -- and turning out better providers. We should think about scheduling a regional conference where we could present on the concept of partnerships. · The site coordinators have an amazingly unique role. It is believed that they will be called upon frequently as these programs develop nationwide to give their perspectives and advice. Many programs are having problems that we have already resolved. · We should be extremely proud of our cooperation between disciplines. Other programs are having problems in this area. · WVRHEP is now a member of the Campus Community Partners in Health organization. We will eventually a direct link from their web site to ours. Our web site has also been recently linked to the National Rural Health Association’s web page. Report: Dr. Don Weston - 1997 Legislative Actions - WVRHEP. · The $100,000 RHEP and $2.5 million Health Science Program shortfall we were facing was restored. A request was made to Dr. Weston from the House Education Committee to pull together information on graduate medical education in the state and the various state funding. This information will be part of the agenda with the legislature during the coming session. · Another bill in the legislature for our Recruitment and Retention Committee would have given us the authority to make recommendations for any change in state policy around recruitment and retention. This bill passed the House and was in the 3rd reading in the Senate when the bill died due to time running out NOT any lack of desire. It should be re-introduced next year. Report: Steve Starks and Gary Spencer - 1997 Legislative Action - HSTA. · There is now a provision in state law that all state institutions of higher learning, when giving out tuition fee waivers or scholarships be limited to a percentage of the net enrollment. An exception has been added which says in addition to the number of fee waivers permitted each state institution of higher education may waive all fees or any part thereof for students who are residents of West Virginia and who successfully complete the HSTA affiliated programs as defined. Almost all HSTA students who started the program will be graduating and going into the health sciences. Most of those students will locate in rural settings. Report: Clarke Ridgway - Curriculum Committee · The minutes which were included in your packet are August ‘96. Due to extraordinary events in October and February which prevented the committee from approving the minutes earlier. · The committee discussed policies 96-06 and 96-07 which were modified and then approved and sent to the next stage. Report: Hilda R. Heady - School Committee. · They have been reviewing the issue of distribution of medical student rotations throughout the state. Today they determined that there were (2) factors that are influencing this issue: 1) those sites which are closest to the campus are getting more medical students on an on-going basis and 2) Martinsburg’s high numbers are due to the range of specialty rotations available, but very little difference in the number coming from each school. The committee appointed a sub-committee and they were charged with these four areas: 1) each school will define a policy for placement in sites closest to their campus, 2) each school will develop proposed methods for increasing the percentage of rotation at sites which are experiencing low numbers, 3) review the specialty rotations versus rural rotations issue, 4) scheduling timetable for all medicine rotations which are at least one year out. We expect the sub-committee to meet and have these findings to us by the July meeting. · The school committee has taken action on the proposal for abstract to go to the International Conference on Community-Based Partnership which is in Mexico City in October. There is $1,000 through Kellogg funds which is given to our region through East Tennessee University. We only had (1) abstract that was proposed and the committee approved it. The abstract is about Osteoporosis Screening and Education in a Rural Community by Janel Thomas - 3rd year Marshall Medical Student and Cindy Reese, MD in Ripley, WV. Executive Director’s Report: Hilda R. Heady · Introduction of Jan Adkinson as the new WVRHEP Secretary. Lana Cantoni has left the Office of Rural Health. Jan will now be the contact for Committee Chairs involving their minutes, meeting schedule changes, room requests, etc. · The only policy that is under review is the Clinical Director of Faculty Development at the Consortia Level. It is on the agenda for the newly appointed Faculty Development Committee. · The Faculty Development Committee was appointed on March 22. The members are as follows: Dentistry - Dr. Dan Brody for 1 year, Medicine - Dr. Rosie Cannarella (chair) for 3 years, Dr. Symon Satow for 2 years and Dr. Mark Waddell for 3 years, Nursing - Jill Cochran for 2 years and Valerie Minor (secretary) for 3 years, Pharmacy - Bob Foster for 1 year, Site Coordinators - Chuck Conner for 1 year and Barb Rice for 2 years. · The State Rural Health Conference will be at Lakeview Conference Center in Morgantown. It will be October 29-30. Our Faculty Development Day will be October 31. Dr. Jane Martin announced that the evening before the conference the inaugural Judy Kandzari Memorial Health Community Lectureship will be held. All participants of the RHC will be invited. · WVRHEP would like to commend Dr. Dan Doyle for being awarded the National Rural Health Association Practitioner of the Year Award. He will be presented his award at a luncheon ceremony in Seattle, WA at the NRHA meeting on May 23. WVRHEP is giving him a reception the following evening for all the conference participants. Dennis McCutcheon announced that there is a need for a Community Member Representative on the WVRHEP Research and Community Service Committee. If you are interested or know someone who is please contact Hilda Heady or Dr. Don Weston. Performance Management Update: Barb Rice - Rural Ohio Valley Education Resources Consortia · Primary Sites: Cameron Community Health Center (Lead Agency), C. Keith Heironimus, DDS, Chuck Okel, RPh, Wheeling Health Right, Marshall County Health Dept. and Reynolds Memorial Hospital. · Field Faculty: Dr. Heironimus - Dentist, Dr. Irvin - Medicine (he will be taking on a partner later this summer), Carol Miller - Nursing, and Chuck Okel - Pharmacy · The number of students over the past 4 years has increased continually. Started with 4 disciplines (medicine, dentistry, pharmacy and nursing) originally. They added PA’s last year, will have their first dental hygiene student later this month and first PT student in July. · Examples of Community Service: school presentations, community organization and clubs, monthly health screenings at the health center, nursing home service. · IDS: A strong point for this consortia. They have always been held on Friday mornings. Their four field faculty rotate facilitation. · Examples of Research: audit of all charts in the health center for diabetes, participated in the development of the breast and cervical cancer screening program tracking system, dietary habits of WV women, domestic violence (Marshall County #1 in WV). · Strengths: low staff turnover, IDS, good flow of students, great housing · Weaknesses/Opportunities: research, local board involvement, can’t take many students Performance Management Update: Malinda Turner, Site Coordinator - Eastern WV Rural Health Education Consortia · 9 Counties in Consortia - Grant, Hampshire, Hardy, Mineral, Pendleton, Tucker, Morgan Berkeley and Jefferson. The consortia is separated into 2 areas: Petersburg and Martinsburg. · Previous 6-Month Goals: 1) develop community-based research projects, 2) increase community awareness of the WVRHEP program, 3) participate in school health career days and increase teacher knowledge of health profession education opportunities, 4) increase consortia participation in community programs and organization, and 5) survey training sites to determine health education needs. · New 6-Month Goals: 1) improve community service projects, 2) determine computer needs at training sub-sites, 3) increase community awareness of WVRHEP programs, 4) determine faculty development needs for preceptors and field faculty, 5) increase community representation on the consortia board of directors. · Rotation Types: Dentistry (dentist and dental hygiene), Medicine (dermatology, emergency medicine, family medicine, geriatrics, internal medicine, ob/gyn, pediatrics, psychiatry and surgery), Nursing, Pharmacy, Physical Therapy, Psychology (clinical and counseling) · Examples of Community Service: presentations at civic organizations (date rape, violence, depression, hypertension, sexual abuse, STD/AIDS) and schools (dental health, drug abuse, health careers, high risk behaviors, injury prevention, nutrition, personal hygiene, poison prevention, stress management and tobacco awareness) · IDS: every Tuesday at 4:00 p.m. at the LRC in Petersburg (2 medicine, 1 nursing and 1 pharmacy field faculty), students sometimes get involved with IDS presentations The meeting adjourned at 4:30 P.M. The next Advisory Panel meeting will be held on July 14, 1997 at the Days Inn in Flatwoods. WVRHEP Advisory Panel Attendance May 12, 1997 Tom Whittier Sarah Lee Neal Steve Gavalchik Randy Lowe Harold Carpenter Robert Mathews Bonnie Hunley Tommy Mullins Sharon Boni Nancy Alfred Alicia Tyler Clarke Ridgway Richard Meckstroth Penny Rose Elizabeth F. Richmond Chuck Conner April Vestal Barb Rice Heather Krugman Steve Thomas Brian Williams Robert Blake Mark Allen Amy Reasinger Malinda Turner Janet Frye Jim Welshonce Ann Chester Steve Starks Gary Spencer Norman Ferrari Jane Martin William McCutcheon Jacquelynn Copenhaver Lynne Welch Bill Shires Don Weston Hilda Heady Dennis McCutcheon Jan Adkinson From sbaker2@wvu.edu Wed May 10 16:25:19 2000 Return-Path: Received: from gold.wvnet.edu (gold.wvnet.edu [129.71.2.25]) by medix.marshall.edu (8.9.3/8.9.3) with SMTP id QAA02008 for ; Wed, 10 May 2000 16:25:19 -0400 Message-Id: <200005102025.QAA02008@medix.marshall.edu> Received: from sbaker (hsc-user.hsc.wvu.edu) by gold.wvnet.edu (LSMTP for Windows NT v1.1b) with SMTP id <0.41F25F2F@gold.wvnet.edu>; Wed, 10 May 2000 16:30:18 -0400 X-Sender: sbaker2@wvu.edu X-Mailer: QUALCOMM Windows Eudora Pro Version 4.0.1 Date: Wed, 10 May 2000 16:29:58 -0400 To: advpan@medix.marshall.edu From: Sandra Baker Subject: 1997-05.txt Mime-Version: 1.0 Content-Type: text/plain; charset="iso-8859-1" Content-Transfer-Encoding: 8bit X-MIME-Autoconverted: from quoted-printable to 8bit by medix.marshall.edu id QAA02008 West Virginia Rural Health Education Partnerships Advisory Panel Meeting Minutes May 12, 1997 Days Inn, Flatwoods, West Virginia Dennis McCutcheon called the meeting to order. He opened the meeting by asking for introductions of any new members or guests. There were no new members. On the move and the second, the motion to move the consent calendar was approved. Presentation: Dr. Ken Shannon-WVU School of Medicine - Family Medicine · 1995 Family Medicine residents at the 5 WV residency training programs (WVU-Morgantown, WVU-Charleston, MU-Huntington, Community hospital based program-Clarksburg, Community hospital based program-Wheeling) were surveyed. · The (2) objectives of the survey were: 1) quantifying family medicine residents perceptions of adequacy of training in certain areas of education and 2) characterize the family medicine residents perceptions of importance of various factors in their decisions whether to practice in WV and in rural underserved areas. · 73 out of 110 surveys were returned · The following questions were asked: 1) year of training (19-1st Year, 28-2nd Year, and 26-3rd Year), 2) how well is your residency program preparing you for the following aspects of rural practice: Obstetrics, ICU/CCU, Orthopedics, Preventive Health, Practice Management, Managed Care, and Procedures (see summary below), 3) do you plan to practice in West Virginia (34-yes, 22-no, 17-uncertain), 4) what would or did influence your decision whether to stay in West Virginia (see summary below), 5) Do you plan to practice in a rural community or health manpower shortage area (26-yes, 28-no, 19-uncertain) · Summary -- · The majority (47%) of family medicine residents plan to practice in West Virginia. These number are lower (36%) when asked if they plan on practicing in a rural area. 3rd year students are more likely to say they will practice in WV or rural area. · Preventive Health was rated extremely high (4.17 on a scale of 1-5) when asked about the students perceived preparation in that area. Obstetrics and Orthopedics were rated the lowest and all other areas were rated in the mid-range. Perception of adequacy of training could well impact their decision on practice location. · The factors that were scored highest by those intending to practice in WV were: family ties, familiarity with geographic area, existing practice availability, spouse/family influence and lifestyle factors. · The factors scored highest by those not intending to practice in WV were: spouse/ family influence, lifestyle factors, cultural factors, medical legal climate and on-call support. · The factors most discriminating to those who intend to practice in WV were: familiarity with geographic location, practice availability and family ties. · The factors most discriminating to those who do not intend to practice in WV were: medical legal climate and educational systems. · The factors scored highest by those who intend to practice in a rural area were: spouse/ family influence, familiarity with local area, existing practice availability, scope of practice required and financial factors. · The factors scored highest by those who do not intend to practice in a rural are were: spouse/family influence, on-call coverage, college support, financial factors and scope of practice required. · The factors most discriminating were: spouse/family support, educational system, on-call coverage and consultation availability -- these factors were rated low by those intending on practicing in a rural area, but rated high by those intending on not practicing in a rural area. Presentation: Sarah Lee Neal, Tom Whittier, Brian Williams and Steve Thomas Community-Campus Partnerships for Health Conference in San Franciso, Ca. April 26-29 · It was a great experience and our group was extremely well received. Some of the distinguishing factors that have helped us move forward with this program are: 1) visionary leadership of Dr. Don Weston, 2) an exceptional group of Deans, 3) a real role in governance, and 4) this is not just service to the community -- it’s about better education -- and turning out better providers. We should think about scheduling a regional conference where we could present on the concept of partnerships. · The site coordinators have an amazingly unique role. It is believed that they will be called upon frequently as these programs develop nationwide to give their perspectives and advice. Many programs are having problems that we have already resolved. · We should be extremely proud of our cooperation between disciplines. Other programs are having problems in this area. · WVRHEP is now a member of the Campus Community Partners in Health organization. We will eventually a direct link from their web site to ours. Our web site has also been recently linked to the National Rural Health Association’s web page. Report: Dr. Don Weston - 1997 Legislative Actions - WVRHEP. · The $100,000 RHEP and $2.5 million Health Science Program shortfall we were facing was restored. A request was made to Dr. Weston from the House Education Committee to pull together information on graduate medical education in the state and the various state funding. This information will be part of the agenda with the legislature during the coming session. · Another bill in the legislature for our Recruitment and Retention Committee would have given us the authority to make recommendations for any change in state policy around recruitment and retention. This bill passed the House and was in the 3rd reading in the Senate when the bill died due to time running out NOT any lack of desire. It should be re-introduced next year. Report: Steve Starks and Gary Spencer - 1997 Legislative Action - HSTA. · There is now a provision in state law that all state institutions of higher learning, when giving out tuition fee waivers or scholarships be limited to a percentage of the net enrollment. An exception has been added which says in addition to the number of fee waivers permitted each state institution of higher education may waive all fees or any part thereof for students who are residents of West Virginia and who successfully complete the HSTA affiliated programs as defined. Almost all HSTA students who started the program will be graduating and going into the health sciences. Most of those students will locate in rural settings. Report: Clarke Ridgway - Curriculum Committee · The minutes which were included in your packet are August ‘96. Due to extraordinary events in October and February which prevented the committee from approving the minutes earlier. · The committee discussed policies 96-06 and 96-07 which were modified and then approved and sent to the next stage. Report: Hilda R. Heady - School Committee. · They have been reviewing the issue of distribution of medical student rotations throughout the state. Today they determined that there were (2) factors that are influencing this issue: 1) those sites which are closest to the campus are getting more medical students on an on-going basis and 2) Martinsburg’s high numbers are due to the range of specialty rotations available, but very little difference in the number coming from each school. The committee appointed a sub-committee and they were charged with these four areas: 1) each school will define a policy for placement in sites closest to their campus, 2) each school will develop proposed methods for increasing the percentage of rotation at sites which are experiencing low numbers, 3) review the specialty rotations versus rural rotations issue, 4) scheduling timetable for all medicine rotations which are at least one year out. We expect the sub-committee to meet and have these findings to us by the July meeting. · The school committee has taken action on the proposal for abstract to go to the International Conference on Community-Based Partnership which is in Mexico City in October. There is $1,000 through Kellogg funds which is given to our region through East Tennessee University. We only had (1) abstract that was proposed and the committee approved it. The abstract is about Osteoporosis Screening and Education in a Rural Community by Janel Thomas - 3rd year Marshall Medical Student and Cindy Reese, MD in Ripley, WV. Executive Director’s Report: Hilda R. Heady · Introduction of Jan Adkinson as the new WVRHEP Secretary. Lana Cantoni has left the Office of Rural Health. Jan will now be the contact for Committee Chairs involving their minutes, meeting schedule changes, room requests, etc. · The only policy that is under review is the Clinical Director of Faculty Development at the Consortia Level. It is on the agenda for the newly appointed Faculty Development Committee. · The Faculty Development Committee was appointed on March 22. The members are as follows: Dentistry - Dr. Dan Brody for 1 year, Medicine - Dr. Rosie Cannarella (chair) for 3 years, Dr. Symon Satow for 2 years and Dr. Mark Waddell for 3 years, Nursing - Jill Cochran for 2 years and Valerie Minor (secretary) for 3 years, Pharmacy - Bob Foster for 1 year, Site Coordinators - Chuck Conner for 1 year and Barb Rice for 2 years. · The State Rural Health Conference will be at Lakeview Conference Center in Morgantown. It will be October 29-30. Our Faculty Development Day will be October 31. Dr. Jane Martin announced that the evening before the conference the inaugural Judy Kandzari Memorial Health Community Lectureship will be held. All participants of the RHC will be invited. · WVRHEP would like to commend Dr. Dan Doyle for being awarded the National Rural Health Association Practitioner of the Year Award. He will be presented his award at a luncheon ceremony in Seattle, WA at the NRHA meeting on May 23. WVRHEP is giving him a reception the following evening for all the conference participants. Dennis McCutcheon announced that there is a need for a Community Member Representative on the WVRHEP Research and Community Service Committee. If you are interested or know someone who is please contact Hilda Heady or Dr. Don Weston. Performance Management Update: Barb Rice - Rural Ohio Valley Education Resources Consortia · Primary Sites: Cameron Community Health Center (Lead Agency), C. Keith Heironimus, DDS, Chuck Okel, RPh, Wheeling Health Right, Marshall County Health Dept. and Reynolds Memorial Hospital. · Field Faculty: Dr. Heironimus - Dentist, Dr. Irvin - Medicine (he will be taking on a partner later this summer), Carol Miller - Nursing, and Chuck Okel - Pharmacy · The number of students over the past 4 years has increased continually. Started with 4 disciplines (medicine, dentistry, pharmacy and nursing) originally. They added PA’s last year, will have their first dental hygiene student later this month and first PT student in July. · Examples of Community Service: school presentations, community organization and clubs, monthly health screenings at the health center, nursing home service. · IDS: A strong point for this consortia. They have always been held on Friday mornings. Their four field faculty rotate facilitation. · Examples of Research: audit of all charts in the health center for diabetes, participated in the development of the breast and cervical cancer screening program tracking system, dietary habits of WV women, domestic violence (Marshall County #1 in WV). · Strengths: low staff turnover, IDS, good flow of students, great housing · Weaknesses/Opportunities: research, local board involvement, can’t take many students Performance Management Update: Malinda Turner, Site Coordinator - Eastern WV Rural Health Education Consortia · 9 Counties in Consortia - Grant, Hampshire, Hardy, Mineral, Pendleton, Tucker, Morgan Berkeley and Jefferson. The consortia is separated into 2 areas: Petersburg and Martinsburg. · Previous 6-Month Goals: 1) develop community-based research projects, 2) increase community awareness of the WVRHEP program, 3) participate in school health career days and increase teacher knowledge of health profession education opportunities, 4) increase consortia participation in community programs and organization, and 5) survey training sites to determine health education needs. · New 6-Month Goals: 1) improve community service projects, 2) determine computer needs at training sub-sites, 3) increase community awareness of WVRHEP programs, 4) determine faculty development needs for preceptors and field faculty, 5) increase community representation on the consortia board of directors. · Rotation Types: Dentistry (dentist and dental hygiene), Medicine (dermatology, emergency medicine, family medicine, geriatrics, internal medicine, ob/gyn, pediatrics, psychiatry and surgery), Nursing, Pharmacy, Physical Therapy, Psychology (clinical and counseling) · Examples of Community Service: presentations at civic organizations (date rape, violence, depression, hypertension, sexual abuse, STD/AIDS) and schools (dental health, drug abuse, health careers, high risk behaviors, injury prevention, nutrition, personal hygiene, poison prevention, stress management and tobacco awareness) · IDS: every Tuesday at 4:00 p.m. at the LRC in Petersburg (2 medicine, 1 nursing and 1 pharmacy field faculty), students sometimes get involved with IDS presentations The meeting adjourned at 4:30 P.M. The next Advisory Panel meeting will be held on July 14, 1997 at the Days Inn in Flatwoods. WVRHEP Advisory Panel Attendance May 12, 1997 Tom Whittier Sarah Lee Neal Steve Gavalchik Randy Lowe Harold Carpenter Robert Mathews Bonnie Hunley Tommy Mullins Sharon Boni Nancy Alfred Alicia Tyler Clarke Ridgway Richard Meckstroth Penny Rose Elizabeth F. Richmond Chuck Conner April Vestal Barb Rice Heather Krugman Steve Thomas Brian Williams Robert Blake Mark Allen Amy Reasinger Malinda Turner Janet Frye Jim Welshonce Ann Chester Steve Starks Gary Spencer Norman Ferrari Jane Martin William McCutcheon Jacquelynn Copenhaver Lynne Welch Bill Shires Don Weston Hilda Heady Dennis McCutcheon Jan Adkinson