Eastern Update - West Virginia University Robert C. Byrd Health ...

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  • Medical school pilot program 2002/03 with full rotations for 2 studentss
    2003/04 accepted 4 students spend entire 3rd and 4th year at Eastern Campuses
    This year (2005) 11 3rd year and 4th year for total 15 students
    Although most of students WVU, ultimate goal is recruitment, accept students from Marshall, SOM. For 2005/06 year will have 18 WVU students and 8 SOM students.
    Curriculum very innovative: Started one of two clinical campuses with format.
    Integrated. No separate blocks, rather education divided into two 24 week blocks
    Cushing: Surgery, Internal Medicine, Psychiatry/Neuro.
    Osler: Family Medicine, Pediatrics, OB/GYN
    Each specialty taught in ambulatory community setting in community physicians offices, and students follow with their faulty hospitalized patients
    Third incorporates problem based learning in clinical years
    Students spend one half day a week of entire third year in primary care continuity experience
    Students complete a community service learning projects
  • Commu
  • Examples of growth:
    Berkley county 970 new students in 2004, 1 new school a year, not keeping up
    4000 housing starts in 2002
  • From Jefferson, Berkley and Morgan county’s alone, more than than 7000 West Virginian’s leave state each year for hospital care
  • Henry Wadsworth Longfellow 1807-1882
    “Give what you have. To someone it may better than you dare to think”
  • Eastern Update - West Virginia University Robert C. Byrd Health ...

    1. 1. West Virginia University Robert C. Byrd Health Sciences Center Eastern Division
    2. 2. West Virginia University Robert C. Byrd Health Sciences Center Eastern Division  History  People  Places  Programs POTENTIAL
    3. 3. Eastern Division Beginnings
    4. 4. Jefferson County 1859
    5. 5. First Hospital of Eastern Division ?
    6. 6. WVU: Eastern Division Lineage
    7. 7. Eastern Division Mission Improve quality and access to health care through  Education of health professionals  Provision of direct and supportive health care  Provision of continuing medical education  Development of research
    8. 8. Mission: Education of Health Professionals  1990 WVU Specialty Clinics Started  1995 Family Medicine Residency Started  2001 Eastern Division Dean  2003 First “full-time” Medical Students
    9. 9. Educational Programs  HSTA: Middle & High School  STEP Programs: Shepherd College  School of Pharmacy  School of Medicine  Integrated, Longitudinal  GME  Rural FM Residency at Harpers Ferry  Geriatric Medicine Fellowship 0 5 10 15 20 25 30 35 40 45 50 2004 2005 2006 Final Medical Students
    10. 10. Our Community is our Campus
    11. 11. Community Campus: Hospital Experiences  WVUH-E  City Hospital Martinsburg, WV  Jefferson Memorial Hospital Ranson, WV  Veterans Affairs Medical Center Martinsburg, WV
    12. 12. Community Campus : Ambulatory Experiences Shenandoah Valley Medical Center Harpers Ferry Family Medicine Center Over 30 physician offices or clinics are utilized
    13. 13. Eastern Division Faculty WVU/UHA Faculty Full-time 15 (7 new positions 2006) Community Faculty Part-time 44 Volunteer 60 Goal: to recruit & retain full time and community faculty
    14. 14. Eastern Division Faculty: Growing WVU/UHA Faculty As of September 30, 2006 Family Medicine (7) Women’s Health (2) Pediatrics (1) Med/Peds (1) Surgery (1) Radiology (1) Pathology (1) Pharmacy (1) Nephrology (Hardy Co) (1) Open Searches 2006  General Surgery  OB/GYN  Pharmacy  Dentistry
    15. 15. Graduate Programs  Harpers Ferry Rural Family Medicine Residency  Established 1995  Geriatrics Fellowship (ED-VA Partnership)  Established 2005  Rural FM Fellowship (ED-AHEC Partnership)  Established 2005
    16. 16. WVU Rural Family Med Graduates 1998-2006 1 1 4 1 2 1 1 1
    17. 17. WVU Rural Family Med Graduates 1 7 2 1 2 4 2 1 3 1998-2006 1 1 1
    18. 18. Geriatric Medicine Fellowship: 2005 VA MEDICAL CENTER Martinsburg , WV Department of Family Medicine Eastern Division
    19. 19. WVU Rural Family Medicine Fellowships: Department of Family Medicine Eastern Division
    20. 20. Medical Student Programs: MSIII Instead of traditional 8- week “rotations” several disciplines are blended into two 24 week modules Osler Module: Family Medicine, Ob/Gyn and Peds (with ER and radiology experience) Cushing Module: Internal Medicine, Surgery, Psych and Neurology.
    21. 21. Eastern Division MSIII Curriculum- Longitudinal Clinics  Students spend ½ day per week, every week, in a community primary care setting, seeing a panel of patients identified for the student to follow over the year
    22. 22. Eastern Division Medical Student Community Service Students select their own community service projects. Sample topics include;  Football concussion project  Diabetes Education  High School Health Class  Spanish Outreach Heath project.  Maintain don’t Gain – Holiday weight Maintenance
    23. 23. Medical Student Outcomes  Students feedback:  Praise for one-to-one preceptor experience.  Opportunity for more self directed learning.  More hands on & procedures  Test Scores:  Standardized tests scores equivalent across three campuses  Fourth Year & Residency:  Early results- ED students do very well
    24. 24. Pharmacy, Dentistry, Nursing Students  WVU School of Pharmacy  Full & Part-Time ED Faculty  Expanded Clinical Rotations  Anticoagulation clinics  Diabetes education  Goal: Develop New Programs  WVU School of Dentistry  Shepherd and WVU School of Nursing 0 10 20 30 40 50 60 2003 2004 2005 2006 Pharmacy Months
    25. 25. University Programs  Med-STEP, Dent-STEP, Pharm-STEP  ED-Shepherd University Partnership  Shepherd: Undergraduate (4 yrs)  Morgantown: Professional (2-3 yrs)  Eastern Division: Clinical (1-2 yrs)  Pre-admitted to professional school upon acceptance to Shepherd if maintain standards
    26. 26. High/Middle School Programs  ED-HSTA Partnership  High schools clubs to encourage careers in Health Sciences  Middle School Academy  Only program in state  Currently 10 clubs  90-100 students
    27. 27. Mission: Provide Direct Patient Care
    28. 28. Eastern WV Population Growth Monongalia County 2006 population: 87,500 (est.) Growth 0.8%/yr. 1990-2005 Berkeley County 2006 Population: 92,400 (est.) Growth 3.5%/yr. 1990-2005 100,000 110,000 120,000 130,000 140,000 150,000 160,000 170,000 180,000 2000 2005 2010
    29. 29. Eastern WV: Relative Physician Shortage MD and DO’s per 100,000 Population  Eastern Division 115  West Virginia 223  United States 280 WVDHHR Physicians Report 2000
    30. 30. West Virginia University Hospital- EAST Merger 1/1/2005 UHC WVUH WVUH- East WVUHS Totals Staffed Beds 318 361 204 833 Employees 1,385 2,887 1,120 5,382 Discharges 14,926 15,816 9,758 40,599 ER Visits 41,148 36,192 52,069 129,409
    31. 31. Potential for Growth More than 7,000 West Virginians from Morgan, Jefferson & Berkley Co.’s leave state for hospital care Services provided out-of-state  General Medicine 39%  Oncology 44%  Gynecology 51%  Orthopedics 54%  General Surgery 59%  Urology 62%  Neurosurgery 91%  Cardiac Procedures 93%
    32. 32. FACILITIES  Educational Building  Adjacent to City Hospital  36,000 sq. ft.  Dedicated 4/29/06 $6,393,846  Clinical Expansion  Additional primary care clinics
    33. 33. Potential for Growth More than 7,000 West Virginians from Morgan, Jefferson & Berkley Co.’s leave state for hospital care Services provided out-of-state  General Medicine 39%  Oncology 44%  Gynecology 51%  Orthopedics 54%  General Surgery 59%  Urology 62%  Neurosurgery 91%  Cardiac Procedures 93%
    34. 34. FACILITIES Erma Byrd Education Building Dedicated April 29, 2006  165 seat auditorium  State-of-the-art classrooms  Student study and lounge areas  Individual student carousels in study area  Wireless library access  Plans for Simulation Lab
    35. 35. Mission: Eastern Division Research  Department Family Medicine  High School Sport Concussion Management  Ambulatory Patient Safety  Stroke Care Processes in a Critical Access Hospital  Geriatric Medicine Fellowship  Nursing Home & Emergency Dept Coordination of Care  WVUH-E Cancer Center  Plans for Clinical Trial participation
    36. 36. “Give what you have. It may be better than you dare to think.”

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