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International Family Medicine Fellowship
International Family Medicine Fellowship
International Family Medicine Fellowship
International Family Medicine Fellowship
International Family Medicine Fellowship
International Family Medicine Fellowship
International Family Medicine Fellowship
International Family Medicine Fellowship
International Family Medicine Fellowship
International Family Medicine Fellowship
International Family Medicine Fellowship
International Family Medicine Fellowship
International Family Medicine Fellowship
International Family Medicine Fellowship
International Family Medicine Fellowship
International Family Medicine Fellowship
International Family Medicine Fellowship
International Family Medicine Fellowship
International Family Medicine Fellowship
International Family Medicine Fellowship
International Family Medicine Fellowship
International Family Medicine Fellowship
International Family Medicine Fellowship
International Family Medicine Fellowship
International Family Medicine Fellowship
International Family Medicine Fellowship
International Family Medicine Fellowship
International Family Medicine Fellowship
International Family Medicine Fellowship
International Family Medicine Fellowship
International Family Medicine Fellowship
International Family Medicine Fellowship
International Family Medicine Fellowship
International Family Medicine Fellowship
International Family Medicine Fellowship
International Family Medicine Fellowship
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International Family Medicine Fellowship

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Family Medicine Fellowship

Family Medicine Fellowship

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  • 1. International Family Medicine Fellowship
  • 2. <ul><li> THE NEED </li></ul><ul><ul><li>Women’s Health </li></ul></ul><ul><ul><ul><li>OB/GYN </li></ul></ul></ul><ul><ul><ul><li>Perinatal Care </li></ul></ul></ul><ul><ul><li>Surgery/Ortho </li></ul></ul><ul><ul><li>Wound/Burn Care </li></ul></ul><ul><ul><li>Infectious Disease </li></ul></ul><ul><ul><ul><li>Prevention </li></ul></ul></ul><ul><ul><ul><li>Management </li></ul></ul></ul><ul><ul><li>Ophthalmologic Care </li></ul></ul>
  • 3. Women’s Health <ul><li>Estimated 529,000 women died in 2000 from pregnancy and childbirth, 99% was in developing countries </li></ul><ul><li>Top 5 causes of maternal mortality: </li></ul><ul><ul><li>Illegal abortion </li></ul></ul><ul><ul><li>HTN disease </li></ul></ul><ul><ul><li>Obstructed labor </li></ul></ul><ul><ul><li>Hemorrhage </li></ul></ul><ul><ul><li>Sepsis </li></ul></ul>
  • 4. Perinatal Morbidity/Mortality <ul><li>4 million babies die each year in the first 4 weeks of life, 99% in developing countries </li></ul><ul><li>4 major causes of death </li></ul><ul><ul><li>Low birth weight </li></ul></ul><ul><ul><li>Prematurity </li></ul></ul><ul><ul><li>Tetanus </li></ul></ul><ul><ul><li>Infection (HIV) </li></ul></ul>
  • 5. Trauma/Burns <ul><li>45% of third world morbidity and mortality under the age of 20 are secondary to trauma or burns </li></ul><ul><li>60% of the burns in third world nations affect children under 5 years of age </li></ul>
  • 6. Blindness <ul><li>52 million people in this world are blind or severely visually impaired. </li></ul><ul><li>90% of these people live in developing countries. </li></ul><ul><li>20 million people around the world are blind from cataracts and corneal disease </li></ul>
  • 7. What is the IFMF? <ul><li>A fourth year of training, directed toward </li></ul><ul><li>international medicine skills, after completing a family medicine residency </li></ul><ul><li>Provide additional surgical, diagnostic, tropical medicine, and community health training needed in developing nations </li></ul><ul><li>First fellowship for Family Medicine in International Medicine! </li></ul>
  • 8. Why are we creating the IFMF? <ul><li>Our residency draws medical graduates from many different geographic locations who desire a “full scope” of Family Medicine and are passionate about doing so in an underserved, international setting. </li></ul><ul><li>Medical students and residents from all over the country have expressed an interest for this type of training. </li></ul><ul><li>Physicians currently have few means by which to develop a comfort level in treating the medical and surgical conditions specific to a third-world setting. </li></ul><ul><li>High demand/need for physicians willing to do part time or full time international mission. Those who chose to do so often find international medicine overwhelming due to lack of training . </li></ul>
  • 9. What are our long term goals? <ul><li>Provide physicians with appropriate skill sets for practicing and teaching in the developing world. </li></ul><ul><li>Networking of like minded people across the world. </li></ul><ul><li>Help establish a team approach, as a practice model for short term missions with a stateside practice. </li></ul>
  • 10. Why Via Christi? <ul><li>Fulfillment of Via Christi Mission statement “ Community, Competence, Service, Human Dignity, Vision ” </li></ul><ul><li>Supportive, Dynamic environment with a large population of internationally-minded physicians </li></ul><ul><li>A completely unique primary care fellowship </li></ul>
  • 11.  
  • 12. Curriculum <ul><li>2 Months of Rural Health </li></ul><ul><li>4 Months at International Core Hospital </li></ul><ul><li>6 Months in Wichita </li></ul><ul><ul><li>Core curriculum </li></ul></ul><ul><ul><li>Electives </li></ul></ul>
  • 13. Core Curriculum In Wichita <ul><ul><li>One month rotations </li></ul></ul><ul><ul><ul><li>Trauma </li></ul></ul></ul><ul><ul><ul><li>Tropical Medicine/ID </li></ul></ul></ul><ul><ul><ul><li>Wound care and burn medicine </li></ul></ul></ul><ul><ul><li>Two week rotations </li></ul></ul><ul><ul><ul><li>Dental </li></ul></ul></ul><ul><ul><ul><li>Anesthesia </li></ul></ul></ul>
  • 14. Trauma <ul><li>Objectives </li></ul><ul><ul><li>ATLS </li></ul></ul><ul><ul><li>Primary and secondary survey management </li></ul></ul><ul><ul><li>Stabilization: A,B,C’s </li></ul></ul><ul><ul><li>Procedures: Intubations, FAST exam, Chest tubes, Line placement </li></ul></ul><ul><ul><li>Contacts </li></ul></ul><ul><ul><li>Via Christi Trauma Team </li></ul></ul><ul><ul><li>Wesley Trauma </li></ul></ul>
  • 15. Tropical Medicine <ul><li>Objectives: Focus on the diagnosis, treatment, and prevention of diseases specific to tropical areas </li></ul><ul><li>Topics include: </li></ul><ul><ul><li>Intestinal/blood protazoa, nematodes, cestodes, trematodes, tropical viruses/bacteria/fungi, nutritional disorders, environmental stress, epidemiology, travel health, and laboratory diagnosis. </li></ul></ul>
  • 16. Tropical Medicine <ul><li>Several Short Diploma Courses: </li></ul><ul><li>Gorgas Peru 9 weeks January 28 - March 28 </li></ul><ul><li>West Virgina 8 weeks June 13 - August 4 </li></ul><ul><li>Jon Hopkins 8 weeks June 26 - August 18 </li></ul><ul><li>These diploma courses are approved by the American Society of Tropical Medicine and Hygiene. </li></ul><ul><li>After completing one of these courses you can be approved to sit for the ASTM&H examination. </li></ul>
  • 17. Wound and Burn Care <ul><li>Objectives: </li></ul><ul><ul><li>Wound/burn management </li></ul></ul><ul><ul><li>Surgical debridement </li></ul></ul><ul><ul><li>Skin Grafts </li></ul></ul><ul><li>Contacts: </li></ul><ul><ul><li>Dr. Bingaman- general surgeon with experience in burns </li></ul></ul><ul><ul><li>Dr. McDonald- wound care at St. Joseph </li></ul></ul><ul><ul><li>Taking burn call along with general surgery residents </li></ul></ul>
  • 18. Dental <ul><li>Objectives: </li></ul><ul><ul><li>Dental Blocks </li></ul></ul><ul><ul><li>Tooth Extraction </li></ul></ul><ul><ul><li>Management of dental infections </li></ul></ul><ul><ul><li>Public Health Issues </li></ul></ul><ul><li>Contacts: </li></ul><ul><ul><li>Grace Med has two dentist, they’ve agreed to teach 2-4 week course </li></ul></ul>
  • 19. Anesthesia <ul><li>Objectives </li></ul><ul><ul><li>Epidural and spinal blocks </li></ul></ul><ul><ul><li>Intubation </li></ul></ul><ul><ul><li>Lines </li></ul></ul><ul><ul><li>Sedation Medication </li></ul></ul><ul><ul><li>Contacts: Via Christi </li></ul></ul>
  • 20. Electives <ul><li>Ophthalmology </li></ul><ul><li>Radiology </li></ul><ul><li>Infectious Disease </li></ul><ul><li>OB/GYN </li></ul><ul><li>OMM and musculoskeletal pain management </li></ul><ul><li>Plastic Surgery </li></ul>
  • 21. Ophthalmology <ul><li>Objectives: </li></ul><ul><ul><li>Infectious disease </li></ul></ul><ul><ul><li>Foreign body removal </li></ul></ul><ul><ul><li>Cataract surgery </li></ul></ul><ul><ul><li>Management of emergencies </li></ul></ul>
  • 22. Radiology/Ultrasound <ul><li>Objectives: </li></ul><ul><li>Includes instruction in ultrasound technique as well as interpretation </li></ul><ul><li>Renal, liver, cardiac, and other organ evaluation </li></ul><ul><li>FAST exam </li></ul><ul><li>Contacts </li></ul><ul><ul><li>Dr. Kadison and Dr. Short (to teach interpretation) </li></ul></ul><ul><ul><li>Radiology tech (to teach technique), Cathy with Newman University </li></ul></ul><ul><ul><li>Echo (cardiologist to teach interpretation) </li></ul></ul><ul><ul><li>Echo tech: Mike with Kansas Cardiac Clinic (to teach technique) </li></ul></ul>
  • 23. Infectious Disease <ul><li>Objectives: </li></ul><ul><ul><li>Develop sound principles of diagnosis and management of infectious disease </li></ul></ul><ul><ul><li>Hone the selection and usage of appropriate therapeutic agents </li></ul></ul><ul><ul><li>Recognize and treat opportunistic infections in immunocompromised patients </li></ul></ul><ul><ul><li>Develop strategies to prevent the further transmission of disease </li></ul></ul>
  • 24. OB/GYN Surgery <ul><li>Objectives: </li></ul><ul><li>TAH/BSO </li></ul><ul><li>Obstetric Experience </li></ul><ul><li>Cesarean Section </li></ul><ul><li>D & C </li></ul><ul><li>Other GYN related surgeries applicable to the mission field </li></ul><ul><li>Contacts: Dr. Brown, </li></ul>
  • 25. Plastic Surgery Rotation <ul><li>Objectives: </li></ul><ul><ul><li>Wound management </li></ul></ul><ul><ul><li>Trauma management </li></ul></ul><ul><ul><li>Skin flaps </li></ul></ul><ul><ul><li>Skin grafts </li></ul></ul><ul><li>Contacts: </li></ul><ul><ul><li>Dr. Wheeler, Dr. Peterson </li></ul></ul><ul><ul><li>Via Christi/Wesley- Plastic Surgery Call </li></ul></ul>
  • 26. OMM <ul><li>Objectives </li></ul>
  • 27. Longitudinal Learning <ul><li>Travel Clinic </li></ul><ul><li>Perspectives in Missions </li></ul><ul><li>Plastic Surgery </li></ul><ul><li>Tropical Medicine </li></ul><ul><li>Public Health Certificate Course </li></ul><ul><li>Junior Faculty Teaching Position </li></ul>
  • 28. Junior Faculty <ul><li>Each Fellow would share a junior faculty positions at Via Christi </li></ul><ul><li>Appropriate salary for the position </li></ul><ul><li>Would take call in place of existing faculty </li></ul><ul><li>Increases teaching ability for the fellows as well as increased learning for existing residents </li></ul>
  • 29. Travel Medicine <ul><li>Consultation provided to US citizens that will be traveling internationally </li></ul><ul><li>Pre Travel Risk Assessment </li></ul><ul><li>Available and appropriate vaccines/prophylaxis </li></ul><ul><li>In-Travel Prevention </li></ul><ul><li>Medical Care abroad </li></ul><ul><li>Special Needs travelers </li></ul><ul><li>Post Travel Management of disease </li></ul><ul><li>Our fellows will staff a clinic once or twice a month longitudinally </li></ul>
  • 30.  
  • 31. Budget considerations (6 fellows) <ul><li>Director: $180,000 for director. </li></ul><ul><ul><li>Dr. Todd Stephens approved for this position by Via Christi </li></ul></ul><ul><li>Fellows: $60,000 X 6 </li></ul><ul><li>Travel: $5,000 X 6 </li></ul><ul><li>Malpractice approx. 15,000 X 6 </li></ul><ul><li>Tail Coverage Insurance- ? </li></ul><ul><li>Total: $480,000 annually (not including director salary) </li></ul>
  • 32. Sustainability <ul><li>By staffing a hospital in rural Kansas, we will defray costs by the equivalent of 1 physician salary annually </li></ul><ul><li>Potential for moonlighting within Via Christi in the proposed evening clinic. </li></ul><ul><li>A goal of an endowment fund to sustain such this endeavor. </li></ul>
  • 33. Development-Where are we now? <ul><li>Curricular development </li></ul><ul><li>Contacting specific potential educators. (i.e. form letter approach) </li></ul><ul><li>Funding strategies </li></ul><ul><li>Raising awareness of the program among students, residents, and faculty on the national level. </li></ul><ul><li>Striving for excellent curricular quality, infrastructure, educational framework, quality metrics, and incorporation of research. </li></ul>
  • 34. Involved Residents <ul><li>Jared Cardwell M.D. </li></ul><ul><li>Paul McQuillen D.O. </li></ul><ul><li>Shea Epperly M.D. </li></ul><ul><li>Jack Kline M.D. </li></ul><ul><li>April McQuillen D.O. </li></ul><ul><li>Rick Moberly M.D. </li></ul><ul><li>John Epperly M.D. </li></ul><ul><li>Kevin Raymer M.D. </li></ul>
  • 35. How can you be involved? <ul><li>Please offer any guidance or advice that you </li></ul><ul><li>may have. </li></ul><ul><li>Do you or other physicians you know want to teach medical skills? </li></ul><ul><li>Help to fund this exciting endeavor. </li></ul>
  • 36. Thank-you for being part of the first international family medicine fellowship! <ul><li>Any questions? </li></ul>

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