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International Family Medicine Fellowship


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Family Medicine Fellowship

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International Family Medicine Fellowship

  1. 1. International Family Medicine Fellowship
  2. 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. 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. 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. 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. 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. 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. 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. 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. 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>
  12. 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>
  13. 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>
  14. 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>
  15. 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>
  16. 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>
  17. 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>
  18. 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>
  19. 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>
  20. 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>
  21. 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>
  22. 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>
  23. 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>
  24. 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>
  25. 26. OMM <ul><li>Objectives </li></ul>
  26. 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>
  27. 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>
  28. 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>
  29. 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>
  30. 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>
  31. 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>
  32. 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>
  33. 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>
  34. 36. Thank-you for being part of the first international family medicine fellowship! <ul><li>Any questions? </li></ul>