1. Preparing Rural Doctors for Illinois : Curricula & Partnerships that Work Panel Presentation 8-13-2015 “I am looking forward to the time when we as physicians, along with you, will be responsible to the degree that this challenge to rural medical care will be successfully met.” Jack Gibbs, MD From: “Impressions after Five Years of Rural Practice”, a presentation at the 15th National Conference on Rural Health, February, 1960. Printed in Illinois Medical Journal, Volume 118, Number 5, November, 1960.

2. Preparing Rural Doctors for Illinois Preparing Rural Doctors for Illinois Moderator Tom Golemon, MD, Chair Dept. Family & Community Medicine, UICOM-Peoria Welcome Greetings from Sarah Rusch, Regional Dean Outline of panel discussion & time rules Question & Answer

3. Partners on Panel:  Bob Senneff, CEO, Graham Hospital, Canton  Remi Satkauskas, MD, Preceptor from Geneseo/Kewanee  Alyssa Lawler, M4 and RSPP Alumnus; RIMSAP student  Linda Agyapong, M4 and RSPP Alumnus  Paul Pedersen, MD, RIMSAP Board Chair  Craig Davenport, MD, RMED Director, UICOM- Rockford  Jim Barnett, MD, RSPP Director, UICOM-Peoria

4. Preparing Rural Doctors for Illinois: RSPP Jim Barnett, MD, RSPP Director, UICOM- Peoria

5. Partnerships that Work Students Hospitals Medical Staff University Faculty Community/Financial Partners

6. A bit of history re “stool legs”: Graham Hospital, Canton– 1909 RIMSAP/Medical Student Loan Fund Board—1946 RMED—1993 RSPP—1997 (1 st class) Dr. Satkauskas to Kewanee area—1996

7. Rural Student Physician Program (RSPP) Started in 1996 under leadership of Dr. John Halvorsen and directorship of Dr. Linda Batek. A third year (M3) program: longitudinal integrated clerkship. Students spend 7 months in rural community simultaneously learning from the major medical disciplines. Also 5 months of block rotations in Peoria.

8. RSPP Outcomes 82 Alumni of the program Last review in 2013 of residency grads (64 alumni): ◦ 72% Primary Care (FM, P, M-P) ◦ 67% are in IL ◦ 53% are rural

9. Longitudinal Integrated Clerkships RSPP is modeled after RPAP (Rural Physician Associate Program) of Minnesota Established in 1971 now with over 1300 graduates.

10. Minnesota RPAP 82% grads are in primary care. 58% practice in rural settings. Rural origin has only a small association with choosing rural practice (according to this study)! ◦ About 60% raised rural work there. ◦ About 40% raised “metro” work rural. Halaas GW, Zink T, etal. Recruitment and Retention of Rural Physicians: Outcomes From the Rural Physician Associate Program of Minnesota. J Rural Health. 2008;24(8):345-352.

11. Rural Program Outcomes: Systematic review of medical school programs with focused rural curriculum: 50-60% grads practice rural. ◦ This provides some hope in face of statistics: ◦ 20% of US population is rural; 9% of doctors are rural; 3% of med students planning to go rural. Rabinowitz HK, Diamond JJ, etal. Medical School Programs to Increase the Rural Physician Supply: A Systematic Review and Projected Impact of Widespread Replication. Academic Medicine. 2008;83(3):235-243.

12. Rural Program Outcomes Rabinowitz (etal.) proposes expanding these programs so 125 medical schools have at least 10 students/year in this type of program. RSPP seeks to work with partners to expand from our current average of 5 students a year to 10 students.

13. Preparing Rural Doctors for Illinois: RMED Craig Davenport, MD, RMED Director, UICOM-Rockford

14. Established in 1993, is “designed to recruit students from rural areas, who will upon completion of residency training, return to rural Illinois for practice.” “Grow Your Own…” ◦ Pipeline ◦ Recruitment and Retention Committee  Interview Process

15. RMED Curriculum RMED Students participate in the regular curriculum as well as the supplemental, required Rural Health Professions (RHP) curriculum. RHP is a longitudinal, interprofessional based course with RPHARM ◦ Community health needs and interventions ◦ Rural-specific health issues and hazards 16-week Community Preceptorship ◦ COPC - community-oriented primary care project.

16. Our Results… To date: ◦ about 180 graduates ◦ 80% Primary Care ◦ 75% Rural IL ◦ >80 IL Communities ◦ >60 IL Counties

17. Preparing Rural Doctors for Illinois: Hospitals Bob Senneff, CEO, Graham Hospital, Canton

18. Preparing Rural Doctors for Illinois: Preceptors Remi Satkauskas, MD, Preceptor from Geneseo/Kewanee

19. Preparing Rural Doctors for Illinois: Community/Financial Partners Paul Pedersen, MD, RIMSAP Board Chair

20. Preparing Rural Doctors for Illinois: Students!  Alyssa Lawler, M4 and RSPP Alumnus; RIMSAP student  Linda Agyapong, M4 and RSPP Alumnus

21. Question & Answers Session Question & Answers Session Please do this: Identify yourself Address your question to panel member(s)

22. Wrap Up Wrap Up Thanks to Panel Participants Thanks to Audience Best Wishes for Rural Practices in the Future!

23. Dr. Jack Gibbs (Canton/Havana) “I am looking forward to the time when we as physicians, along with you, will be responsible to the degree that this challenge to rural medical care will be successfully met.” From: “Impressions after Five Years of Rural Practice”, a presentation at the 15th National Conference on Rural Health, February, 1960. Printed in Illinois Medical Journal, Volume 118, Number 5, November, 1960.