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The Medical College of Georgia
at Georgia Health Sciences University

     Incorporating Population Health
         into Medical Education


                               Kathryn Martin, PhD, MPA
                  Assistant Dean for Southeast Georgia Campus

                                     T. Wayne Rentz, MD
       Assistant Dean for Curriculum, Southeast Georgia Campus
Georgia Health Sciences
      University

Medical College     College of          College of
  of Georgia      Dental Medicine        Nursing


           College of      College of Allied
        Graduate Studies   Health Sciences
A state health
sciences university
with expanded
campuses
throughout Georgia
NW Clinical Campus
    Rome, GA            GHSU/UGA
                     Medical Partnership
                         Athens, GA
                                             Georgia Health
                                           Sciences University
                                               Main Campus
                                               Augusta, GA




                                            SE Clinical Campus
                                               Savannah, GA

          SW Clinical Campus
               Albany, GA
Georgia Health Sciences University Hospital
     Affiliations in Southeast Georgia
Abraham Flexner 1866-1959 Educator at Carnegie
Population Health Southeast
 Georgia Regional Campus
Population Health =



        public health
      community health
        global health
Our Global Partner



• Map International
• Distributes more than $360 million in
  medical aid
• Has offices in Atlanta, Brunswick, New
  York, Chicago, Los Angeles, domestically
• International offices in South and Central
  America, Eastern Europe, and Africa
How to Do it
“Why?”

  • State health rankings
  • Student demand for more than an MD
    degree
  • New leadership at MCG, now GHSU
  • Opportunities in the region to offer
    robust learning experiences
• What do these 30
  counties have in
  common with:
  – Dominican
    Republic
  – Gaza Strip
  – Thailand
  – El Salvador
Dr. Peter Buckley, Dean
Dr. Ricardo Azziz, President
Overview

  • Internal assessment of interests,
    resources
  • Community assessment of
    interests, resources
  • AAMC/LCME guidelines
  • Syllabus/Timeline
The separation of the two disciplines has its roots

     in the late 19th century, when medical schools began

 to focus more on hospital-based care and scientific research

     and less on community-based care and prevention.

The separation has continued partly because medical students

  have jam-packed curricula and insufficient medical faculty

                 with public health expertise.
The Affordable Care Act

        promises a future in which

  preventive care and population health,

  rather than procedures, are rewarded,

the gap between medicine and public health

             may be closing
2007 Institute of Medicine

report recommended that all physicians

receive basic training in public health.
Beginning next year,
 the United States Medical Licensing Examination
                      (USMLE),
               which is sponsored by
the National Board of Medical Examiners (NBME),
    will begin testing students on public health
                      principles.

Additional changes for all three parts of the exam
   will be phased in over the next two years.
AAMC
Internal Assessment:


             900 faculty, approximately
              490 physicians and dentists
         in residency and fellowship training,
              and nearly 2500 students,
         GHSU has unrivaled access to well
     informed human resources to bring to bear
        on the many challenges facing public
                   health in Georgia.
Internal Assessment:



      Currently over 25 GHSU faculty have Masters in
        Public Health or other related degrees:

      • College of Allied Health Sciences
      • College of Dental Medicine
      • College of Graduate Studies
      • College of Nursing, with branch campus in Athens
        and
      • Medical College of Georgia, with branch campuses
        in Albany and Athens, and additional campuses
        being developed in Savannah and Rome
child obesity
immunizations
car seats
exercise
balanced diet




child safety
education
transportation
home safety
medications
exercise
meals




isolation
social resources
family planning
drugs, alcohol
healthy diet
peer pressure
conflicts




smoking
depression
environment
stress
medications
anxiety
support systems




workplace
family
Framework for Population Health in 3rd year


   • Directed readings
   • Lectures
   • Round table discussions/seminars
   • Service participation
   • Case project reviews (individual or groups)
   • Interviews
   • Brief reports (written or oral)
   • On-line classes
   • Integrated learning opportunities within clinical
     rotations
   • tours
Integrated Learning Opportunities Within
Clinical Rotations

   •   OB/GYN
   •   Pediatrics
   •   Family Medicine
   •   Internal Medicine
   •   Surgery
   •   Psychiatry
   •   Neurology
Framework for Population Health in 4th year


    • Emergency Medicine
    • Internal Medicine/Critical Care
    • Internal Medicine/Ambulatory Care
    • One month elective
    • Extended service opportunity in global
      health
    • In-depth written report on topic of student’s
      choice with oral presentation
Questions?




    Kathryn Martin, PhD, MPA      T. Wayne Rentz, MD
    Assistant Dean                Assistant Dean for Curriculum
    912-819-8337                  912-466-7540
    912-655-3954                  912-258-5101
    katmartin@georgiahealth.edu   trentz@georgiahealth.edu
Thank-you

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Incorporation Population Health into Medical Education

  • 1. The Medical College of Georgia at Georgia Health Sciences University Incorporating Population Health into Medical Education Kathryn Martin, PhD, MPA Assistant Dean for Southeast Georgia Campus T. Wayne Rentz, MD Assistant Dean for Curriculum, Southeast Georgia Campus
  • 2. Georgia Health Sciences University Medical College College of College of of Georgia Dental Medicine Nursing College of College of Allied Graduate Studies Health Sciences
  • 3. A state health sciences university with expanded campuses throughout Georgia
  • 4. NW Clinical Campus Rome, GA GHSU/UGA Medical Partnership Athens, GA Georgia Health Sciences University Main Campus Augusta, GA SE Clinical Campus Savannah, GA SW Clinical Campus Albany, GA
  • 5. Georgia Health Sciences University Hospital Affiliations in Southeast Georgia
  • 6. Abraham Flexner 1866-1959 Educator at Carnegie
  • 7. Population Health Southeast Georgia Regional Campus
  • 8. Population Health = public health community health global health
  • 9. Our Global Partner • Map International • Distributes more than $360 million in medical aid • Has offices in Atlanta, Brunswick, New York, Chicago, Los Angeles, domestically • International offices in South and Central America, Eastern Europe, and Africa
  • 10. How to Do it
  • 11.
  • 12. “Why?” • State health rankings • Student demand for more than an MD degree • New leadership at MCG, now GHSU • Opportunities in the region to offer robust learning experiences
  • 13. • What do these 30 counties have in common with: – Dominican Republic – Gaza Strip – Thailand – El Salvador
  • 15. Dr. Ricardo Azziz, President
  • 16. Overview • Internal assessment of interests, resources • Community assessment of interests, resources • AAMC/LCME guidelines • Syllabus/Timeline
  • 17. The separation of the two disciplines has its roots in the late 19th century, when medical schools began to focus more on hospital-based care and scientific research and less on community-based care and prevention. The separation has continued partly because medical students have jam-packed curricula and insufficient medical faculty with public health expertise.
  • 18. The Affordable Care Act promises a future in which preventive care and population health, rather than procedures, are rewarded, the gap between medicine and public health may be closing
  • 19. 2007 Institute of Medicine report recommended that all physicians receive basic training in public health.
  • 20. Beginning next year, the United States Medical Licensing Examination (USMLE), which is sponsored by the National Board of Medical Examiners (NBME), will begin testing students on public health principles. Additional changes for all three parts of the exam will be phased in over the next two years.
  • 21. AAMC
  • 22. Internal Assessment: 900 faculty, approximately 490 physicians and dentists in residency and fellowship training, and nearly 2500 students, GHSU has unrivaled access to well informed human resources to bring to bear on the many challenges facing public health in Georgia.
  • 23. Internal Assessment: Currently over 25 GHSU faculty have Masters in Public Health or other related degrees: • College of Allied Health Sciences • College of Dental Medicine • College of Graduate Studies • College of Nursing, with branch campus in Athens and • Medical College of Georgia, with branch campuses in Albany and Athens, and additional campuses being developed in Savannah and Rome
  • 26. family planning drugs, alcohol healthy diet peer pressure conflicts smoking depression
  • 28. Framework for Population Health in 3rd year • Directed readings • Lectures • Round table discussions/seminars • Service participation • Case project reviews (individual or groups) • Interviews • Brief reports (written or oral) • On-line classes • Integrated learning opportunities within clinical rotations • tours
  • 29. Integrated Learning Opportunities Within Clinical Rotations • OB/GYN • Pediatrics • Family Medicine • Internal Medicine • Surgery • Psychiatry • Neurology
  • 30. Framework for Population Health in 4th year • Emergency Medicine • Internal Medicine/Critical Care • Internal Medicine/Ambulatory Care • One month elective • Extended service opportunity in global health • In-depth written report on topic of student’s choice with oral presentation
  • 31. Questions? Kathryn Martin, PhD, MPA T. Wayne Rentz, MD Assistant Dean Assistant Dean for Curriculum 912-819-8337 912-466-7540 912-655-3954 912-258-5101 katmartin@georgiahealth.edu trentz@georgiahealth.edu