West Virginia Rural Health Education Partnerships/Area Health Education CentersWest Virginia Rural Health Education Partnerships/Area Health Education Centers

Page Title

West Virginia Rural Health Education Partnerships/

Area Health Education Centers

Faculty Development Committee

Monday, October 6, 2008

West Virginia University Health Sciences Center, Morgantown, WV

John E. Jones Conference Center Room C

 

 

In Attendance: Rosmarie (Rosie) Cannarella-Chair, Carla See, Robert Foster, Pharm. D, Elaine Soper, Jill Cochran, Jonathan Kline, Sonnie Strader, Dan Doyle, Mary Annie (WVGEC)

 

Staff: April Vestal, Sandra Pope, Jacki Novacich

 

Rosie Cannarella brought the meeting to order with review of January 14, 2008 meeting minutes.  Motion to approve minutes (Jonathan Kline/Sonnie Strader).  Minutes Approved.

 

2008 and 2009 Faculty Development Conference

 

2008 Faculty Development Conference Overview:

The committee reviewed the Evaluation Synopsis (see Appendix A). 

The conference was held at Waterfront Place Hotel, Morgantown, WV.   The attendance was Fifty-five field faculty.  We spent $9,910.16 for a 1.5 day conference.  The major expense was the hotel and food costs.

The evaluation suggestions were positive and requested more interaction with students and interactive sessions.

 

2009 Faculty Development Conference:

 

The budget for the 2009 year conference is $6,743.00.  The Geriatric Education Centers (GEC) would like to work with the Faculty Development Committee on this year's conference and would bring $5,000.  April met with Nancy Daughtery last week while in Charleston.  She is unable to attend today's meeting, but plans to participate in the future.  More discussions with the GEC will be needed before we can move forward.  There was discussion regarding how we could lower costs of conferences and increase attendance.  Nancy Daughtery from the GEC had suggested to April that regionalizing the conference may bring in more attendance.  A suggestion on utilizing school campus' that participate in the program could utilize to cut costs for conference space.

Dan Doyle suggested the regional sessions should encourage the ACGME competency and Masi Model, utilize different presenters in the different regions, leave enough time for discussion without discipline break-out sessions, and be less didactic.  Rosie suggested that we need to concentrate the information presented and to involve the younger field faculty members and students in the sessions. 

 

Where do we go from here?

 

It was decided that the committee would work together in pairs creating modules that were no more than three hours long containing some interactivity.  Rosie and Jonathan Kline will do an Intergenerational session, with some information shared from Elaine Soper.  Carla See and Nannette Van Dyke McDonald or Ralph Utzman will work on How to motivate self learning with some review help from Bob Foster.  Jill Cochran and April Vestal will work together on Incorporating Service-Learning into the Clinical Community.  Dan Doyle and Elaine Soper will work together on TCS Communication.  Dan Brody and Agnes Enrico-Simon will work together on Introduction to WVRHEP/AHEC.  April will discuss with the GEC to see if they will participate and create 1-2 modules, and Rosie will speak with Scott Cottrill, Curriculum Dean for the WVU Eastern Division on creating a module on Evaluation (no time frame set).  Stott can partner with Nannette or Ralph (whomever does not work on the self learning module).

 

The regional training is tentatively scheduled and we are still looking at facilities for the training.  The first training would be held in March 2009 in Eastern WV, most likely at the WVU Eastern Division.  Late April early May, 2009 training session would be held in Northern WV.  September, 2009 training session would be held in Southern WV.  Central WV would hold theirs in October, 2009.

 

April will create a format for the modules that is similar to the modules on SOLE.

·        Discipline specific guidelines

·        Articles

·        A forty minute didactic about the topic

·        Discussion with some kind of interactivity (e.g. role-play, questions, and case studies)

·        At least 3 goals

·        A summary.

April will discuss this training at the next Joint Coordinator and Center Director Meeting November 11, 2008.

 

2009 Rural Health Fair Held at WVU:

 

Dates were picked and sent out to the schools at West Virginia University Health Sciences Center.  There were some conflicts with the dates and a different date had to be selected.  The date selected was Monday, January 26, 2009.  Details are forthcoming and will be sent out at a later date.

The presentation will be reviewed at 10:00 AM the morning of the fair.  Information about the location of the review is forthcoming

 

Statewide SOLE Modules and Schedule:

 

April discussed with the Coordinators and Center Directors about the SOLE modules going forward as statewide modules as of November 1, 2008.  April held training sessions in September through Web AT in order to provide Coordinators and Center Directors with information about SOLE and their roles and responsibilities to the students that will be participating.

The Statewide SOLE Module schedule:

                        November 1-30, 2008

Jill Cochran, RNC, FNP: Diabetes Mellitus Type II in WV

                        December 1-31, 2008

NONE OFFERED

                        January 1-31, 2009

Rosie Cannarella, MD, MPH: Evaluating Falls in the Elderly

                        February 1-28, 2009

Jonathan Kline, Pham. D.: UNTITLED

                        March 1-31, 2009

OPEN: NEED FACILITATOR

April 1-30, 2009

OPEN: NEED FACILITATOR

May 1-31, 2009

NONE OFFERED

June 1-30, 2009

OPEN: NEED FACILITATOR

July 1-31, 2009

Jill Cochran, RNC,FNO: Obesity Case Study (CARDIAC BOOT CAMP)

August 1-31, 2009

OPEN: NEED FACILITATOR

September 1-30, 2009

Rosie Cannarella, MD, MPH: Evaluating Falls in the Elderly

October 1-31, 2009

OPEN: NEED FACILITATOR

November 1-30, 2009

OPEN: NEED FACILITATOR

December 1-31, 2009

NONE OFFERED

 

April will contact Dan Brody and Ralph Utzman who were unable to attend the meeting, to see if they would be willing to facilitate their modules during any of the open months.

 

Draft Policy 2008-03 "Guidelines for Service-Learning Projects for Health Profession Students."

 

April presented the Faculty Development Committee with their first view of DRAFT Policy 2008-03 (See Appendix B).  Any comments and concerns about the DRAFT policy can be e-mailed to April Vestal at avestal@hsc.wvu.edu. 

 

Next Scheduled Meeting:

 

The next meeting of the committee will be held December 4, 2008 at 4:00 PM.  It will be held using the WEB AT session.  Information will be sent out closer to the meeting date.

 

 

 

Meeting Adjourned by Rosie Cannarella at 4:00 PM


 

aheclogomaprhepjpgAppendix A

 

West Virginia Rural Health Education Partnerships

Area Health Education Centers

West Virginia Geriatric Education Center

 

Faculty Development Conference

"Teaching and Assessing Essential Elements of Health Care Communication"

March 7-8, 2008

 

Please check discipline:                               Physician 9                         Nurse 9                                Pharmacist 1

Dentist 0                              Physician Assistant 1                                                      Social Worker 1                                Physical Therapist 4                                                                        Other (please list)  1- Health Educator

     1- Med Tec

 

Please complete this evaluation form and return it prior to your departure. The first section lists each speaker.  The second section concerns the overall conference.  The conference planning committee appreciates your feedback and suggestions for future conferences.  Thank you for your assistance.

 

Individual Presentations:

 

                                                                                                                                Content Relevant                            Quality of

                                                                                                                                To My Practice                  Presentation

                                                                                                               

 

1.       Charlotte Nath                                                                                              87/19     4.58                   88/19     4.63

2.       Joy Buck                                                                                                       114/25     4.56                  114/25     4.56

3.       Hilda R. Heady                                                                                          100/24     4.17                   102/24     4.25

4.       Rosemarie Cannarella                                                                             83/19     4.37                     85/19   4.47

5.       Dan Doyle                                                                                                      52/11    4.73                       49/11     4.45

6.       Jill Cochran                                                                                                                   46/10     4.60                       43/10     4.30

7.       Dan Brody                                                                                                        27/6     4.50                           24/6     4.00

8.       Jonathan Kline                                                                                                  24/6    4.00                         19/6     3.17

9.   Ralph Utzman                                                                                                    15/3     5.00                         15/3     5.00

 

Overall Course

                                                                                                                                               

Extent to which the course objectives

Were met:

1.       Increase sensitivity and awareness to the roles

        of literacy and culture in health care.                                                                             105/23                  4.57

2.       Identify two ways to overcome barriers to

       teaching effective communications skills in

       the clinical setting.                                                                                                                  122/27                  4.52

3.       Identify and describe specific strategies to be

       used in clinical teaching for providing feedback

       to students regarding their performance, and

       apply these teaching/evaluation strategies to

      sample cases.                                                                                              126/27              4.67

4.  Potential impact on your practice                                                                   116/26              4.46

5.  Effectiveness of learning activities

      Role Play                                                                                        103/22              4.68

      Questions/Answers                                                                         106/23              4.61

6.  Meeting facilities                                                                                          125/27              4.63

7.  Meeting support and production services                                                        124/27              4.59

9.  Your overall evaluation of the conference                                                   124/27              4.59

(over, please)

 

What will you do differently in your practice as a result of your attendance at this conference?

 

1.                      Observe students in different aspects.  Communicate with students more about their rotational

needs and let them know my expectations more clearly.

2.                      Evaluation tools more frequent with students with exact words used by students rather than my

impressions.

3.                      Be more considerate in regards to health literacy issues, so I may communicate better with

patients in a rural setting.

      4.  Critique more positively, " Here is what I would like to have seen you do."

      5.  Incorporate more communication specific tools into practice.

      6.  Increase student participation in developing goals and obtaining them.

      7.  Develop an in service class for our facility preceptors who work with new employees and new

            graduates.

      8.  Be more aware of literacy at all levels in my practice and in my community.

     9.  Set more defined goals and expectations with my students, and attempt to altar structure/ plan 

          based on where my student is and what their plan is.

10.   Be more observant, ask more questions, listen effectively watch for cues and act on them.

11.   Try to use more constructive criticism without offending.

12.   Do better in my communication with patients and staff.  Do better precepting, giving feedback, structuring a student's day and learning experience.  Will use the grading form that was given out.

13.   Better orientation, more frequent eval of students, and feedback directly to students.

14.   Keep in mind ACGME Competencies

15.   Record student performance regularly by grading and further using basic knowledge efficiency.  Reviewed more with student.

16.   I am ON- Campus faculty - I am leaving with some great tools for my students re: communication.  I'm thinking of using the "+ Delta" approach during my site visits when I observe students at work.

17.   I will be able to be more effective clinical instructor as I can give my students much of this information to draw from.  I will be much more mindful of illiteracy issues.

18.   Communicate more clearly with less judgment.

 

Suggestions and Comments

 

 

1.      Additional comments about this conference:

 

1.       I enjoyed it and learned so much.  I am looking forward to future conferences.

2.       Great Location

3.       All speakers-audience members have varying degrees of hearing ability.

4.       Thank you!

5.       We are all different.  We all come from different backgrounds, but we all worked together as a Team for the benefit of the patient.

6.       Thank you for inviting me.  I will definitely use this conference information in my practice.

7.       Great for student evaluate and give feedback but not enough teaching regarding IDS.

8.       I love this conference and I always leave with good ideas!  I would love to have the opportunity for inter. Disciplinary dialogue in addition to within discipline discussion.

9.       I almost disregarded the flyer on this course.  I'm glad I did not.

10.   Good solid content.

 

2.      Suggestions for future topics?

 

1.                   How to facilitate local interdisciplinary events for community with RHEP faculty and students Adult teaching / construction techniques.

2.       "Medical metaphors."

3.       Lesson Plans - objectives/ development/ outcomes (expected)

4.       Intergenerational issues between preceptor and students.  Review of generational values, social norms, communication skills and other relevant issues.

5.       More Students.

6.       Continue to include students.  Continue to include role plays with feedback.  Continue to include posters.

7.       Invite recent grads now in practice.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Thank you for your attendance at this year's conference.  Your feedback is appreciated!


 

Appendix B

 

2008-03

DRAFT

 

 

 

 

West Virginia Rural Health Education Partnerships/

Area Health Education Centers

Policy and Procedures

________________________________________________________________________

 

Title of Policy:                                                   Guidelines for Service-Learning Projects for Health                                                                                        Profession Students

 

Approved By:                                                     WV Rural Health Advisory Panel

 

Approved Date:                                               

 

Effective Date:                                                 

 

Implementation

    Responsibility:                                              WVRHEP/AHEC Joint Outreach/Curriculum Committee

                                                                                WVRHEP/AHEC Schools Committee

                                                                                RHEP/AHEC Coordinators & Center Directors

                                                               

 

Oversight Responsibility:                             WVRHEP/AHEC Joint Outreach/Curriculum Committee

                                                                                WVRHEP/AHEC Schools Committee

                                                                                                               

 

Policy Statement:

 

                This policy shall serve as guidance for development and implementation of service-learning projects conducted during rotation experiences of the West Virginia Rural Health  Education Partnerships/Area Health Education Centers.  Service-learning projects can originate by students, preceptors and/or other community based partners.  Projects should directly address an identified community need.  The purpose of this policy is to ensure that service-learning projects meet acceptable guidelines for health professions student learning.

 

Procedures:

 

Consortium/Site

 

Coordinators/Center Directors should develop priorities for service-learning projects that reflect needs of the communities within their consortium/center through usage of the following mechanisms in order to determine community need and order of importance of service-learning projects.

 

  1. Local Consortium/Center Boards, with leadership and guidance from the Coordinator/Center Director, should develop a system to prioritize focus areas for service-learning projects/programs, giving consideration to the particular areas of greatest need in the counties within the Consortium/Center.  Consortia/Centers should communicate service learning priorities and plans to all field faculty/preceptors within the Consortium/Area in a timely fashion to ensure field faculty are aware of the service learning priorities for students training within their sites.  Some resources Boards may use in order to accomplish this task are:

       

West Virginia County Health Profiles:  http://www.wvbep.org/bep/LMI/CNTYPROF/DEFAULT.HTM

 

 

West Virginia Healthy People 2010 Objectives:

http://www.wvdhhr.org/bph/hp2010/

 

County Health Departments:

http://www.wvdhhr.org/wvlocalhealth/lhd_profiles/lhdreport/index.asp

 

WV Bureau for Public Health:

http://www.wvdhhr.org/bph/

 

The Center for the Health Professions Pew Health Professions Commission

http://www.futurehealth.ucsf.edu/pewcomm/competen.html

 

CDC Behavioral Risk Factor Surveillance System (BRFSS)

http://www.cdc.gov/brfss/

 

West Virginia University Extension Service

http://www.wvu.edu/~exten/

 

Centers for Disease Control and Prevention National Program of Cancer Registries (NPCR)

http://www.cdc.gov/cancer/npcr/

 

 

Additional community needs assessments and other resources as deemed appropriate by the consortium/center may be used in order to determine need of service-learning projects/programs.

 

  1. Service-learning projects must be relevant to health professions education, linked to curricular objectives, and contain a reflective piece.  Service-learning projects that contain these curricular pieces will be developed/reviewed through a joint effort of the WVRHEP/AHEC Faculty Development and Joint Outreach and Curriculum Committees.  An on-going list of service-learning projects will be available on the WVRHEP/AHEC website for use by Students, Coordinators and Center Directors.  This list will be available as a resource to consortia/centers for service-learning projects.  Consortia/Centers may request that the committees develop/review projects that are not on the website, but are deemed appropriate by a Board.  These projects will be written in the attached format and posted on the partnership website.
  2. Consortia/Centers should schedule service-learning projects/programs for health professions students that meet priorities and focus areas as determined by their local consortium/center Board.  When a supervising health care professional is not on-site for a scheduled service learning activity, students are not permitted to participate in direct patient care activities including suggesting treatments.  Consortia/Centers requiring further clarification of service-learning policies for health professions students should consult with the school's Campus Coordinator or School Faculty Member.

 

Students

 

  1. Students should review the WVRHEP Community Outreach Manual for Health Profession Students - http://www.wvrhep.org/reports/pdf/Community-outreach-manual.pdf  in order to become more familiar with the RHEP/AHEC curriculum and how service-learning is an integral part of the rural learning experience.
  2. Students should develop their own projects using the attached format, or review the list of projects.
  3. If a student has concerns about potential limitations in performing service-learning, he/she should contact their Campus Coordinator for clarification and share these concerns with the Coordinator/Center Director and their assigned preceptor of record.  In the event that a supervising health care professional is not on-site, students are not permitted to participate in any direct patient care activity, including suggesting treatment.  When a supervising health care professional is not on-site for the activity, students should be aware they are not permitted to participate in direct patient care activities including suggesting treatments.  Students are strictly prohibited from practicing medicine and other forms of direct health care treatment without a license.
  4. Students should discuss all service-learning projects/programs with their Coordinator/Center Director and at least one of the following faculty:

        Preceptor of record

        On-Site Clinical Director

        Campus Coordinator/Faculty

 

 

Schools

 

1.       School policies and procedures relevant to community service-learning activities are readily available on the schools' website and provided to students as part of their rural rotation syllabus.

2.       If for any reason the Student, Coordinator, Center Director or Field Faculty has any questions as to the appropriateness of an activity, or the level of student competency, the student's Campus Coordinator must be contacted to determine the appropriateness of the student involvement.  Documentation of this contact should be made in the student's file at the site and school, as appropriate.

 

_____________________________                            ______________________

Robert Walker, MD                                                         Hilda R. Heady, MSW

Vice Chancellor for Health Sciences                        Executive Director, WVRHEP/AHEC


Appendix A

 

 

 

Sample Framework for Service-Learning Projects

 

 

1.       Description of the Project

2.       What we expect from you:

3.       Healthy People 2010 Objectives Directly Addressed through this project

4.       Target Audience

5.       Learning Outcomes

6.       What does the student expect to learn?

7.       Written Reflection

 

 

 


Appendix B

 

Sample Service-Learning Project Using Framework

 

Blood Pressure Screening


Description of the Project: This service-learning project will allow you to visit a local Senior Center and conduct a blood pressure screening.  You will also have the opportunity to interact with Seniors regarding their blood pressure and overall health and well-being.

What we expect from you at the screening:

  • Blood Pressure Readings of Senior Citizens at the Committee on Aging
  • Discussion of blood pressure and overall health with the patient

Healthy People 2010 Objectives Directly Addressed through this Project:

View the WV Healthy People 2010 Website with all objectives by clicking here

Target Audience: Senior Citizens

Learning Outcomes:

At the end of this service learning project, I will be able to

I.  Understand how the cultural beliefs of rural seniors impact their health behaviors

II. Describe how this project fits into West Virginia's public health agenda as articulated in the WV Healthy People 2010 Objectives.

ASSIGNMENT

Review the following questions and choose 3 questions, or come up with your own question you are interested in exploring more about while participating in this project.

1.       How do rural seniors define wellness and illness?How does this compare with your views?

2.       At what point will rural seniors go to the doctor -for prevention? When daily living tasks are impaired? When in pain?

3.       How do rural seniors feel about going to the doctor for preventive services (mammograms, prostate exams, etc.)?

4.       If rural seniors do not go for prevention, what are the reasons?(Don't want to know, don't want to interfere with God's will, what is God's plan will happen no matter what, so why waste the money, etc.)

5.       What types of alternative therapies (folk medicine) do rural seniors or their family members use to heal illnesses?

6.       What types of religious therapies (prayer, laying on of hands) do rural seniors or their family members use to heal illness? Do they know anyone who has been healed in this way?

7.       At what age is someone considered to be a senior citizen?

8.       What do rural seniors believe changes when someone becomes a "senior citizen"? (Social, physical, etc.)

9.       What do senior citizens believe to be the cause of the illness? (Lifestyle, genetics, diet, God's will, etc.)?

10.   What are the cultural barriers preventing rural seniors from achieving optimal health? (Lifestyle, diet, isolation, mistrust of doctors, etc.)

Post the 3 questions (by number) you would like to learn about during the service-learning project to the FORUM by clicking here (you may also develop your own question and post it as well).  Please also indicate the date(s) you will be participating in a Blood Pressure Screening at your rotation site.

Once you have completed your service-learning project, return to the module and click here to complete your reflection exercise.