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

 


SCHOOL COMMITTEE
March 20, 2000
Days Inn, Flatwoods
Draft Minutes

Attendees: Bill Shires, Patti Crawford, Ralph Utzman, Jennifer Plymale,
Imogene Foster (for E. J. Martin), Gaye Mitchell, Richard Meckstroth, William
R. McCutcheon, Nancy Nedrow, April Vestal, Kathleen Bors, Norm Ferrari, Sandra
Baker

Dr. Ferrari called the meeting to order at 11:32 A.M.

Discussion of policy prohibiting rotations with relatives

WVU School of Medicine raised the issue of student rotating with family
members. Most of the schools have a policy in this regard. WVU School of
Nursing does not have a policy. It was recommended that such a policy be
drafted by the school committee after a careful review of individual school
policies for consistency. Defining relative would be an issue. Draft
would be
presented at the next meeting.

Introductions of all in attendance were made.

Coordination of efforts by students from all schools on delivering tobacco
awareness program (Through with Chew)
Dr. Meckstroth reported the dental and dental hygiene students are encouraged
to do some outreach during their rotations. In order to know if this is
working or not, they have used as a bench mark the CDC Youth Survey. He
passed
out a copy CDC survey showing that the rate of those using smokeless
tobacco is
going down and correlates with information when RHEP started (see attached).
West Virginia is still much higher than the national average but we are headed
in the right direction. Dr. Meckstroth has received some funding from the
Coalition for Tobacco Free West Virginia to do a statewide awareness program.
Dr. Meckstroth passed out sample kits containing “Through with Chew” materials
which were sent to over 3000 contacts throughout the state. He challenged the
schools to look at tobacco awareness in general as a health care team. His
point is trying to find a way to get the smoking numbers to go down. Patti
Crawford reported that the Tobacco Game is very well received. Public Health,
Schools, etc are working to coordinate better on this issue.

Webpage searches by specialty
Students brought to Dr. Ferrari’s attention that there is no easy way to go to
a web site to find where they would like to go for their rotation other than
going into a certain consortium’s website. Kathleen Bors supported the need to
have this on TRACKER. Dr. Ferrari would like to challenge Mike and/or Mark to
put a search engine for the students to pull up, according to a specific
discipline and/or specialty to find options for locations and types of
rotations available. JoAnn Raines suggested making this name friendly as
well,
in order to find the location of a particular preceptor. Bill Shires would
like to see CV information or an abbreviated CV added also. If more
programming
is done, we need to standardize information and gather information on
preceptors. The web site is now more up to date than it has been in the
past.
JoAnn will make a list of the fields needed and circulate electronically.
This
list must be for all disciplines. Hilda will ask Mike/Mark about developing a
search engine for the discipline/specialty specific information.

Fields will be developed before charging anyone to oversee the electronic
list. This information needs to be on TRACKER and on the web site. Hilda
said
that a sidebar could be added with a list of approved preceptors by name and
discipline. She will talk to Mike about this. Dr. Meckstroth expressed
concern
about not being able to edit in the TRACKER system. Patti was concerned about
the drop down menu for the faculty so that when listing rotations a specific
faculty would be listed as a faculty of reference for grading purposes.

April announced that there would be a community service sub committee meeting
this afternoon to discuss parameters. This should be an agenda item for the
next meeting. She also discussed
faculty appointment streamlining. As rural health fairs were conducted at
different schools this year the Site Coordinators noticed that the preceptors
listed are different than those on TRACKER. She thinks this is medicine
issue.
April’s understanding is that if a faculty is accepted at one school, then
they
are to be accepted at the other two schools was not sure if this process is
streamlined or not. Dr. Ferrari thought the only way to solve this problem is
to make an electronic master lists. Dr. Ferrari suggested that as fields are
defined, there should be a field to approve for third year clerkship or
approved for fourth year clerkship only or both. Using an electronic list
instead of a paper list is the best method to use regarding preceptors.

Bill Shires thinks the process of who is RHEP and who is not needs to be
looked
at again. He also thinks we need to re-evaluate the terms of who is the
adjunct faculty, who is RHEP, what is the process of a person becoming a new
RHEP trainer, quality of a trainer, how to weed out a trainer and the process
of appointing a trainer. April will discuss the issue of students doing
rotations with non-RHEP preceptors and doing required IDS and community
service
with the site coordinators. The schools give RHEP credit, not the site
coordinators. There is a miscommunication in categorization and
miscommunication in language, which Hilda will take care of. When the site
coordinators talk about credit, they are really talking about accountability.
The students’ rotations are counted as RHEP or other rural.

Bill Shires expressed concern regarding preceptor buy-in.

Patti Crawford asked about emergency medicine not being included in the
definition of primary care. This committee’s policy (97-02) states that if a
site wants to have emergency medicine, psyche, and general surgery they
have to
petition this group. This policy may be amended to include emergency
medicine. Dr. Ferrari proposed to see a new draft of Policy 97-02 to include
emergency medicine in the definition of primary care at the next meeting.
Patti stated that a consortium has contracts with individual preceptors
used in
a consortium and if these contracts are not signed with each individual
preceptor then they are no longer RHEP. Emergency medicine is not part of
the
report card. This will be delegated to the sub committee.

April will remove “Draft” on the Community Outreach Manual’s hard copy and as
well as the web version. An easier way to access this manual online needs
to be
made. April will take care of this.

Hilda suggested that since the agenda item of “Open discussion from floor on
the future direction for the school committee” has been on the agenda for such
a long period of time, that this issue become a separate issue from the school
committee. This should be an agenda item for the medical school subcommittee,
which should meet at a time separate from the school committee. This can be
done by conference call, electronically or pick a time before or after the
school committee meeting

Meeting was adjourned at 12:55 P.M.