Medical Education Policy Team

1. Medical Education Policy TeamNHMA Leadership Fellowship 2003“The Health Profession Pipeline: A Non-Traditional Approach”NHMA 2004 Annual ConferenceMarch 19, 2004

2. Medical Education Policy Team Juan M. Parra MD MPH: UTHSCSA Miguel Ramirez-Colon MD: UTHSCSA Cecilia Romero MD: UTMB Yvette Calderon MD: Albert Einstein COM Antonio J. Delgado MD: Illinois Masonic Hospital Nereida Correa MD, Advisor: Albert Einstein COM

3. NHMA Leadership Fellowship • Cultural Competence • Safety Net • Medical Education • Finance

4. 1970-2001: 50% Increase for URM applicants Medical Schools: 11% URM Entering Medical School 6% Hispanic graduates from medical schools 2000 Population: 12% 2025 population: 20% URM Population: 30% Physicians: 10% Hispanics in Medicine

6. Larger proportion of Hispanics attend college. More likely enrolled in 2 year colleges. More likely to attend HSI schools. Less likely to earn degrees in health professions. 3% Hispanic faculty at degree granting institutions. Undergraduate Education

7. TRACKING

8. HCOP Participants: 177 students eligible for graduation 92% graduated from a Private S.A. University 72% entered health related fields 47% entered medical school 22% unknown outcome HCOP Drops: 160 students eligible for graduation 41% graduated from a Private S.A. University 5% entered health related fields One student entered medical school 72% unknown outcome UTHSCSA HCOP Data* *This data can not be reproduced outside the context of our policy paper or this presentation without written permission of Merle S. Olson, Ph.D.

9. NHMA Medical Education Policy Team Survey • Interest and educational level prior to acceptance in medical school • Motivational factors and barriers • Education pathway and practice setting

10. Leadership Fellow SurveyFindings • 68% developed interest in K-12 level • 29% had prior careers • 61% had financial barriers • 57% had lack of mentorship • 71% traditional pathway • 71% practice in MUA’s

11. Medical Education Policy TeamRecommendations • Re-authorization of the Health Education Partnership Act of 1998. • Five year funding cycles for HCOP and COE grants. • Development of HCOP tracts.

12. Medical Education Policy TeamRecommendations • HCOP Tracts: • Health or Educational Agency • Community College • Four Year Institution • Health Profession School

13. Medical Education Policy TeamRecommendations • Tracking • Uniform tracking data. • HCOP tract model. • HRSA web site: successful tracking models.

14. Medical Education Policy TeamRecommendations • Research:Hispanic Physician • Interest in a health profession career. • Barriers experienced in achieving a medical career. • Factors that had a positive influence on their career plans. • Factors that influence practicing in medically underserved and minority communities. • Identify role of Hispanic IMG’s in health profession workforce.

15. Medical Education Policy TeamDiversity In Health Professions

16. Acknowledgements • The Medical Education Policy Team gives thanks to Dr. Nereida Correa, Dr. Elena Rios, Jennifer Wess, Elizabeth Collins and Alvin Cruz. • We would also like to thank all of the New York University, Robert F. Wagner Graduate School of Public Service Faculty and staff for their generous hospitality and knowledge conveyed during our visit to this institution and throughout the fellowship. • The Medical Education Policy Team sincerely wishes continued success for all of the 2003 NHMA Leadership Fellows and thanks them for their support, participation and friendship throughout the fellowship.