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Medical Education at CCHS: Presentation for Delaware Healthcare Commission

Medical Education at CCHS: Presentation for Delaware Healthcare Commission. Neil Jasani, MD VP, Academic Affairs Lisa Maxwell, MD Director, Undergraduate Medical Education. 11,000 + Employees 1,500 + Medical-Dental staff. We are a small state, but…. Among hospitals in

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Medical Education at CCHS: Presentation for Delaware Healthcare Commission

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  1. Medical Education at CCHS: Presentation for Delaware Healthcare Commission Neil Jasani, MD VP, Academic Affairs Lisa Maxwell, MD Director, Undergraduate Medical Education

  2. 11,000+ Employees 1,500 + Medical-Dental staff

  3. We are a small state, but….. Among hospitals in the United States • 17th in admissions • 20thin emergency visits • 23rdin total surgeries Among hospitals on the East Coast • 10thin admissions • 10thin emergency visits • 11thin total surgeries

  4. Great Clinical Experience • 279Residents & Fellows • 18 residencies • 6 fellowships • Medical, NP, PA, Pharmacy, Podiatry and Allied Health students

  5. Over 20 Residency & Fellowship Programs • Internal Medicine (41) • Medicine – Pediatrics (16) • Family Medicine (18) • Emergency Medicine (36) • EM/FM (10) • EM/IM (15) • General Surgery (30) • Diagnostic Radiology (24) • Obstetrics & Gynecology (24)

  6. Fellowships: • Cardiovascular Disease Fellowship (13) • Interventional Cardiology Fellowship (2) • Nephrology Fellowship (2) • Surgical Critical Care Fellowship (2) • Otolaryngology Fellowship (1) • Vascular Interventional Radiology Fellowship (1) • Sports Medicine Fellowship (2)

  7. New Fellowships: • Heart Failure and Transplant Fellowship: (1) • Medical Physics: (1) • Conceptual Phase: Pain and Palliative Care Fellowship (partnering with A. I. duPont Hospital for Children)

  8. Medical/PA/Pharmacy Students 3% 13

  9. Medical Students: 7 2% 11 4% 14 5% 26% 76 64% 190

  10. NP students 2011-2012 Schools University of Delaware Wilmington University Penn State Immaculata College Drexel • 7/2011-6/2012: 81 students • 7/2012- Present: 59 students

  11. Allied Health • 1973-First affiliation with Delaware Technical and Community College • Programs: • Diagnostic Medical Sonography • Histo-technology • Nuclear Medicine Technology • Physical Therapy Assistant • Radiologic Technology • Respiratory Therapy Technology

  12. Allied Health: 2012-2013 • 146 students across all programs • 14 Program Coordinators and Instructors

  13. Jefferson DE Campus

  14. Overview of Medical School Years 1 & 2 Basic Science Lectures / Small Groups Some Clinical Experiences Years 3 & 4 Clinical Rotations Inpatient / Outpatient Some Basic Science

  15. Years 3 & 4 • Consists of Clinical Rotations • Required “Core” Rotations • Internal Medicine, Family Medicine, Surgery, OB, Psych, EM, Peds) • Electives • Many schools (including Jefferson) utilize large affiliate networks to provide clinical training in the 3rd and 4th years.

  16. Years 1 & 2 Jefferson Campus • Years 3 & 4 • 20 Affiliate Sites • CCHS = largest • Students participate in a lottery for rotation sites • Rotations at many sites

  17. Idea of a Branch Campus • Medical schools are expanding • Expansion typically follows one of two models: • “In Place” • More students on existing campus and facilities • “Regional campus model” • offer some curriculum to a portion of the class (most commonly clinical education).

  18. Rationale for a DE Branch Campus • Delaware has no medical school • One of 5 in the country • Jefferson acts as the medical school for DE • CCHS is the largest affiliate

  19. DE Campus • Started 2 years ago • Jefferson students spend 3rd and 4th year in Delaware for clinical rotations • CCHS, AI DuPont • Voluntary • Chosen by students in 2nd year

  20. Advantages of Branch Campus For Students: • Eliminate orientation to constantly changing locations • Learning one computer system • Learning one hospital system • Creating connections with students, residents and faculty • Becoming part of local culture • Personal relationships for mentoring, letters of recommendations, etc.

  21. Advantages of Branch Campus For DE: • Engaged / invested learners • Potential pipe-line

  22. Status of DE Branch Campus • 29 current Branch Campus Students • Class of 2013 11 students • Class of 2014 6 students • Class of 2015 12 students

  23. DE Connection

  24. DE Connection - Total

  25. DIMER Students and the DE Branch Campus

  26. Conclusions • Anecdotally- Branch Campus students are very satisfied • Formal Exit Interviews and Evaluations of first graduating class pending • Match results Pending • Attractive to students from DE • As expected

  27. Path Forward • Increase enrollment • Promoting earlier and frequently • Explore feasibility of more official DIMER linkage • Mentoring • Conferences • Admissions Process • ? Commitment of DIMER students to DE Branch Campus

  28. Path Forward • Explore expansion of clinical opportunities in DE • Inter-Professional training • DHSA • Rural Rotations

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