2016 Wyoming Executive Summary

 Wyoming WWAMI 2016 Wyoming WWAMI Preparing Physicians to Return to Wyoming WWAMI Physicians Return to Wyoming in 2015 Wyoming’s Medical School Imagine a medical school that is rated #1 in primary care and rural medicine in the United States, serves about 27% of the landmass of the U. S. and includes 8% of the population. It also provides outstanding research opportunities and residency training for physicians. This is the University of Washington WWAMI Program, and it is Wyoming’s Medical School. WWAMI consists of the states of Washington, Wyoming, Alaska, Montana and Idaho. In 1997, when Wyoming began its affiliation with the University of Washington WWAMI program, 10 Wyoming-­‐WWAMI medical students began their education at the University of Wyoming. WWAMI emphasizes rural healthcare and the return of Wyoming WWAMI graduates to the practice of medicine in Wyoming. The exceptional success of the Wyoming WWAMI Program led the Wyoming Legislature to increase our class to 20 students beginning in 2011. As of August 2015, 263 Wyoming students have entered the WWAMI program. 79 students are currently enrolled in the MD program at the UWSOM. 107 students have finished residency training and 74 of the 107 (69.16%) have returned to WY to practice medicine. The University of Washington School of Medicine has undergone a renewal of the medical school curriculum. Changes have included dividing the educational experience into three phases: a Foundation Phase, Patient Care Phase and an Exploration Phase. This will allow for earlier clinical teaching in the Foundation Phase and the introduction of longitudinal integrated clerkships in the Patient Care Phase as well as the current block clerkship scheduling. Curriculum renewal will serve to adapt medical education to m eet the current physician work force needs of society, particularly for the rural WWAMI region. Learn more about WWAMI ~ Wyoming at www.uwyo.edu/wwami Internal Medicine Matt Crull, M D – Casper Wyoming Medical Center, Casper Kristopher Schamber, MD – Green River Sheridan Memorial Hospital, Sheridan Leah Selby, MD – Cheyenne Cheyenne Regional Medical Center, Cheyenne Benjamin Widener, MD – Big Horn Sheridan Memorial Hospital, Sheridan Emergency Medicine Carol Wright (Becker), MD – Cheyenne Cheyenne Regional Medical Center Pathology Rebecca Thompson, MD – Wheatland Sheridan Memorial Hospital, Sheridan Radiology Jacob Merrell, MD – Cheyenne Powell Valley Health Care, Powell OB/GYN Samantha Michelena, MD – Buffalo Cheyenne OBGYN, Cheyenne Carlotto Fisher, MD – Cheyenne Cheyenne OBGYN, Cheyenne Surgery Darren Bowe, MD – Gillette Wyoming Surgical Assoc., Casper Kevin Helling, MD – Casper UW Family Medicine Residency, Casper Psychiatry Jie Chen, MD – Laramie Wyoming Behavioral Institute, Casper Wyoming WWAMI 2016 UW School of Medicine
WWAMI Graduates 2015 Jeff Bank, MD -­‐ Cody: Internal Medicine – Salt Lake City, UT John (Jacob) Barnes, MD -­‐ Gillette: Anesthesiology – San Diego, CA Landon Bluemel, MD -­‐ Lyman: Anesthesiology – Salt Lake City, UT Tanner Clark, MD -­‐ Cody: Diagnostic Radiology – Salt Lake City, UT Kimberly Cranford, MD -­‐ Alpine: Psychiatry – Fresno, CA Steven Flynn, MD -­‐ Laramie: Emergency M edicine – Chicago, IL Matthew Fournier, MD -­‐ Cheyenne: Orthopaedic Surgery – Memphis, TN Christopher Ideen, MD -­‐ Casper: Physican Medicine/Rehab – Seattle, WA Lauren Johnson, MD -­‐ Rawlins: Internal Medicine – Spokane, WA Ashley (Klone) Ullrich, MD -­‐ Casper: Internal M edicine – Denver, CO Dean Lorimer, MD -­‐ Casper: Pediatrics – Phoenix, AZ Stephanie Lyden, MD -­‐ Casper: Neurology – Chicago, IL Mattson Mathey, MD -­‐ Green River: F amily Medicine – Ft. Collins, CO Maxwell Matson, MD -­‐ Lander: Internal M edicine – Denver, CO Dhairyasheel Patel, MD -­‐ Cheyenne: Diagnostic Radiology – Houston, TX Geetha Sridharan, MD -­‐ Rawlins: Pediatrics – Chicago, IL Mark Wefel, MD -­‐ Laramie: Family M edicine – Cheyenne, WY Admissions Committee
The Wyoming WWAMI Admissions Committee consists of four Wyoming Physicians who volunteer their time to review all applications for the Wyoming WWAMI Program. They then participate in group interviews of selected applicants. These interviews take place in Laramie, WY in January. Students have the opportunity to visit UWSOM in Seattle if they desire. Our admissions committee members are: Mark Wurzel, MD Family Medicine-­‐Powell Rob Monger, MD Rheumatology – Cheyenne Debra Anderson, MD Pediatrics – Laramie Luke Goddard, MD Emergency Medicine-­‐ Sheridan Scholarship Recipients for 2015 WMS Top WWAMI Graduate: Jacob Barnes, MD – Gillette. He is a first year resident in Anesthesiology in Salt Lake City, UT. WMS Centennial Scholarship: Galen Mills – Powell WY WWAMI E15 Scholarship Recipients: Gruden WWAMI Scholarship Recipients: Claire Korpela -­‐ Sheridan Allison Dawson – Cheyenne Lindsay White -­‐ Douglas Levi Hamilton – Gillette Rachael Piver -­‐ Cheyenne 2015-­‐2016 Wyoming Class Widya Adidharma – Laramie Michael Alley – Lander Mackenzie Bartsch – Casper Lindsay Dodds – Casper Weston Hampton – Casper Isaac Hayward – Laramie Amanda Johnson – Wright Claire Korpela – Sheridan Mathias M cCormick – Laramie Daniel M cKearney – Powell 2 Natalia Meadows – Jackson Dana Morin – Sheridan Kayla M orrison – Casper Rachael Piver – Cheyenne Brian Schlidt – Casper Janelle Strampe – Green River Isaac Wentz – Casper Lindsay White – Douglas Stephanie White – Cheyenne David Wilson – Cheyenne 1
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Wyoming WWAMI 2016 Wyoming Clerkship Sites Students may attend third and fourth year required clerkships as well as fourth year electives in any of the five states. Wyoming has the following clerkship sites: Third Year Clerkships Family Medicine Buffalo – A. Dozier Tabb, MD Torrington – Marion Smith, MD Cheyenne – Doug Parks, MD Internal Medicine Jackson – Ellen Meyers, MD & Dennis Butcher, M D Lander – Justin Hopkin, MD Douglas – John Thalken, MD Sheridan – Wendell Robison, MD/Ian Hunter, MD OB/GYN Rock Springs – Amr Etman, MD Rock Springs – Preetpal Grewal, DO Cody – Lisa Williams, MD/Dale Myers, MD Cheyenne – Mary-­‐Ellen Foley, MD Lander – Jan Siebersma, MD Sheridan – Lawrence Gill, III, MD Gillette – Angela Biggs, MD Pediatrics Cheyenne – Katarzyna Zarzycki, MD Jackson – Travis Riddell, MD Psychiatry Casper – Stephen Brown, M D Cheyenne – Jason Collison, MD Chronic Care Cheyenne – Amy Gruber, MD Surgery Casper – James Anderson, MD Sheridan – Sara Smith, MD Fourth Year Clerkships Emergency Medicine Casper – David Tarullo, MD Cheyenne – Matt Loptein, MD Neurology Casper – David Wheeler, M D Surgery Selectives Buffalo – Blaine Ruby, MD Cody/Powell – Nathan Rieb, M D Gillette – Rodney Biggs, M D Cheyenne – Paul Johnson, MD (Otolaryngology Head and Neck Surgery) Rock Springs – Augusto Jamias, M D Orthopaedic Surgery Jackson – David Khoury, M D Cody – Jared Lee, M D Electives Offered in Wyoming Surgery Casper – Jim Anderson, MD Cody/Powell – Nathan Rieb, M D Cheyenne – Take Pullos, MD Gillette – Rodney Biggs, M D Emergency Medicine Jackson – Will Smith, MD Family Medicine Cheyenne – Doug Parks, MD Casper – Beth Robitaille, MD Anesthesiology Cheyenne – Thor Hollingbye, ME 3 Cardiology Casper – Wesley Hiser, MD Dermatology Casper – Scott Bennion, MD Child Psychiatry Casper – Stephen Brown, M D Radiology Powell – Lawrence Dirkson, MD Casper – Joseph McGinley, MD Infectious Disease Casper – Mark Dowell, MD Wyoming Office for Clinical Medical Education The Wyoming Office for Clinical Medical Education, under the direction of Larry E. Kirven MD, is responsible for all Wyoming-­‐based clinical activities for WWAMI medical students. The office works in close coordination with the WWAMI Medical Education Program at the University of Wyoming, The University of Washington and the Wyoming Medical Society. Together these groups help determine policy for medical education in our state. The office works as a team with the WWAMI Task Force of the Wyoming Medical Society and other groups to promote appropriate clerkships, electives and development of graduate medical education programs in Wyoming. Wyoming WWAMI 2016 2015-2016 UNIVERSITY OF WYOMING
WWAMI FACULTY
WWAMI science faculty members work with physicians and other clinicians through the year planning curriculum and collaborating with others across the WWAMI region. Most of the Wyoming WWAMI science faculty teach primarily in their home departments and their instruction in WWAMI occurs on a voluntary overload basis. The exception to this is our clinical anatomist, Dr. Alison Doherty. The physicians and other clinicians involved with teaching science m aterial are contracted on an individual basis. We are grateful for the efforts and dedication of our entire WWAMI faculty! Foundations Integrated Science Block Leader Block Name Pam Langer, PhD Molecular & Cellular Basis of Disease Gerry Andrews, PhD Invaders & Defenders Alison Doherty, PhD Circulatory, Pulmonary, Renal Systems Jonathan Fox, PhD Blood & Cancer Brenda Alexander, PhD Energetics and Homeostasis Thread Leader Thread Alison Doherty, PhD Human Form and Function Alison Doherty, PhD Histology Jonathan Fox, PhD Pathology Sreejayan Nair, PhD Pharmacology Theme Leader Theme Carolyn Pepper Systems of Human Behavior Tim Robinson, PhD Biostatistics, Epidemiology and Life Long Learning
Foundations Clinical Skills College Faculty Yvette Haeberle, M.D. – College Head John Haeberle, M.D. Amanda Johnson, M.D. Ken Robertson, M.D. Hospital Teaching Julie Carlson, M.D. Marty Carlson, M.D. Lars Peterson, M.D., F.A.C.P. Ken Robertson, M.D., F.A.C.P. Specialty Family Medicine Family Medicine OB/Gyn Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine In addition to learning foundational science as it applies to medicine (i.e. integrated science), the first year students are taught foundations of clinical medicine. Foundational clinical skills are taught in four small groups – each with five m edical students that are mentored by a physician (i.e. college faculty member) and a hospitalist that teaches clinical skills at the bedside. Students meet with their college faculty mentor on odd weeks and with their hospitalist on even weeks. The mentoring that these physicians provide for our students is expected to continue through the entire four years of m edical school. 4 1st Year Preceptors Debra Anderson, MD John Bragg, MD J.J. Byers, MD Mike Comly, MD Carol Fischer, MD John Haeberle, MD Amy Jo Harnish, MD Brian Horst, MD Cara Johnson, MD Travis Klingler, MD Daren Mikesell, DO Jonathon Medina, MD Daiva Olipra, MD Gary Pearson, MD Carissa Pereda, MD Carol Schiel, MD Amy Tortorich, MD Kim Westbrook, MD Carol Wright, MD Katarzyna Zarzycki, MD Laramie and Cheyenne physicians donate their time to serve as Primary Care Clerkship preceptors. 1
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Wyoming WWAMI 2016 Pipeline – AHEC
The Wyoming Area Health Education Center’s (AHEC) mission is to increase the supply, distribution, and retention of health care providers in order to increase access to quality healthcare, especially in areas of need. Programs and services offered through Wyoming AHEC are community based and focus on community educational partnerships. Wyoming received $76,500 in federal grant funds for the period from September 1, 2014 – August 31, 2015. These funds were used for recruitment and retention activities of health professions students and residents; for encouraging health professionals to locate in rural communities; and for several healthcare career pipeline programs. AHEC sponsored a summer camp for high school students. The fifth annual AHEC Healthcare Careers Summer Camp was designed to expose students to the wide variety of healthcare careers available in Wyoming. This unique camp was made possible through partnership with Ivinson M emorial Hospital, Laramie County Community College, the Wyoming State Office of Rural Health, UW College of Health Sciences, the Wyoming Center for Nursing and Health Care Partnerships, and Wyoming WWAMI. Sixty-­‐six high school students from 27 Wyoming communities attended one of two six-­‐
day residential camps on the UW campus. This was also the fourth year that AHEC coordinated the High School Healthcare Career Fair in Casper. More than 450 students from 25 high schools attend the day-­‐long event. R/UOP (Rural/Underserved Opportunities Program) is for WWAMI students finishing their first year of medical school. Students spend four weeks working with rural physicians. The purpose of the program is to encourage medical practice in rural communities by providing students with hands-­‐on experience in clinical practice and intimate exposure to a rural community. It provides students with an opportunity to discover how patients receive health care away from the highly specialized resources of the academic medical center in Seattle. Participants ~ 2015: Lydia Clark -­‐ Buffalo Rozanna Fang -­‐ Powell Rage Geringer -­‐ Douglas Andrea Habel -­‐ Douglas Levi Hamilton -­‐ Gillette Caroline Jackson -­‐ Powell Tricia Jensen -­‐ Thermopolis Morgan Johnson -­‐ Buffalo Sarah Koch -­‐ Gillette Katelyn Miller -­‐ Jackson Galen Mills -­‐ Powell Brittany Myers -­‐ Pinedale Justin Romano -­‐ Torrington Danielle Shepherd -­‐ Lander 5 WRITE (WWAMI Rural Integrated Training Experience) is a unique program that promotes and emphasizes rural healthcare to medical students in their third year of medical education. Only 15-­‐20 students from each WWAMI class of approximately 216 students are accepted into the WRITE program each year. The WRITE students complete 22 weeks of their third year of medical school in one rural community. During this time they complete Family Medicine and portions of the Pediatrics, Internal Medicine and Psychiatry requirements. At the end of the WRITE experience the students are extremely comfortable with the practice of medicine in a rural environment. Wyoming’s WRITE Sites are located in Powell, Lander and Douglas where a large number of physicians and other healthcare professionals participate in training our future physicians. This clinical program for all third-­‐year WWAMI students brings them to Wyoming when they do their third year clinical rotations. This program is available for up to six students per year. Students may come from any of the WWAMI states, and they qualify for the program if they do five or more of their six required third-­‐year clerkships in Wyoming. The Wyoming Regional Clinical Dean’s Office makes final selection, and students participating in the program receive preference for their required clerkships. Each student also receives a $2,000 dislocation allowance. This program will promote the practice of medicine in rural Wyoming and will eventually increase t he n umber o f physicians in our state. Kelly Baxter – Cheyenne
Craig B. Luplow – Sheridan
Arla Mistica - Wheatland
~ 2015-
Wyoming WWAMI Office “Clinical Education” 122 E. 17th Street Cheyenne, WY 82001 Phone: 307-­‐432-­‐9264 Fax: 307-­‐632-­‐1973 Cell: 307-­‐217-­‐2892 kirvel@uw.edu Larry E. Kirven, MD Assistant Clinical Dean Wyoming WWAMI WWAMI Medical Education Program University of Wyoming 1000 E. University Ave., Dept 4238 Phone: 307-­‐766-­‐2497 Fax: 307-­‐766-­‐2492 TJRobin@uwyo.edu WEBSITE: www.uwyo.edu/wwami Timothy J. Robinson, Ph.D. Director Wyoming WWAMI Shadowing Opportunities Applicants to the Wyoming WWAMI Program have traditionally had strong academic records; however, many of the applicants have not had sufficient exposure to medical practice situations during their undergraduate years. The UWSOM requires medical school applicants to complete a minimum of 40 hours of shadowing experience with a physician. Wyoming applicants not obtaining this minimum level of shadowing enter the medical school application process at a disadvantage. TRUST in Wyoming The Wyoming WWAMI program began officially participating in TRUST (Targeted Rural Underserved Track) which is a program that encourages students interested in working in rural and underserved communities in the WWAMI region. All WWAMI states participate in the TRUST program. Three students from the E2015 class are participating as scholars in the TRUST program, Kayla Morrison, Powell; David Wilson, Lander and Isaac Wentz in Douglas. The Wyoming WWAMI program will currently accept up to three students into the program every year. Also as part of the TRUST program, a class in Rural Healthcare Delivery has been added to the elective curriculum. Since summer 2012, AHEC and the Wyoming WWAMI Program have worked with Cheyenne Regional Medical Center (CRMC) to establish a successful physician-­‐
shadowing program. The Wyoming WWAMI program is also grateful for the dedicated service of physicians around Wyoming, who provide shadowing exposure, which provides invaluable clinical exposure for students as well as granting students an advantage when applying to medical school. Furthermore, these shadowing experiences will foster student interest in the practice of m edicine.