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A Model Partnership for Medical Education: Implications for Other Practice-Oriented Community Outreach Programs

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(1)

A Model Partnership for Medical

A Model Partnership for Medical

Education: Implications for Other

Education: Implications for Other

Practice

Practice

-

-

Oriented Community

Oriented Community

Outreach Programs

Outreach Programs

Terry

Terry Bahn, Bahn, EdDEdD

The Ohio State University College of Medicine The Ohio State University College of Medicine

Gerard

Gerard “Jerry“Jerry”” D. KleinD. Klein

President & CEO, Bucyrus Community Hospital President & CEO, Bucyrus Community Hospital

(2)

What is a partnership?

(3)

a close mutual cooperation between

a close mutual cooperation between

parties having common interests,

parties having common interests,

responsibilities, privileges and

responsibilities, privileges and

power.

power.

Campus Community Partnerships for Health (CCPH) Campus Community Partnerships for Health (CCPH)

(4)

Keys to Successful Partnerships

Keys to Successful Partnerships

CCPH

CCPH

„

„ Clear and open communicationClear and open communication „

„ Trust, respect, genuineness and commitmentTrust, respect, genuineness and commitment „

„ Partners have agreed upon mission, goals, and Partners have agreed upon mission, goals, and

values values

„

„ Builds upon identified strengths and assetsBuilds upon identified strengths and assets „

„ Balance power and enable resources to be Balance power and enable resources to be

shared shared

(5)

„

„ Expectations are established with input and Expectations are established with input and

agreement by the partners agreement by the partners

„

„ Feedback to and from the stakeholders are Feedback to and from the stakeholders are

shared for continuous improvement shared for continuous improvement

„

„ Partners share credit for accomplishmentsPartners share credit for accomplishments „

„ Partnerships take time to develop and evolve Partnerships take time to develop and evolve

over time over time

(6)
(7)

Chronology

Chronology

„

„ November 2000 November 2000 ––

„

„ First site visit to BCHFirst site visit to BCH

„

„ Original affiliation agreement signedOriginal affiliation agreement signed

„

„ February 2001 February 2001 –– Dr. Hope (Internal Med)Dr. Hope (Internal Med)

„

„ July 2001 July 2001 –– Dr. Johnson (Family Med)Dr. Johnson (Family Med)

„

„ August 2004 August 2004 –– Dr. Harris (Internal Med)Dr. Harris (Internal Med)

„

„ September 2004 September 2004 –– agreement amendedagreement amended

„

„ October 2004 October 2004 ––

„

„ Dr. Frazier (Cardiology)Dr. Frazier (Cardiology)

„

„ Plaque presented at BCH Board MeetingPlaque presented at BCH Board Meeting

„

(8)

AMMENDED AFFILIATION AGREEMENT FOR

AMMENDED AFFILIATION AGREEMENT FOR

UNDERGRADUATE MEDICAL EDUCATION

UNDERGRADUATE MEDICAL EDUCATION

BETWEEN THE OHIO STATE UNIVERSITY

BETWEEN THE OHIO STATE UNIVERSITY

COLLEGE OF MEDICINE & PUBLIC HEALTH AND

COLLEGE OF MEDICINE & PUBLIC HEALTH AND

BUCYRUS COMMUNITY HOSPITAL

BUCYRUS COMMUNITY HOSPITAL

This Amended Agreement substitutes for and takes the place of th

This Amended Agreement substitutes for and takes the place of the Agreement e Agreement between the parties dated November 1, 2000. The Amended Agreeme

between the parties dated November 1, 2000. The Amended Agreement is made and nt is made and entered into as of September 15, 2004 between The Ohio State Uni

entered into as of September 15, 2004 between The Ohio State University College of versity College of Medicine and Public Health, hereafter "OSU

Medicine and Public Health, hereafter "OSU--COM" and Bucyrus Community COM" and Bucyrus Community Hospital hereafter

Hospital hereafter ““BCH.BCH.”” 1.

1. OSUOSU--COM is responsible for the educational program of all undergraduCOM is responsible for the educational program of all undergraduate ate students enrolled in the College of Medicine and Public Health.

students enrolled in the College of Medicine and Public Health. This educational This educational program consists of basic science and clinical medicine componen

program consists of basic science and clinical medicine components. OSUts. OSU--COM COM seeks to enrich their educational program by the use of the faci

seeks to enrich their educational program by the use of the facilities of BCH.lities of BCH. 2.

2. BCH is an institution for the care and treatment of sick personsBCH is an institution for the care and treatment of sick persons. BCH believes . BCH believes that its patient care programs will benefit from the direct asso

(9)
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(11)
(12)
(13)
(14)
(15)
(16)
(17)
(18)

What Makes It Work?

What Makes It Work?

„

„ Shared valuesShared values „

„ BCHBCH’’ss great natural teachers and great natural teachers and OSUOSU’’ss

motivated learners motivated learners

„

„ Supportive hospital administrationSupportive hospital administration „

„ Regular communication Regular communication „

„ Frequent site visitsFrequent site visits „

(19)

Benefits for the Hospital

Benefits for the Hospital

„

„ Potential for future practitionersPotential for future practitioners „

„ Favorable public perceptionFavorable public perception „

„ Stimulus for continuing education of medical Stimulus for continuing education of medical

staff and others staff and others

„

(20)

Benefits to OSU/Med Students

Benefits to OSU/Med Students

„

„ Minimum of 12 student placements for monthMinimum of 12 student placements for month-

-long clinical rotations per year long clinical rotations per year

„

„ Favorable public perceptionFavorable public perception „

„ Unique but essential clinical experiencesUnique but essential clinical experiences „

(21)

Tangible Benefits

• Teaching

• Housing and meals • PC and med texts • Hospital recognition • Recognition of

(22)

Recognizing Physicians

The Ohio State University College of Medicine

hereby recognizes

Michael A. Johnson, M.D.]

As a volunteer Clinical Assistant Professor

Daniel M. Clinchot, MD

Associate Dean for Medical Education

September 1, 2005

(23)

Student Evaluation Comments

Student Evaluation Comments

„

„ ““Wonderful office culture and environment. Eager to show any Wonderful office culture and environment. Eager to show any

pertinent findings and relate diagnoses to the patient as a whol

pertinent findings and relate diagnoses to the patient as a whole. e. Encouraged independent evaluations. Very receptive to

Encouraged independent evaluations. Very receptive to

questions. Very understanding to students' needs.

questions. Very understanding to students' needs.”” „

„ ““Dr. Harris was very enthusiastic about teaching, which made Dr. Harris was very enthusiastic about teaching, which made

learning fun. He also catered topics to my needs and I really

learning fun. He also catered topics to my needs and I really

appreciated that.

appreciated that.”” „

„ ““[Dr. Frazier] taught more than any preceptor I have had so far. [Dr. Frazier] taught more than any preceptor I have had so far.

Found relevant articles for me to help in my understanding,

Found relevant articles for me to help in my understanding,

always encouraged and answered questions. A very good role

always encouraged and answered questions. A very good role

model, both staff and patients respected and liked him.

(24)

Preceptor Evaluation Comments

Preceptor Evaluation Comments

„

„ ““She is intellectually strong with a solid basic She is intellectually strong with a solid basic

understanding of physiology and basic medical

understanding of physiology and basic medical

processes. She reads basic texts avidly. Further, she

processes. She reads basic texts avidly. Further, she

energetically does library work to gain a deeper

energetically does library work to gain a deeper

understanding of medical conditions. She is

understanding of medical conditions. She is

intellectually strong but not at the expense of

intellectually strong but not at the expense of

interpersonal relationships.

interpersonal relationships. AmitaAmita interacts comfortably interacts comfortably

with patients and professional personnel.

with patients and professional personnel.””

„

„ ““Good notes. Excellent history taking. He is good at Good notes. Excellent history taking. He is good at

asking questions to understand what I was thinking. He

asking questions to understand what I was thinking. He

is assertive in a positive way.

(25)

Other quality indicators

Other quality indicators

„

„ Longevity of preceptor participationLongevity of preceptor participation „

„ 2/4 preceptors received special recognitions2/4 preceptors received special recognitions „

„ Students rank BucyrusStudents rank Bucyrus „

(26)

Keys to Successful Partnerships:

Keys to Successful Partnerships:

The Scorecard

(27)

“He describes the small town of Bucyrus as a He describes the small town of Bucyrus as a

Norman Rockwell painting, complete with the Norman Rockwell painting, complete with the

warm, friendly faces and the simplistic values of warm, friendly faces and the simplistic values of

a patient, hard

a patient, hard--working society. He has served working society. He has served in this community, shadowing the small

in this community, shadowing the small--town town doctor and learning from him what medicine doctor and learning from him what medicine

should look like. He became one of them and should look like. He became one of them and

hopes one day to return. hopes one day to return.””

Bucyrus Telegraph

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