3/30/2016 AMA’s Accelerating Change in Medical Education: + Creating the medical school of the future A Novel 6 Year Pathway From Medical School to Practice Hillary Campbell MD MSPH General Internal Medicine Kaiser Permanente Shared goal (strategy): + to produce more (and better ) PC physicians CA Physicians � Mal-distribution of health � Admit students likely to pursue PC (First Who) workforce and primary care shortage � Prioritize critical PC skills (communication eg MMI) � Majority-minority state � Immerse students in rewarding, longitudinal PC environment � Reduce student debt eg scholarships � Bridge the 6 year UME-GME continuum by leveraging longstanding partnership between Kaiser Permanente and UC Davis 1
3/30/2016 21 st Century Primary Care Physicians (faster and better) Faster Faster Better Better � 3-year bi-weekly continuity � Start 6 weeks early clinic at Kaiser Permanente � Continue through summer � Longitudinal panel � Most of the eliminated � Panel management, team weeks are in MS4 year care, patient satisfaction, � No need for GME chronic illness management interviews or audition � UME linked to GME in PC-IM rotations or Family Medicine � Longitudinal Integrated Clerkship ACE-PC Admissions Linking UME and GME � Grounded in long-term relationships between Kaiser Permanente and UC Davis (e.g. MedHUB, summer rotations, interviews, supporting clinical teachers) � Started in IM. Expanded to Family Medicine. Will UCDSOM ACE-PC expand to Psychiatry and beyond. � Holistic review � 6 (of 110) students per year � Multi-Mini Interview (MMI) � Academically excellent � Using IM milestones � 110 students/class � Meaningful experience in PC � Apply same review to GME? (e.g. Kaiser practice � Over 45% of students under- � Secondary application essay represented in medicine or � Accepted to 4 year program first survey) disadvantaged � 2 nd interview with residency � 40% of graduates choose PC program directors residency 7 2
3/30/2016 + ACE-PC Team Kaiser Permanente UC Davis � Roderick Vitangcol MD: Assistant � Tonya Fancher MD MPH: Director Physician in Chief � Mark Henderson, MD: Co-Director � Ted O’Connell MD: Napa/Solano � Patricia Gonzalez MA Ed: Manager Family Medicine Program Director � Zach Holt MD: Primary Care Program Director � Danny Sam MD: CHOICE Primary � Kay Nelsen MD: Family and Care Residency Director Community Medicine Program Director � The Permanente Medical Group ACE-PC Scholars 3
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