Medical Education at CCHS: Presentation for Delaware Healthcare Commission

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Medical Education at CCHS Presentation for
Delaware Healthcare Commission

• Neil Jasani, MD
• VP, Academic Affairs
• Lisa Maxwell, MD
• Director, Undergraduate Medical Education

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11,000 Employees 1,500 Medical-Dental staff
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We are a small state, but..

• Among hospitals in
• the United States
• 17th in admissions
• 20th in emergency visits
• 23rd in total surgeries

• Among hospitals on the East Coast
• 10th in admissions
• 10th in emergency visits
• 11th in total surgeries

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Great Clinical Experience

• 279 Residents Fellows
• 18 residencies
• 6 fellowships
• Medical, NP, PA, Pharmacy, Podiatry and Allied
  Health students

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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)

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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)

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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)

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Medical/PA/Pharmacy Students
3 13
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Medical Students
7 2
11 4
14 5
26 76
64 190
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NP students

• 2011-2012

• Schools

• 7/2011-6/2012 81 students
• 7/2012- Present 59 students

• University of Delaware
• Wilmington University
• Penn State
• Immaculata College
• Drexel  
•  

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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

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Allied Health 2012-2013

• 146 students across all programs
• 14 Program Coordinators and Instructors

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Jefferson DE Campus
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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
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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.

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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

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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).

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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

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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

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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.

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Advantages of Branch Campus

• For DE
• Engaged / invested learners
• Potential pipe-line

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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

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DE Connection
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DE Connection - Total
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DIMER Students and the DE Branch Campus
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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

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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

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Path Forward

• Explore expansion of clinical opportunities in
  DE
• Inter-Professional training
• DHSA
• Rural Rotations