Medical Education at CCHS: Presentation for Delaware Healthcare Commission

Neil Jasani, MDVP, Academic Affairs

Lisa Maxwell, MDDirector, Undergraduate Medical Education

11,000+ Employees

1,500 + Medical-Dental staff

We are a small state, but…..

Among hospitals in the United States17th in admissions20th in emergency visits23rd in total surgeries

Among hospitals on the East Coast 10th in admissions10th in emergency visits11th in total surgeries

Great Clinical Experience279 Residents & Fellows

18 residencies6 fellowships

Medical, NP, PA, Pharmacy, Podiatry and Allied Health students

Over 20 Residency & Over 20 Residency & Fellowship Programs 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)

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)

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)

Medical/PA/Pharmacy Students

3%13

Medical Students:

64%190

26%76

145%

114%

72%

NP students

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

Schools University of Delaware Wilmington University Penn State Immaculata College Drexel  

 

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

Diagnostic Medical Sonography

24

Histotechnology 12

Radiologic Technology 44

Nuclear Medicine 16

Physical Therapist Assistant 32

Respiratory Care 30

Allied Health: 2012-2013

146 students across all programs 14 Program Coordinators and Instructors

Jefferson DE Jefferson DE CampusCampus

Overview of Medical SchoolYears 1 &

2

Years 3 & 4

Basic ScienceLectures / Small

GroupsSome Clinical Experiences

Clinical RotationsInpatient / Outpatient

Some Basic Science

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.

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

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).

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

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

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.

Advantages of Branch Campus

For DE:

Engaged / invested learners

Potential pipe-line

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

DE Connection

DE Connection - Total

DIMER Students and the DE Branch Campus

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

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

Path Forward

Explore expansion of clinical opportunities in DE

Inter-Professional training DHSA Rural Rotations