Heroes in Medicine and Beyond

Something More  - what do Nobel peace prize winners Wangari Maathai (Only east African female) and Martin Luther King (youngest male winner) have in common with William Wilberforce and Susan LaFleshe Picotte who would have been excellent Nobel choices  Something More also includes several Nobel prize winners

Dan Marien Health Professional Advisor

Community Medical Outreach Model - want to change students before admission and change admissions and improve the quality of medical training and awareness of those in most need of care, try out this model (Heravy and Bertram) or 'A novel resource model for underprivileged health support: Community Medical Outreach' http://www.rrh.org.au/articles/showarticlenew.asp?ArticleID=668

Rural docs who once were Physician Shortage Area Students at Jefferson - we can do more than bandaids See how we can get doctors who not only go to rural areas, they stay there and impact entire regions.

FAMILY PHYSICIAN OF THE YEAR RECIPIENTS 1977 - 2004  Eric Ossowski in 2004

Susan LaFlesche Picotte   first female native physician, always available, always caring, caught between cultures, she was a force for moving her people into the new century as well as advocating for their needs, an ultimate rural doc, she fits as a role model for all Community Driven Approach: Linking Resources with True Needs and she fits with Nobel prize winners  Something More

Remembering Dr. Paul Brand, by Colson

FAMILY PHYSICIAN OF THE YEAR RECIPIENTS 1977-2002

The Perpetual Student 3 of my favorite heroes and how they learned

Katherine Flored - Fresno Doctor

Rabinowitz Howard

Boyer Links and Presentations  AAFP's first doctor of the year, and more - the best motivational speaker for those who would become rural docs....

Teach For America  Khalil Murrell, sometimes the choice not to be a doctor is important, especially the choice to be a teacher

Do you know who Marcus Welby was

Special heroes in our society

The new CCPH Featured member is Adam Gordon, core faculty member, and director of detoxification services, of the Program for Health Care to Underserved Populations (PHCUP) within the Division of General Internal Medicine at the University of Pittsburgh School of Medicine. As a medical student in the early 1990s, Adam was one of the first trainees in a partnership between Pitt Medical School and the Salvation Army – now he’s helping to lead it. The experience of going from being a mentee to being a mentor in the partnership gives him an invaluable perspective that he now freely shares with the students he trains. When Adam talks to them about seeing himself as a community member first and a doctor second, they understand that he is not just pursuing a career but a passion. Sometimes students, colleagues and even patients are surprised by his attitude but more often they are energized by it. Therefore, it is no wonder why he was recognized by the Pittsburgh Post-Gazette in 2001 as one of the "Dozen Who Are Making A Difference" and received the American Medical Association’s Young Physicians Section, 2001 Community Service Award. Of course, he merely shrugs the praise off, "The recognition that I have individually achieved is but a measure of the support of others around me."    http://futurehealth.ucsf.edu/ccph/featuredmember.html.

John Klein: PRIME Developer - the student become the master

Delays in recognition have not been uncommon in medical developments

Dr. George Papanicolaou, a dedicated researcher

Haitian Doctor - lack of infrastructure is no excuse

Eric Liddell, Missionary to China http://www.eric-liddell.org/www.eric-liddell.org/current/eric/biography.html

Rural Doc is AAFP Winner 2002 Doc of year

Andy Nichols - Faculty, Legislator, Office of Rural Health, Advocate

The Invisible Faculty by Joseph Hobbs, M.D.  the ultimate preceptor network and visits

Charles Drew, physician and researcher - a great man and great efforts in challenging times

Osler and Rural Practice - words and deeds still ring true today

Flexner’s Impact on American Medicine - remember what he did and thought, not what others tell you and use for their own purposes

Jack Verby for his work on Doctor patient relationship instruction, longitudinal curricula, rural physician associate program, relations between rural and academic communities, economic impact on rural Minnesota of program, impact on rural health system development by gathering docs together in groups next to hospital so they could teach better, evaluation of medical education programs in primary care (changing the framework and perspective favorable to pc), research on medical education, change agent for medical education, mentorship Jack Verby, his accomplishments and articles

STFM Award Winners at http://www.stfm.org/awards/winners.html

Paul Fischer - I admire him for his work as an FP and editor and academic and how he handled injustice in the cause for better health vs tobacco. Same for Alan Blum. Paul description at http://www.cpcfamilymedicine.com/pfisher.htm

Other heroes  Yvonne Bezerra de Mello

Eva Salber http://communityhealth.mc.duke.edu/Education/Salber.htm

Ivan Illich challenges institutionalization of the poor no more, in person

Gassis, Bishop of Sudan

Reflections on Predoc Influentials

Verby, see above

Joe Hobbs - leadership, example of working with preceptors, linkages between rural and academic communities, Invisible Faculty article - my handbook for rural visits with preceptors, always willing to listen and talk for whatever time The Invisible Faculty by Joseph Hobbs, M.D.   Hobbs Joe

Jeff and Marge Stearns efforts in predoc, meeting planning, admissions work, admissions research, continued involvement  Rockford Rural Health Needs Challenge Doctors

Howard Rabinowitz - research on rural background and FP interest, leadership in predoc and UME 21 Rabinowitz Howard

Don Madison - studies on rural characteristics, service orientation characteristics, admissions, rural health     Madison

Don Pathman - all kinds of recruitment and retention studies

Also Robert Blake for his example of confidence.

The Charles Schulz theory: You don't actually have to take the quiz. Just read the email straight through, and you'll get the point, an awesome one, that it is trying to make! Take this quiz: 1. Name the five wealthiest people in the world. 2. Name the last five Heisman trophy winners. 3. Name the last five winners of the Miss America contest. 4. Name ten people who have won the Nobel or Pulitzer prize. 5. Name the last half dozen Academy Award winners for best actor and actress. 6. Name the last decade's worth of World Series winners. How did you do? The point is, none of us remember the headliners of yesterday. These are no second-rate achievers. They are the best in their fields. But the applause dies. Awards tarnish. Achievements are forgotten. Accolades and certificates are buried with their owners. Here's another quiz. See how you do on this one:1. List a few teachers who aided your journey through school. 2. Name three friends who have helped you through a difficult time. 3. Name five people who have taught you something worthwhile. 4. Think of a few people who have made you feel appreciated and special. 5. Think of five people you enjoy spending time with. 6. Name half a dozen heroes whose stories have inspired you. Easier? The lesson: The people who make a difference in your life are not the ones with the Most credentials, the most money, or the most awards. They are the ones that care. Pass this on to those people who have made a difference in your life. "Don't worry about the world coming to an end today. It's already tomorrow in Australia." --- Charles Schulz

Others at http://www.homeofheroes.com/

www.ruralmedicaleducation.org

Links and Stories from Google News Search on Rural Medical Education

Lapwai woman finds success on the basketball court, then in medical school
http://www.idahostatesman.com/Story.asp?ID=58812Lapwai woman finds success on the basketball court, then in medical school

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COEUR D´ALENE — Dr. Kim Cunningham-Hartwig never thought about the odds.
A Nez Perce from Lapwai, in a country where only 54 percent of American Indians finish high school, she graduated with honors.

And though many of her peers didn´t go on to college, Cunningham-Hartwig´s grades and desire to play basketball landed her a full-ride scholarship at Loyola Marymount University in Los Angeles.

After majoring in biochemistry, she took the same rigorous approach toward medical school, passing grueling exams and gaining entry to the University of Washington medical program in 1997.

Cunningham-Hartwig became a doctor last year, and today is one of only a few hundred American Indian medical doctors in the country. She is the only doctor from her tribe.

“Basketball is what ultimately prepared me for life,” she said.

Thousands of hours of practice, and winning, losing and living with high expectations helped her succeed. She also credits her community and family for their encouragement.

“She never did think there was an obstacle in her way,” said Bill Picard, a Nez Perce Tribal Executive Committee member and the tribe´s education liaison.

 

Dr. Virginia Daugherty Kratz, medical pioneer
Virginia Daugherty Kratz was a third-generation physician who was one of the first female public health officers in Kentucky.

Dr. Kratz, 80, a native of Independence and resident of Southgate, died Saturday at St. Luke East Hospital in Fort Thomas.

Dr. Kratz graduated from the University of Cincinnati School of Medicine in 1947 -- one of nine women in her class -- and spent a year as a public health official in Florida. As a 24-year-old med school graduate, she then returned to Kentucky as the public health officer in Owen and Grant counties, becoming only the second woman in the state to hold such a position, said her daughter, state Sen. Katie Stine, R-Fort Thomas.

There, she was known as "the lady doctor" to her patients.

As time went on, Dr. Kratz's territory expanded to include Gallatin, Pendleton and Boone counties.

"I think it started out a couple of counties and then it kept adding and adding. She'd go in and ask for a raise, and they'd give it to her, but they'd give her more counties, too," Stine said. "She was tough. She was real tough."

Dr. Kratz learned to be tough early. Her father sent her to dance, art and acrobatics classes in Covington every Saturday to hone her cultural skills. Stine said her grandfather didn't want his children to be looked down on as rural hillbillies from Kentucky when they went off to college.

But that's what people thought anyway, Stine said. Her freshman year at UC, Dr. Kratz tried out for the elite chorus line. As she walked to the stage to audition, Stine said, her mother's colleagues snickered a bit.

But the tap-dancing skills she learned from those Saturday classes in Covington kicked in.

"She absolutely burned up the stage," Stine said. "And all those Cincinnati girls -- the snooty ones -- their jaws just dropped to the floor."

Dr. Kratz made the squad.

Then, during her first year of medical school, Dr. Kratz's father died, leaving the family strapped for cash. Although Dr. Kratz's father was a well-known and respected physician, the family was not well-to-do, Stine said.

"Times were tough because they weren't well off," Stine said. "Back then, people would pay for their medical bills with a sack of potatoes."

Dr. Kratz's mom went to work for the phone company and Dr. Kratz went to work in a lab to help pay for her school.

"She'd eat a candy bar for dinner just because she didn't have the money," Stine said. "I'll tell you what, my mother is what you call a self-made woman. She really is."
More at
http://www.kypost.com/2004/01/19/kobits011904.html

Australia leads the way in national efforts to address rural health needs.  General Practice Workforce Plan for Rural and Remote NSW 2002-2012 : by Kirsty McEwin 12/9/03 This Plan projects the GP workforce requirements from 2002-2012 for RRAMA areas 3 to 7 in NSW..

Pakistan Medical and Health Situation Update at http://www.dailytimes.com.pk/default.asp?page=story_20-1-2004_pg7_9  for full story
According to government figures, more than 340 per 100,000 women die in Pakistan during pregnancy due to the unavailability of emergency obstetrical care. More than 80 percent of women give birth with the help of Traditional Birth Attendants (TBAs). Pregnancy complications (fistula, infertility, loss of uterus etc) is on the rise due to a lack of healthcare facilities for under-privileged women in cities and rural areas.

Medical education: The provincial governments’ policy regarding admissions to medical colleges remains poor. More women doctors are being trained with a long-term impact on the health delivery system. At the same time, provincial governments have a liberal policy regarding private medical colleges in all the four provinces. Low-quality medical education is available for high fees. In a small number of medical colleges in the government sector, especially in Balochistan, Sindh and NWFP, medical education is below standard and these colleges require immediate intervention.

No structured postgraduate teaching: Teaching hospitals in the public sector with the exception of a few departments had no structured postgraduate teaching programme and a majority of postgraduate students work unsupervised or with little supervision. Provincial health departments have no plans, understanding or a vision to solve chronic problems related to medical education and the postgraduate training. On the intervention of the College of Physicians and Surgeons of Pakistan (CPSP), the government fixed stipends for doctors but hospitals did not pay for obligatory training workshops and examinations.
 

rcbowman@atsu.edu

www.ruralmedicaleducation.org

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