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Tuesday, July 27.1976
University Daily Kansan
Institute offers cities help
By KENNA GIFFIN
Behind a rather formidable title, the Institute for Public Affairs and Community Development offers programs that help governments and community groups in Lawrence, Topeka and other cities in Kansas.
Gary Wamsley is the director of the institute, which is part of the Division of Continuing Education at the University of Kansas.
A recent project, according to Wamsey, was helping Penn House, a neighborhood service center in Lawrence, build an information referral system. The system keeps track of where a person can go for help in Lawrence. Records of which agency provided the service are stored in House's ability to refer people to an agency that can help them immediately, he said.
WAMSLEY SAID the institute had been involved in finding new techniques for passing the general education degree (GED), the equivalent of a high school diploma. He then determined the degree of competency in several general areas of knowledge.
The standard approach had been for a high school teacher to give the tests. That approach, however, tended to intimidate people taking the tests, Wamsley said.
In the new method, people who share the low income and limited educational backgrounds of LED candidates are trained as peer helpers to aid candidates in studying for the tests, he said. The peer helpers also administer the tests.
An example of work done with a city government training program for the city of
THE INSTITUTE helped overhaul the personnel system and start a program to increase job satisfaction among Leavenworth city employees. The city also wanted to increase citizen participation in government. Warnsley said.
One problem was that the planning commission and the city council weren't cooperating as they might have been, he said. Members of both bodies were taken on
at city council meetings. She said, "We sit right in front so the first thing they see when they look out is all those beautiful brown faces."'' he said.
For two years Warnsley has worked with El Centro, the Topeña Mexican-American community center, on a leadership training program, where she have succeeded in at least one way, he said.
a -repeat and given exercises to help them learn about themselves and both groups
"One lady said she learned to take a group of Chicagoans and sit right down in front
Staff members of the institute come from different departments in the University, Wamsley said. They hold split applications with their departments and the institute.
Delegate surprised by Demo convention
By MELISSA STEINEGER
Staff Writer
Marlyn Kent, a Lawrence KU graduate student who attended the Democratic National Convention as an alternate to the Republican nomination, the giant gathering conducted its business.
"There wasn't anybody to listen to what I had to say. I expected that to be more pleasant."
Kent said that before the Convention she had expected it to be a "people's convention." That was her impression of the 1972 convention from watching television.
"It was as exciting as I expected it to be, but in a different way. I never felt so much like a cog—not even a cog, a speck of something," she said.
"MY EXPECTATIONS were really naive now that I look on it. The local caucus was very planned and controlled and I should have expected the national convention to be even more controlled, which it was," she said.
More than 60 delegates and alternates served from Kansas.
Kent was elected at the Douglas County caucus and then went to the congressional district caucus where she was elected as an alternate to vote for Morris Udall.
Kent described the convention floor as hot with people milling all around.
"It was real odd: nobody listened. An
THE PEOPLE on the floor usually ignored the speakers and made so much noise that it was hard for her to hear even when she was on the floor, she said.
"Now that I've been to a convention, I know there's a lot more than you see on television," she said. "The whole thing is a media show."
awful lot of inter-caucus talking went on," she said.
The Kansas delegation sat three rows from the podium on the center aisle. The alternate sections were in balconies overlooking the floor.
Kent said she spent part of the time on the convention floor and part in the alternate section, where she said, it was easier to hear.
KENT SAID she hadn't realized that things other than actual convention proceedings went on. She said she also knew the campus cursus and social gatherings.
Conference offers insights into court unification law
Judges' case loads will be equalized because everything previously filed with the four courts will be handled by the single district Court. Sammson said.
SAMPS*ON SAID the new law was an attempt to speed up the judicial process by equating case loads of judges and by implementing methods throughout the state uniform.
"A lot of people did sight-seeing," she said, but explained that she had already been to New York City and preferred to attend convention related activities as possible.
The court unification law, passed last legislative session, abolishes the County Court. Probatte Court, Small Claims Court or County Court system must be part of the District Court system
Accomplishing more with less was the subject of a recent seminar on Kansas Court unification attended by Douglas County District Court Clerk Sherwin Sammon.
Sampison said the conference offered insights into problems court clerks can expect when a new court unification law becomes effective January 10, 1977.
Sampson said Mike Elwell, juvenile.
county and probate judge for Douglas County, would become an associate district attorney.
When Elwell becomes a member of the District Court his case load will be divided among the two district judges in Douglas County.
Kent worked for Jerry Litton, D-Mo., in winding the wire after she finished from the University.
ASSIGNMENT OF the cases to judges will be the job of the administrative judge of each district. Administrative Judge Frank Gray of Douglas County District Court will also be responsible for establishing many of the specific procedures of his District Court. Gary establishes will be subject to review by the Kansas Supreme Court.
Also provided in the new law that unified the area courts was the creation of a Kansas Appellate Court. Appeals of lower court decisions now go directly to the Kansas Supreme Court. In 1977, appeals will be handled by the Appellate Court and then the Supreme Court.
"I think we can win. It will be a big struggle, but Carter has the support of the team."
HE SAID she thought that the Carter- Montclair ticket would win this fall if nothing else happened.
Kent will not work actively for the presidential ticket unless there is a specific job for her to do. She said she thought that the national campaign was well-staffed and that she wanted to work on the local level for women and minorities.
Stars mark emergency phones' locations.
5 emergency telephones installed
By DAVE STEFFEN Staff Writer
Installation of on-campus emergency telephone housing units will be completed by the following entities:
before fall semester, Harold Blitch, grounds supervisor, said yesterday.
THE UNIVERSITY DAILY
KANSAN
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Kansan Telephone Numbers
Newroom--864-4810
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Published at the University of Kansas daily August through May and Monday through Thursday during June and July except Saturday, Sunday and Holidays. Second-class postage paid at Lawrence, Kan. 60945. Subscription by mail are $ a semester or $1 a year in Douglas County and $1 a semester or $3 a year outside the county. Student subscriptions are $12.
The housing units, 10-foot aluminum poles topped by blue, high-impact crystals, were installed this week on the Potter Lake dam and on Irving Hill Road, adjacent to the Potter Valley Park. The housing units were installed at 16th and Sunflower, 13th and Outside and outside Bailey Hall.
Units across from Learned Hall on 15th and near the south entrance to 'X' Zone parking will be installed sometime in the next month in conjunction with law building facilities, for institution taking place on those sites. An eight unit will be placed at 14th and Alumni PI.
"ELECTRICAL WORK preliminary to telephone installation should be completed in the next 30 days," Richard Perkins, maintenance engineer, said. Telephone installation will follow and should be completed quickly, he said.
A red, luminous sign with the inter-
national telephone symbol
"emergency call" has designed
for the phones by Al Thomas, university landscape architect and site planer.
Thomas said the design had been drawn up but still needed to be approved and materials for its implementation worked well, but there were also other possibilities were being discussed.
John Thomas, director of police and parking, said the telephone receiver unit used by the emergency telephones is lifted from its receiver, the user will be in direct contact with a KU police dispatcher who knows the location of the unit used by signals from the receiver board.
The $4,000 phone system was recommended in a 1974 report by a University of Michigan computer group called Morgan. Delliberations on the system were begun by a Student Senate task force to discuss security measures following a series of 20 assaults at KU in the spring of 1975.
A special committee operated out of the Student Affairs office undertook the project in early 1975 and determined its final specifications this spring.
Doctors discuss state shortage of family physicians
By MARION ABARE
KANAS CITY, Kan.-Physicians, community leaders and administrators of the University of Kansas have become concerned recently with the age of physicians in family practice in the state.
Chancellor Archie R. Dykes named a task force last April to study the problem, headed by David Waxman, coordinator of the KU Medical Center's outreach programs.
The Kansan has conducted interviews with 22 faculty, students, physicians and others close to the problem, to find out what could be done to remedy the situation.
Q. How extensive is the need for physicians in Kansas communities?
**Physicians** Clearing House and Kansas Medical Society—Physicians' Placement list more than 200 community who have requested physicians. Examinated of these communities have less than 50,000 people.
There is general agreement that the main problem is vast patient overloads for physicians. Some physicians, who are approaching 90 and older, may not be able to practice in towns such as Alwood and Heworth.
In Rawlins County, two physicians, one 89 years old, serve 4,300 people. In Hawthorne, 14,000 people served by a doctor, one is 68. Gerald Alkire, administrator of the Hawthorne Community Hospital, says four family members served by a nurse.
Often patients must travel from 10 to 30 miles to have a broken arm set or a sore throat treated.
Q. Is it realistic to expect every Kansas town to have its own physician?
Johnson, a western Kansas town of 1,038, is grateful that a second doctor established practice there in April. The deseration of Goodland lessened when a physician arrived in the spring to increase the medical staff to four family physicians and one surgeon to care for 15,000 people.
Dykes says it can't realise. Family practice residents say they shun isolation from peers. An option they suggest is formation of a regional clinic or a community hospital to serve a cluster of towns.
Anywhere from a guaranteed $32,000 in Aftwood to the "sky's limit" in Ulysses, where a chamber of commerce official, Otis Wells suggests a physician could earn $50,000 annually. This comes with the income range in an urban area for a family physician of about $50,000 to $100,000.
Q. How much can the small town doctor expect to earn in a year?
D. Do communities give financial aid to medical students in exchange for commitments to practice
Yes. The Dane G. Hansen Educational Scholarship Foundation, Logan, Kansas, offers four grants to medical students. In return, the student, after completion of his professional training in family practice, internal medicine or pediatrics, practices in a medically-short community in one of northwestern Kansas counties. The students practice one year for each of financial aid received.
Alkire says Hiawatha offers two scholarships. One is being used by an osteopathic student and another is being held for a medical student. These scholarships are offered on a one for one basis.
Uysses is financing an American medical student in Guadalajara, Mexico, who has agreed to practice in the United States.
(Not all medical students can be accepted at KU. The Fifth Pathway Program allows students who complete medical school in foreign schools to be admitted to the completion of residences in Kansas, Dykes says.)
Q. What other entreaties do communities offer?
Pride blooms in each community. Goodland, Sabetia, Hiawata, Oberlin, Johnson and numerous small towns boast clinics or community hospitals.
Each town has the best schools, a great golf course, hunting and fishing according to their speeches.
However, many medical students have got aid however a community then changed their field of specialisation to take care of patients which they had to repay. The Hansen Foundation has had some repayment. Often the medical student was not well prepared for the job.
Q. To what extent do Kansas trained physicians leave the state to practice?
Sewenty-three family practice residence positions have been established since the early 70s at the Med Center.
Q. What is the picture for family practice physicians?
The Med Center and Wesley Medical Center, Wichita, each have eight positions in each of three
years filled for a total of 48 family physicians in training. St. Joseph's Hospital, Wichita, has six in each of three years for a total of 18. A new program at St. Francis Hospital, Wichita, has five in the first year and two second-year residents. Student records in Waxman's office showed of the 27 first year family practice positions in the state were filled by 1976 KU graduates.
Beginning about this time of year, medical students visit and interview at hospitals interesting to them. In January, students make their choices in order of preference. Hospitals do the same. A computer matches according to the highest two numbers. Most students get one of their choices.
Q. If Kansas needs physicians so badly, why aren't all the openings filled with Kansans?
The National Internship and Matching program is used nationally to pair medical students with hospital interns. Each student has a number of years, replaces the old "wait and see at the last minute"; method of residence selection.
Q. What is the match record for KU graduates in the Center family practice residence program?
Of eight positions for each year, three third year residents, four second year residents and six first
Q. Persons close to the physician shortage claim a tendency for teachers to practice near where they take their residences. Has Kusma lost the family member who are taking residences in other states?
Q. What is the demand for Med Center family practice residencies?
About 100 medical students applied for eight openings in 1978. Walker said.
Twenty-six graduates in 1976 chose to enter family practice. Three crossed the state line to Kansas City, Mo.; Iowa; 2; North Carolina; 1; Missouri; 2; Oklahoma; 1; Virginia; 1; and the 18 who stayed in Kansas.
Q. Where are other KU graduates taking family practice residencies?
Q. How do Med Center family practice residents are Kanans feel about staying in Kansas to pursue their dreams?
Not necessarily. Three first-year resident students, lifelong Kansans, have selected residences in other states to broaden their own interests. In their viewpoints, they choose good programs. One says a Kansas small town would definitely be considered as a practice locale.
Those interviewed said they would stay in Kansas.
Q. Will they choose rural areas for practice?
Probably not. Medium sized towns are preferred.
However, Wichita Branch branches weren't interviewed. So it wasn't learned whether they may need to build a new branch because they would practice in rural or western Kansas.
Q. Is income a factor to deter physicians from practicing in small towns or rural areas?
Generally, no. Family physicians thought they could earn a good living any place.
Q. Then why do physicians shy from practicing in rural communities?
The country doctor bears a moral and legal responsibility to his patients. They depend on him to be there when needed. One second-year residency student says the physician has a legal responsibility to cover the patients in his care. He gave an example: If Mrs. Smith was in his care for pregnancy and he wasn't there to deliver the baby or another physician wasn't available to cover, he would have to leave.
So, having another physician around as colleague back-up and friend is rated high by all the residents
Davis said it could be a nice blending of experience if a young doctor entered a community with more than one specialty. The difference could be an immeasurable gap of space and knowledge, particularly if the older doctor had been in a different practice.
The workload of being the only doctor can "run
him into the ground," Old said. He needs time off
for training.
Q. What do family physicians say would attract them to rural areas?
to recruit physicians in pairs, perhaps over a quarter of Q. How much influence does a physician's wife have?
David K. Rose, a second year resident, says, "If your wife is used to living in Los Angeles, she should probably leave."
Although national surveys say the wife's approval of a community isn't most important, the Kansas law provides that a woman's
Meanwhile many ongoing programs seek to fill the needs.
(it could be husbands' approval, but no women graduates in the class of 1976 entered family practice. The class of 200 entering the medical school in July comprised 149 males and 51 females. The future might bring another slant for family practice physicians.)
Through the Locum Tenens program, Med Center residents relieve a doctor anywhere in the state during illness, vacation, just a day off or to attend a continuing education program, Dykes
Any physician in the state can use the inwards WATS line to request help from faculty, Dykes says.
says. This helps up physicians and, he says, we "physicians" Clearing House in Topека identifies the needs. Regent James J. Basham has been using temmens to fill in for an ill participant Dykes said.
Wichita is training Physician Extenders. A PE is usually a registered nurse who has received special training to help augment services normally done by physicians.
At the national level, Sen. James B. Pearson, R Kan., has introduced legislation which would give Medicare reimbursement to patients treated by the extended nurses or physicians' assistants.
The Med Center's preceptorship program provides opportunity for advanced medical students to work with a doctor out in the state. This exposure to another community may place this community in consideration when the student is exploring practice opportunities.
Approval was recently received to increase the base size from 25 to 50 at the Wichita Branch municipal office.
Kuugel says 40 would be admitted to the January 77 class and the full class of 50 students would be invited. The 91 class would be admitted.
The most ambitious goal, announced recently by Dykes and Kugel, is to increase by 1890 the number of primary care residency positions in the state to 100.
The Kansas Legislature gave approval during the closing days of its last session to the Integrated Family Practice Residency Program (IFRPP). IFPRP will add 12 family practice residencies in June 1977. The stipend for the salaries was approved for the initial 12 residences.
To continue the program 12 residency positions will be added each year until it reaches the total of 85.
In the first year, residents serve in an established approved program at Wichita or Kansas City. During the second two years of the residence, they participate in a community hospital, yet to be identified and approved.
After the program has been functioning for three years, 12 more family physicians will be provided
Program supporters believe a physician may root in a community in which he lives, practices, children are born and he has formed relationships with colleagues over a two-year span.