rity of didn't were
University Daily Kansan
Friday, April 16, 1976
9
in the ing 546 students.
From page one
Med Center training
the Med Center and two years in a specified training center."
Another way of increasing the number of physicians, Waxman said, is by helping Kansas communities sponsor Vietnamese students to secure the services of these physicians.
KANSAS GRADUATES of foreign medical schools also are being helped to pursue their careers.
There are problems related to financing and developing new residency programs, Waxman said, but a proposal has been submitted by the family practice residencies by July 1. 1977.
Norton J. Greenberger, chairman or use department of medicine and a task force member in the county's rural areas as appealing to urban ones. Residency programs in other parts of the state would expose physicians to another lifestyle that than of the Med Center, be said.
"IF SOMEONE goes out to a Kansas community," Greenberger said, "and likes it there, that's an ideal way to find out whether the community is a good place to practice and whether that place would be receptive to him.
"It's good for them to get out in a community hospital away from the Med Center because there is a growing and appropriate emphasis on primary care."
Primary care is defined by three criteria: the initial contact with the patient, the supervision of the diagnostic tests of the patient and appropriate therapy and accepting responsibility for caring for the patient's problems.
"THE PROTOTYPE is the family physician," Greenberger said, "but I think most people don't understand that nurses also renderists also render at the primary of a lot of primary care."
Other programs provide residents, interns and medical students with contacts across Kansas.
"Starting July 1, we will have ten house officers who will be called Topeka affiliated with the University to obligate to spend at least four months during each of their first two years training in Topeka hospitals. At the beginning of this year, two house officers and one year and six will be in their second year."
State Rep. Keith Farrar, R-Huguenot, said most legislators agreed that for the amount of money spent on the Med Center, something was wrong when a large percentage of Med Center graduates didn't stay in Kansas.
But while the percentage of graduates leaving the state may be increasing, Greenberger said, the number of graduates is also increasing. That means there are about 50 to 60 more doctors in the state each year, he said.
The last study in 1960, Greenberger said, showed Kansas was retarded about 40 per cent of the physicians trained here, the same as Nebraska and Iowa.
Referring to the shortage of rural physicians, Farrar said 46 out of 120 students accepted in 1975 had come from Johnson county alone. Farrar questioned whether these students were missions panel, involving 13 from Johnson and Wondyote counties, 11 from other
SINCE 1950, the Med Center has had an internship program. During a medical student's senior year, he spends one month in another part of the state with a physician.
Waxman said the length of the interpart
be increased with an expanded curricul
ature.
HE SAID the majority of those who left had gone south or west.
"I think the number is higher now. I would guess in some areas it is higher than that."
In the past, many Kansas-trained teachers have left the state to practice elsewhere.
Bruce Brennholt from the office of community programs at the University of Iowa said he didn't have sufficient figures of his students employed in other states. But he said many graduates had taken residences elsewhere where 'wa's limited openings and rarely returned.'
Under Iowa's residency program, which he said was funded by local hospitals and Health, Education and Welfare (HEW) grants, 74 of 104 residents are in cities outside of Iowa City. He said residences are mainly in Davenport, Cedar Rapids and in July, Sioux City and Mason City. A program in Waterloo is under development, he said.
Greenberger said he anticipated that the number of trainees spending time outside of the Med Center would increase as the program developed.
"EVIDENCE INDICATES persons have a tendency to practice near where they took their residencies." Brenholdt said. "It's too hard for people to take notice in the majority will practice in illinois."
In Sept. 1974, the Med Center invited 75 internists from out in the state to attend an open meeting with the house staff to inform them of practice opportunities in their work. The Board appointed as Liberal, Greenberger said. A similar meeting was held last November.
counties east of U. 81 and one from west of U. 81. which runs through Salina and
"The legislature has to face the fact the state is suffering from a doctor shortage and the present method is not going to provide a solution to the problem." Farrar said.
WAXMANSAID the University task force would study the development of model health care ambulatory clinics in large area health education centers (AHEC).
THE UNIVERSITY of Iowa College of Medicine has played a coordinating role under a 1973 legislation to fill the state's need for primary care physicians.
"The hope is this will be an annual event and our house staff will become better informed about practice opportunities at the state of Kansas City." Greenberger said.
AHEC, originally conceived by the federal government, would involve maintaining community hospitals and assuring the quality of care in such hospitals. AHEC would develop applying appropriate referral patterns major care centers, evaluating health care, assisting community colleges and other training facilities in development of programs for health professionals; and training hospitals, community groups and government agencies in planning and developing more effective health care delivery systems.
Sally Powell, administrative assistant to
bis program director for North Carolina
AABI.
They cover the state from Asheville, in the foothills of the Great Smokies, to Wilmington, on the Atlantic coast, she said, and the AMEC was responsible to five counties.
WAXMANSAID the task force would visit North Carolina to look at the AHEC program coordinated by the University of North Carolina Medical School.
She said medical school residency programs were carried out in the community hospitals, although some hospitals offered own programs. The centers also serve the community colleges and continuing education for health care personnel, she said.
POWELL SAID the program had worked well. Three AHEC were funded for five years in 1972 by a federal grant, she said, and in 1974, the North Carolina legislature appropriated $23.5 million to fund the other six.
Early every other Friday morning, Hester Thurston, professor of nursing and director of continuing education in the School of Nursing, flies over to Garden City in a four-passenger charter plane. She teaches eight graduate students for three
hours Friday and for three hours Saturday
and flies back Saturday afternoon.
WHEN THE Kansas Legislature approved last spring a regulation of the State Board of Nursing, which requires Kansas nursing teachers to have a master's degree, or graduate students to have a state requested graduate courses be taught in their communities. Thurston said.
The plot program began January 30, in the department of nursing at Garden City Chevron.
Lack of library facilities in the community causes hard work, she said, and the lack of library services is a big problem.
she usually took the materials with her and left them for the students.
"They are very interested that this will be continued there, and one of the questions they ask is, 'Do you know when the next course will be?' " Thurston said.
"We ARE trying to develop a flexible program that allows students to enroll and meet the requirements using a variety of methods. Instance, this summer we expect to teach on campus, this campus and partly in the community from which the student comes." Thurston said.
Six of the Garden City nurses hope to enroll in this course, she said.
Emergency...
The situation is somewhat different if a patient dies, Jobe said. The doctors and nurses talk about the case, and then they talk about something else.
From page one
"That's the way you have to do it. You cannot stand the pressure all the time. Talking about the case is getting it out of your system."
"Sports is a really popular subject, or
something completely different,
"he added.
And, as a self-protective measure, an E
Inward must remind herself that she can't
and not forget to check in.
theAnother self-protective measure is the camaraderie that exists among E. R. mankind.
JOKES ABOUT tranquilizers—"Valium T
and Vitamin T"
(Thoracid) are com-
presses.
Another nurse said the day-to-day work in the emergency facilities was "hard, but not impossible."
"It doesn't take long to blow the whole works," she said.
Jobe said the most difficult part of her job was dealing with parents who had lost a son or a brother.
"To most people, if you're here, it's
not important. You know how to move you
care. Usually, talk isn't necessary."
The rewards of the job make it worthwhile. We are a nurse head of nurse KU's emergency facilities for 45 years.
"WE'VE DELIVERED babies in the elevators and several in the emergency rooms," she said. "You can be under all these pressures, a baby born. All the pressures go away."
Even more rewarding, Jobe said, is saving someone's life. One patient had both a leg and an arm amputated when he was run over by a train.
'There were about four or five doctors here, and everyone was buy into his thing to me.'
Wait, the word 'buy' in line 1 is bold.
The word 'buy' in line 2 is italicized.
The word 'buy' in line 3 is underlined.
The word 'buy' in line 4 is in a different style.
Let's re-read line 1: 'There were about four or five doctors here, and everyone was buy into his thing to me.'
Line 2: 'Buy'
Line 3: 'buy'
Line 4: 'buy'
Okay, I'm ready to output it.
'There were about four or five doctors here, and everyone was buy into his thing to me.'
"I looked at the patient and saw that he wasn't breathing and tapped one of the doctors on the shoulder and said that we'd get more concerned about the breathing."
A month later, Jobe said, she saw the same patient walking down the hall with his foot on the floor.
"IT WAS SO rewarding to see this patient, who could not so easily be dead, walking alone."
Foster, who has worked as an E. R. nurse at the Med Center for three years, said, "Some lady walked up to me the other day and I don't think you remember me, but about a month ago my mother tried to kill her, and you were so very nice to me, and I appreciate it."
"That's why I do it," Foster said. "R's the whole thing."
One more picture of the emergency facilities at the KU Med Center is a desk, cluttered with half-finished Cokes, half-wrapped in plastic and a bottle of antacid and patient records.
But despite the chaos, she adds, "I might come to work for free."
"A person who likes to have everyone organized and perfect control would go nuts in an emergency room," Foster says. "You can get them down." I control how many come in at one time.
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