6 Thursday, April 29, 1971 University Daily Kansan Docking Signs Finance Bill Expansions Set for Med Center By ANN CONNER Legislation authorizing the Kansas Board of Regents to provide expanded medical education facilities has been approved. ROBERT W. PATRICK Kenan Staff Writers On April 13, a story in the Kansan said that this bill was sent back to committee for review. However, in a late night session in the closing days of the Kansas Legislature the bill was forced out committee, passed by both the governor or signature. An amendment to the bill requires the legislature to approve the issuance of all revenue 'A modernization of the medical student's program is the objective of various medical schools throughout the country.' bonds, a standard procedure according to Philip Arnold, budget director in the Board of Regents office. Senate Bill 396 is titled, "An act relating to facilities for training additional medical and paramedical care on the grounds of the Board of Regents to acquire and use land for such purposes; further authorizing such board to construct, equip and furnish buildings for such related purposes and to issue revenue bonds to pay the cost thereof." A IN RECENT interview, Dr. Charles E. Brackett, Jr. acting vice chancellor of health affairs of the University of Kansas in response to the effect of the new legislation concerning provision for educational facilities to train medical personnel for the state. He said that it was decided that the Regents should take charge of the medical training, and the aspects of the expanded medical training because the Regents are "It authorizes the Regents to make plans and to assemble the educational facilities that extend their authority to health education facilities throughout the country." "Bill 396 would apply to health education facilities anywhere in the state and not just at the Center." Brackett explained. THE IMMEDIATE effect of the bill is meant to allow the Medical Center to accelerate its expanded training program and the new "We are going to go ahead with the accelerated curriculum," Brackett said. According to Dr. Jack D. Walker, associate dean of the University of Kansas Medical Center, "A modernization of the medical schools throughout the country. Currently, the medical school is undergoing changes which will graduate student to graduate in three or four years." "We were getting pressures from the legislature, from the media, and from the general about the growing crisis of the shortage of physicians in Kansas. Even if it was not our fault, we could have solved. So in 1968, instead of defending ourselves, we decided to respond to the challenge as a response to the problem." In the February 1971 issue of the Journal of the Kansas Medical Society, Brackett published a study of the need for expanded medical training facilities in the state. Hackett's K-State faculty was by the medical school faculty on Kansas health needs in the '70s. FOLLOWING THE decision that the medical school had to take the lead in finding a solution, it held a series of meetings out of which emerged the idea which the legislature endorsed for Bill 306. According to the article, the faculty recommended education with additional directions for the preceptorship program in which a medical student works in a community health care system, or perhaps with physicians in their specialties in The reason for this is that there are more junior colleges than there were three years ago. In this area, Johnson County Community Junior College, Seward Community College and Cloud Lake Community Junior College have opened in the last three years. THE ARTICLE states that part of this program was "expansion of house staff programs in affiliated hospitals throughout the state, new allied health programs and expanded programs of postgraduate education in central centers throughout the state. "A particularly significant force for change," the report said, "is the movement of people into groups and clinics where they are surrounded by their peers who provide professional stimulation and technological support to students unavailable in remote communities and where their families find schools, recreation, shopping and other facilities they can access to modern living." Bracket explained that there were two factors of this trend: the doctors tend to go where the nurses prefer, physicians prefer ground practice. IN ADDITION to number and age, geographical distribution of manpower presents another factor that is often indicated that while the number of doctors is increasing in urban areas it is decreasing in rural areas. "To date, three programs are under way: the accelerated medical affiliation with hospitals in Kansas City, Kan., Topeka and Wichita, and the department of the family practice at the Medical Center." Brackett said that these "more created to supply According to the report, in 1980 Kansas will need 1,352 more medical staffs for supply. In 1970, the national average for active, non-federal physicians was 131 per 100,000 people. In 1960, the national average was 100,000. Of these, nearly 30 percent were approaching the last decade of their professional experience. Fall '71 Enrollment Projected at 18,500 Fuller said that a higher percentage of high school seniors were not in college or private universities. The state of the economy has much to do with this because it is cheaper to pay tuition at public colleges. He said that there was closer THE REPORT also pointed out a deficiency in the state of medical specialists, particularly in fields related to direct patient The number of students at KU next year is expected to be more than 18,500. Martin Jones, budget officer, said Wednesday. The figure includes parttime students. The number of fulltime students is expected to be 18,430. These figures are the ones the budget is built around and they are sent to the Board of Regents. According to Jones, a full time student takes 15 hours. Three students take five hours each week he coattained as one full time student. The proposed end to college deferments is not a primary goal, but rather the project figures would be met, according to Max Fuller, director of admissions. The effect of the deferment was that on the exact wording of the law, Fuller said that over the last five years the number of freshmen decline in the number of freshmen, but that there had been an increase in the number of graduates. cooperation between the state universities and the junior colleges. This has aided in the curriculum development of the community colleges, and the colleges have attained more credibility. care such as internal medicine pediatrics, family practice and obstetrics and gynecology Because of the trend to urban practice, this shortage is especially acute in rural areas of the state. Similar deficiencies 'A significant force for change is the movement of physicians from solo practice into groups and clinics.' The problems on campus have had their effect, but Fuller emphasized that this was impossible to calculate. He said that when the project had risen but it wasn't as high as the projection had been. also exist for inner-city areas. One suggestion for meeting these deficiencies is to train additional physicians in the management of physicians in direct patient care. ANOTHER FACTOR of the manpower need is the migration of KU graduates to other states. A survey, published in the March 1983 issue of the Medical Society, concerning the geographical distribution of Medical Center graduates from 1951 to 1960 showed that 51 per cent of them came from Kansas or in Kansas City, Mo., and the remainder went to other states. "We're attempting to make it attractive for them to stay in our hospital, but we offer an affiliate program, not only here, but also in other hospitals throughout the state, is an important educational opportunity." "The number of MD's is only one aspect," Brackett said. "The number of nurses lessened with paramedical people. Much of a doctor's work could be done by nurses or others. A nurse would have a nurse to assist them." In addition, the affiliate program will relieve some of the burden on Medical Center staff and make it easier for more students. Brackett said. "The development of the affiliations in Wichita and Topeka is a critical and essential part of plans for an enrollment effort." BRACKETT SAID that there were approximately 1,500 students at the Medical Center. Of those, approximately 500 are medical students, 269 nursing students, 43 residents and 500 allied health The governor's signature on Bill 306 opened the way for the Medical Center to increase the number of students toward MD degrees. Brackett said that he hoped that the number of students accepted at the Medical Center could be increased to 200 by the fall of 1973. students. The Medical Center will also be able to begin plans to increase the number of nurses in its present 320 beds to 800 or more, according to Dr. William Cox. chancellor for health affairs on July 1, 1971. Revue Managers Chosen The producer and business manager for Rock Chalk 72 were Daniel Beyer, former president of Leslie Frienes, Clay Center freshman and co-president of the KU-Y, announced that Andy McDowell, a junior, would be producer for his movie *Revenge* and that thicker Russell Jamar, junior, would be business manager. Brackett said that at least a portion of the money received from the sale of the bonds would be used for medical science and clinical facilities. He said that this expansion, costing several millions of dollars, was necessary to accommodate the growing medical students now planned. Bukaty was assistant producer India is one-third the size of Canada. Test your diamond I.Q. A. Not always. A smaller stone of finer color and more precise cutting—to show the fire-can be considerably more valuable than a larger gem of less quality, Cutting, color, clarity and carat weight. A member of the American Gem Society, we'll help you strike the right balance. 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