Resume

• 1995

  Basic Health Access

  University of Oklahoma Health Sciences Center

  Nowata Family Medicine

  Dignity Health

  UNMC Family Medicine

  A.T. Still University

  Baylor College of Medicine

  East Tennessee State University Family Medicine

  Developed rural sites and directed rural fellowship and minifellowship

  East Tennessee State University Family Medicine

  Baylor College of Medicine

  Family medicine faculty

  did Family Medicine Faculty Development Fellowship at Waco

  Assistant Professor of Family Medicine

  Houston

  Texas Area

  Focus on health workforce for rural Nebraska

  Associate Professor of FM

  Directed Rural Progams

  Greater Omaha Area

  UNMC Family Medicine

  Mesa Arizona

  Health Access Teaching and Research\nAssistant Director of Clinical Skills

  Harvey Cardiac Skills\nSmall Group Facilitator Integrating Clinical Presentation Model\nAdmissions Committee and Admissions Research

  Professor of Family Medicine at ATSU-SOMA

  A.T. Still University

  Bartlesville

  OK

  Part time faculty at the original Bartlesville FM Residency - a branch of the Tulsa FM Residency\nFirst Delegate sent from the Young Physicians Section to the AMA House of Delegates

  Clinical Assistant Professor

  University of Oklahoma Health Sciences Center

  Production of information and analysis regarding the recovery of Basic Health Access for the United States including research and policy at the state and national level

  Basic Health Access

  Nowata Family Medicine

  Nowata

  OK

  Patient care in office and ER including OB and medical examiner

  working with community organizations

  public health

  ministerial alliance

  Solo Rural Family Physician

  Urgent care evaluation and treatment

  Dignity Health

  American Academy of Family Physicians

  Access Advocate

  English

  Public Health Service Health Policy Fellow

  United States Public Health Service

  Superperformer UNMC Family Medicine Clinic

  University of Nebraska Family Medicine

  Outstanding Kiwanian of the Year

  Nowata Kiwanis

  Physician of the Month

  Gilbert Chandler Area

  Dignity Medical Staff

  Successfully Nominated UNMC Department of Family Medicine for Program of the Year Award

  National Rural Health Association

  Outstanding Faculty Member: Johnson City Family Medicine Residency Program

  ETSU Department of Family Medicine

  Award for Highest Achievement

  United States Public Health Service

  Ehler's Award Outstanding Surgical Student

  Baylor College of Medicine

• 1976

  Doctor of Medicine (MD)

  Student Affairs Rep

  Medicine

  Baylor College of Medicine

  Graham Center Fellow

  Public Health and Research Courses

  Fellowship in Family Medicine

  Education for Ministry

  ACLS

  PALS

• 1972

  BS

  Chemistry

  Basketball

  Chemistry

  Lamar University

• Basic Health Access

  Pursuit of quality is an ultimate good thing in health care

  right? But what if the current pursuit of quality decreases the financial viability of the practices and hospitals that are on the front lines of health access?

  Basic Health Access

  Basic Health Access

  Spending Designs Discriminate Designs for spending send less to counties in most need of care that have populations with multiple dimensions of \"left behind.\" This can be tracked by measuring distributions of Medicare dollars or by measuring workforce distributions.

  Basic Health Access

  Public Speaking

  Healthcare

  Journal Development

  Editing

  Technical Writing

  Health Access Advocate

  Medical Education

  Event Planning

  Epidemiology

  Web Content

  Clinician Specific Medical Education

  Research

  Interviews

  Primary Care Health Policy

  Teaching

  Healthcare Information Technology

  The Value of Family Medicine and Family Physicians

  Health Services Research

  Rural Development

  Rural Medical Education

  Family practice residency programs and the graduation of rural family physicians

  Joan Penrod

  The result of 90% of FM programs surveyed

  Family practice residency programs and the graduation of rural family physicians

  Greg Hayden

  John Owens

  The purpose of this study was to analyze the relative contributions of the locations of birth

  medical education

  and residency training in determining a family physician’s eventual practice location. Data were obtained from the American Medical Association Physician Masterfile and the American Academy of Family Physicians files at the Robert Graham Center.3The study sample was limited to family physicians who completed their training from 1997 to 2003. Individuals were included if they were born

  attended medical school

  or completed family medicine residency training in Virginia. Individuals were excluded if any of these 3 locations were unknown or the practice location was a military address. The likelihood of practicing in Virginia was calculated for each of seven possible combinations of birth

  medical education

  and/or residency training in Virginia.

  Influence of places of birth

  medical education

  and residency training on the eventual practice locations of family physicians: Recent experience in Virginia

  The success of rural medical education is a complex matter involving states

  institutions

  medical training programs

  faculty

  practitioners and communities. There is not another entity like family medicine that can address the needs of rural health across the multiple dimensions of education

  service

  location and political influence. The challenge of family medicine in the next decade is to maintain a focus on preparing physicians who have the skills and motivation to make a difference. Armed with new information and renewed energy

  it is time for action regarding rural health.\n\nRecommendation 1: Family medicine should encourage states

  medical schools

  primary care organizations

  rural organizations and primary care training programs to work together to prepare a strategy that will best meet the needs of rural populations. This strategy should include a mission or mandate for rural health; admission of medical students likely to choose rural practice; adequate resources for rural training; coordination of rural training among medical schools

  residencies

  physicians and communities; recognition of programs that produce rural practitioners; funds to obligate students and residents to practice in a rural area; and programs to improve the organization of rural practices and health systems so that more family practice residency graduates can find out about these locations

  choose them and stay in them.\n\nRecommendation 2: Family medicine should urge residency programs to engage residents in longer and better rural rotations and obstetric training.\n\nRecommendation 3: Family medicine should preferentially encourage the creation of residency programs and other training experiences in smaller towns.\n\nRecommendation 4: The various branches of family medicine should coordinate their rural efforts closely

  with the assistance of the American Academy of Family Physicians

  and report annually on the progress of rural medical education.

  Continuing family medicine's unique contribution to rural health care

  James Stageman

  Jeff Harrison

  The link allows access to multiple studies including a comprehensive study of accelerated graduates indicating substantial value in distribution and long term continuity - not surprising given the choice to do medical school and residency in the same location.

  An accelerated rural training program

  The “Community-Driven Approach” empowers underserved communities so that they can guide the efforts that will best address their needs. This approach has great potential to permanently improve small towns in terms of jobs

  leadership and services without extensive state or federal support programs. The Community-Driven approach: a) arises from mutual efforts involving both academic and rural communities; b) selects students from underserved areas; c) trains learners in underserved communities; d) stabilizes and supports underserved practices; e) prepares future generations of physicians for underserved practices; and f) allows towns to preserve and expand health services

  a key factor in keeping current jobs and recruiting new jobs and businesses to small towns.

  Community-driven Medical Education: The Rural Component

  Family practice is the best example of a permanent primary care training form with 29.3 standard primary care years expected over a 35 year career. Other training forms appear to be more flexible. The 2008 pediatric residency graduates can be expected to serve 17.6 years of primary care. Internal medicine resident primary care contributions have been reduced by 50% in the past decade to 5.3 years with international medical graduate internal medicine contributions decreasing to 2.5 years. Physician assistant estimates have decreased to 6 years

  while nurse practitioner estimates have declined below 3 years per graduate. With decreasing rural and underserved distribution levels in the flexible forms

  the numbers of graduates needed to match the family practice rural primary care year and underserved primary care year contributions are even higher.

  Measuring primary care: the standard primary care year

  With 2.7 trillion dollars in annual health spending1

  America has no excuse for designs that have failed for decades with regard to rural health workforce development. Rural workforce failure can best be understood as the inevitable result of failure by design. Designs for revenue are insufficient to support the rural clinician workforce that would resolve deficits. The designs of health professional training are not specific to rural health needs.

  Preventing rural workforce by design

  Health Services for Most Americans Behind By Design

  Robert C. Bowman

  Bowman

  Robert

  Bowman