New York State AHEC System:
Paradigms and Outcomes
Presentation to
the NAMME NE Regional 2012 Spring Conference
February 18, 2012
Francisco Lucio, JD, Program Director, MSI AHEC
Presentation Overview
• NYS AHEC System General Overview
• K-12 Program Highlight (MASH/SHIP)
• College Program Highlight
(MedPrep/CHSC)
• Graduate Program Highlight (SEARCH)
• Outcome Data Highlights
• Faces of AHEC and MedPrep Video
• Q&A
Mission
NYS AHEC System Mission
“…to enhance access to quality health care and
improve health care outcomes by addressing
the health workforce needs of medically
disadvantaged communities and populations
through partnerships between the institutions
that train health professionals and the
communities that need them most.”
Statewide Capacity
Statewide Capacity
127 West 127th St., Ste. 221, NY, NY 10027
212 534-AHEC, msiahec.org
NYS AHEC System Outreach
K-12 Program Highlights
M*A*S*H Camp (Medical Academy of Science and Health)
Middle and high school students
• Focus on learning what health professionals do each day by participating
in activities that highlight their job duties
• hospital-based programs
• Introduction to health occupations at various levels – clinical and nonclinical
• Participate in interactive, hands-on activities that highlight the skills,
equipment, technology, and resources used by health professionals
• Length of camps vary from 3 to 5 days
• Over 2,000 students have participated
K-12 Program Highlights
Summer Health Internship Program (SHIP)
HS Juniors/Seniors and College Freshmen/Sophomores
• Placements in hospitals and community based health
centers/organizations
• 20 hours weekly with physicians and other health providers
• Six-week program
• Weekly didactic sessions presentations by local health professionals
• Field trips
• Exposure to a variety of health professional careers and community
health issues
• Students produce projects on a community health issue
• Over 600 students have participated
MedPrep Program
• 3 summer program
• Mount Sinai School of Medicine, New Jersey Medical
School, and Columbia University School of Physicians
and Surgeons, & MSI AHEC
• MCAT Preparation, Clinical & Research Experience
• 240 participants since 2009
College Program Highlights
Collegiate Health Service Corps
• 3-month program
• 5-hour training curriculum
• Engage in service learning projects with medically
underserved populations
• Focus on primary care disciplines
• Learn about the National Health Service Corps
• Exposure to primary care professionals
• Receive First Aid and CPR Certification
Graduate Program Highlights
SEARCH—Student/Resident Experiences and
Rotations in Community Health
•
•
•
•
•
•
Funded by HRSA (competitive grant application)
CHC & community-based HPSA sites
Clinical rotations & community experiences
Faculty development/support for preceptors
Statewide network to meet primary care needs of the
underserved
Multi-disciplinary
Graduate Program Highlights
SEARCH—Student/Resident Experiences and
Rotations in Community Health
Clinical Psychology
Clinical Social Work
Dental Hygiene
Dentistry
Family Medicine
Gen Internal Medicine
General Pediatrics
Marriage/Family Therapy
Nurse Mid-Wifery
Nurse Practitioner
Obstetrics/Gynecology
Physician Assistant
Psychiatric Nursing
Psychiatry
Graduate Program Highlights
Highly
probably
(rank
5/5)
Probable
(rank
4/5)
85% agreed or
strongly agreed that
“Based on this
experience I am now
considering working
in a medically
underserved area”
Measuring Outcomes
• Ultimate impact: Diverse health care workforce
that provides access to quality health care for all
New Yorkers
• In addition to this Long Term Outcome, must
measure Short Term and Intermediate Outcomes
along the way . . . .
Measuring Outcomes
• pre/post surveys assessing
• knowledge & attitude change and
Short Term:
• intent to practice in an underserved area.
• follow up surveys and National Student Clearinghouse
queries to determine
• high school graduation,
Intermediate:
• college enrollment,
• health-related major, and
• sustained intent to practice in an underserved area.
• follow up surveys, National Student Clearinghouse queries,
licensing board queries, “googling,” etc., to determine
• health professions degree completion,
Long Term:
• licensure, and
• location and population served in health care
occupation (HPSA, MUA, MUP, etc)
Short Term Outcomes
• Standardized Pipeline Evaluation
• Continuing Education event evaluations (post
session, post conference, post-post
conference)
• SEARCH pre/post program evaluations
(preceptor and student)
Short Term Outcomes – K-12
“[I] want to learn more about many things now,”
“I feel strongly about being in the medical field.”
Short Term Outcomes- Graduate
Intermediate and Long Term
•
•
•
•
•
•
Tracking Survey
National Student Clearinghouse (NSC) queries
Social marketing tools
Alumni events
Faces of AHEC initiative
“Googling”
Intermediate - NSC
College Enrollment among 1824 year olds
– AHEC Participants – 75.6%
(2617/3461)
– Overall in US – 39.6% (based
on 2008 data from US Dept of
Education)
– New York State – 51%†
– Low income families from
New York State – 37.3%
*Percentage of 18- to 24-year-olds enrolled in colleges and universities, by race/ethnicity and sex: Selected years, 1980–2008. U.S. Department of Education Institute for Education Statistics
†National Center for Education Statistics, 2009, Tables 105 and 203.
† † College Participation Rates by State for Students from Low Income Families - postsecondary.org
NSC
Within each Racial/Ethnic Category, the college participatory rate is higher than US
81%
AHEC
Participants
78%
58 %
71%
68%
61%
58%
44%
College
Participation
rate-US (2008)
77% 75%
55%
44%
32%
31%
22%
Percentage of 18- to
24-year-olds enrolled
in colleges and
universities, by
race/ethnicity and
sex: Selected years,
1980–2008. U.S.
Department of
Education Institute for
Education Statistics
*Asian/White not
separated by
representation/disadv
antaged status
Intermediate-NSC
National Student Clearinghouse Database
• College major information available for 82% of the college students
• 678 (82%) were majoring or had majored in health related fields
• Most commonly reported healthcare related majors:
– Biology – 86 mentions
– Nursing – 79 mentions
– Physical therapy – 25 mentions
• Most commonly reported non-healthcare related majors:
– Education – 21 mentions
– Liberal Arts – 15 mentions
– Criminal Justice – 12 mentions
Intermediate-Tracking Survey
• 82% of those planning to pursue a career in
healthcare indicated that AHEC influenced their
decision
• Most common explanations of AHEC influence:
–
–
–
–
Exposure/Awareness to health professions – 33.2%
Decide on/narrow career path w/i healthcare – 13.4%
Confirmed Choice – 12.1%
Increased Interest – 7.4%
Intermediate-Tracking Survey
• 57% plan to work/would consider working in an
underserved area
• Common themes of plans for underserved area:
– 21.8% mentioned a specific community (1/2
mentioned his/her hometown)
• “I'd like to return to Allegany County”
• “I would like to come back home to Jamestown and work as
a pharmacist in one of our local pharmacies”
– 20% unsure of exactly where
– 11% said they would like to work in a rural area
Intermediate/Long Term-Tracking Survey
†
*For planning a health career: Minority/disadvantaged n = 589 and for non-disadvantaged n = 659
† Indicates statistical significance
Long Term Outcome
NY Metro Region Office
“The first two years of medical school can leave you feeling
ambivalent . . . . So much of that time is so textbook
focused that I was longing for something more meaningful.
Through AHEC, I worked at the Institute for Family Health
doing a summer program visiting various soup kitchens,
meeting homeless patients under the supervision of
passionate doctors and nurse practitioners and doing
research on the appropriate medical management of
homeless patients with hypertension and diabetes.
Today I am medical director of one of the Institute’s
clinics in the south Bronx. I also help direct both the ECHO
Free Clinic, where I first worked as a medical student, and the
NYC Free Clinic where we provide an access point to care for
uninsured patients. Thank you AHEC for reminding
students of the meaning behind medicine.”
Dr. Sarah Nosal, MD
Medical Director
Urban Horizon Family
Practice, South Bronx
Faces of AHEC
Where are they
now?
How did AHEC help
them get there?
Faces of AHEC
Northern AHEC (NAHEC)
Program: High School internship placement
at pharmacy, Potsdam, NY
Currently in: College at UMass Amherst
Career pursuit: Studying Psychology
“My experience at Kinney Drugs
was indispensable and one of the
most valuable learning
experiences that I have had.”
London Woodfolk
Faces of AHEC
Hudson Mohawk AHEC (HM AHEC)
Program: Worked with AHEC
members at Hudson Headwaters
Health Network
Currently: Rural Medical Education
Program at Upstate Medical
University
Career Pursuit: Physician
“My experiences with the family
medicine department here and
the rural medicine program have
only solidified my desire to serve
as a physician in a rural area.”
John Quaresima
Faces of AHEC
Brooklyn Queens Long Island AHEC (BQLI AHEC)
Program: SHIP (2010)
Currently: at SUNY Downstate Medical Center,
PA program
Career Pursuit: Physician Assistant
“Through participating in BQLI AHEC, I
have learned the ethical principle, laws,
and guidelines related to providing safe
and quality care to patients. The program
helped me to be more knowledgeable of
the patients' rights particularly
confidentiality and cultural, religious, and
spiritual issues.”
April Joy Rivers
Faces of AHEC
Erie Niagara AHEC (ENAHEC)
Program: Summer Scholars
Currently: SUNY Buffalo Exercise Science
undergraduate program
Career Pursuit: Doctorate in Physical Therapy
“AHEC has affected my educational and
career pursuits by making sure that I was
on the right track to getting where I
needed/wanted to be. They helped me
with letters of recommendations,
searching for universities that provided the
majors that would lead me into my career,
and networking.”
Darlene Volmy
Faces of AHEC
Catskill Hudson AHEC (CHAHEC)
Program: SEARCH
Currently: 4th year medical student NYCOM
Career Pursuit: Physician
“I researched about how LGBTQ
community is treated within the
medical field. I had the opportunity to
interview LGBTQ members about their
experiences. I realized that several
doctors are uncomfortable asking
about sexuality identifications, which
really alienates patients. I learned the
importance of asking certain questions
and creating a clinical environment
that is welcoming to ALL people.”
Priyal Patel
Faces of AHEC
Brooklyn Queens Long Island AHEC (BQLI
AHEC)
Program: SHIP (2005)
Currently: 5th Year at Sophie Davis
School of Biomedical Education
7yr BS/MD program (2nd year medical
student)
Two Time 1st place fitness champion for
city college of New York
Certified ISSA Personal Trainer
Karif J. Patterson
MedPrep Scholars Program
Testimonial Video