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In Pursuit of Precision - University of Alabama at Birmingham

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Fe<strong>at</strong>ure Stories<br />

Reaching Rural Popul<strong>at</strong>ions<br />

An <strong>In</strong>nov<strong>at</strong>ive Program Sends Forth Its First Gradu<strong>at</strong>es<br />

By Cheryl Sloan Wray<br />

rural and medical constituency groups, the<br />

CCHS adopted a plan to gener<strong>at</strong>e more interest<br />

in rural medicine among students. “We cre<strong>at</strong>ed<br />

the Rural Health Scholars Program to<br />

interest rural high-school students in medical<br />

careers, and the Rural Medical Scholars<br />

Program to help them gain admission to medical<br />

school,” Jackson says. The RMSP was <strong>of</strong>ficially<br />

established in 1996.<br />

The RMSP is directed by John Whe<strong>at</strong>,<br />

M.D., pr<strong>of</strong>essor <strong>of</strong> community medicine and<br />

internal medicine, and is open to college seniors<br />

and gradu<strong>at</strong>e students who plan to go to<br />

medical school and practice in rural areas.<br />

According to Whe<strong>at</strong>, only 10 students are chosen<br />

each year to particip<strong>at</strong>e in the program,<br />

making it highly selective. Admission to the<br />

program is based on high academic achievement,<br />

character, and leadership qualities.<br />

Whe<strong>at</strong> says th<strong>at</strong> the program actually<br />

involves three different stages <strong>of</strong> educ<strong>at</strong>ion. For<br />

precollege students, the Rural Health Scholars<br />

Program conducts outreach activities <strong>at</strong> high<br />

schools—<strong>of</strong>fering summer coursework good<br />

for college credit—as well as community-wide<br />

events to inform students about the program.<br />

The next stage takes place <strong>at</strong> the college level.<br />

The third stage takes place during medical<br />

school, as students particip<strong>at</strong>e in rural, family,<br />

and community medicine clinical electives.<br />

According to Whe<strong>at</strong>, the program will eventually<br />

include options and support for gradu<strong>at</strong>es<br />

<strong>at</strong> the residency and fellowship levels.<br />

A FLEDGLING<br />

CLASS IS READY TO FLY<br />

The program’s first class gradu<strong>at</strong>ed in May 2001<br />

and included Angela Clifton, Anne Davis, Kevin<br />

“Medical care can affect every facet <strong>of</strong> life in<br />

a rural community. Local medical care is key to<br />

the overall health <strong>of</strong> a community because people<br />

<strong>of</strong>ten have no access to transport<strong>at</strong>ion.”<br />

—Drake Lavender, M.D.<br />

Drake Lavender was in the first gradu<strong>at</strong>ing<br />

class <strong>of</strong> the RMSP.<br />

Growing up in the rural community <strong>of</strong><br />

Eutaw, <strong>Alabama</strong>, Drake Lavender held one<br />

pr<strong>of</strong>essional person in particularly high<br />

regard—his family doctor. Th<strong>at</strong> doctor,<br />

Rucker Staggers, provided much-needed care<br />

to the underserved rural area and, in turn,<br />

became a gre<strong>at</strong> inspir<strong>at</strong>ion to Lavender. “Dr.<br />

Staggers tre<strong>at</strong>ed my asthma and gave me my<br />

weekly allergy shots,” Lavender remembers.<br />

“He was and is my inspir<strong>at</strong>ion to do rural<br />

family medicine.”<br />

Lavender is just one <strong>of</strong> eight students in the<br />

first gradu<strong>at</strong>ing class <strong>of</strong> the Rural Medical<br />

Scholars Program (RMSP). Oper<strong>at</strong>ed in conjunction<br />

with the <strong>University</strong> <strong>of</strong> <strong>Alabama</strong>’s College <strong>of</strong><br />

Community Health Sciences (CCHS), the program<br />

is designed to educ<strong>at</strong>e and encourage students<br />

who want to return to rural areas and provide<br />

care for the underserved.<br />

According to Lavender, the program has<br />

helped make his dream <strong>of</strong> practicing rural<br />

medicine come true.<br />

THE RMSP TAKES ROOT<br />

According to Linda Jackson, Rural Programs<br />

Communic<strong>at</strong>ions Specialist for the RMSP, the<br />

program origin<strong>at</strong>ed in the <strong>Alabama</strong> Legisl<strong>at</strong>ure’s<br />

Rural Health Task Force Report <strong>of</strong> 1989, which<br />

motiv<strong>at</strong>ed the CCHS to make a full review <strong>of</strong><br />

its rural health programs. Working with various<br />

Accepted students are enrolled <strong>at</strong> the<br />

<strong>University</strong> <strong>of</strong> <strong>Alabama</strong> in Tuscaloosa in the year<br />

prior to entry into medical school. They take a<br />

course each semester rel<strong>at</strong>ed to rural health or<br />

the practice <strong>of</strong> primary care in rural areas; students<br />

also particip<strong>at</strong>e in special seminars, community<br />

service projects, and field trips.<br />

Summer courses are available to each student,<br />

including day-to-day work in a physician’s<br />

<strong>of</strong>fice, “shadowing” a doctor to learn wh<strong>at</strong> his<br />

or her practice is really like. Peer support<br />

groups and mentoring are important parts <strong>of</strong><br />

the program. These courses count toward the<br />

bachelor’s degree for undergradu<strong>at</strong>es; gradu<strong>at</strong>e<br />

students in the program earn a master’s degree in<br />

rural health before entering medical school.<br />

12<br />

Ellis, Tom Holt, Drake Lavender, Stephanie<br />

Morgan, Elizabeth Smith, and Paul Tabereaux.<br />

Stephanie Morgan says th<strong>at</strong> her experiences<br />

in the Rural Medical Scholars<br />

Program were invaluable. A n<strong>at</strong>ive <strong>of</strong> tiny<br />

Cedar Bluff, <strong>Alabama</strong> (popul<strong>at</strong>ion 2,000),<br />

Morgan knew <strong>at</strong> a young age th<strong>at</strong> she wanted<br />

to enter the medical field; she didn’t<br />

know, though, th<strong>at</strong> her interest would<br />

evolve into primary care in rural areas. After<br />

receiving inform<strong>at</strong>ion about the program<br />

and talking with Whe<strong>at</strong>, her interest soon<br />

turned to rural medicine. “Everything<br />

seemed to just fall into place,” she remembers.<br />

“I now plan on going back home to<br />

work <strong>at</strong> our county hospital.”

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