In Pursuit of Precision - University of Alabama at Birmingham
In Pursuit of Precision - University of Alabama at Birmingham
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.”