EP Mentoring for Medicine and Rotary An Overview of the need The Model What Rotarians Who Apply, Are Accepted, Will do Presented by: The Elizabeth Program
Our citizens are losing value; medical costs are being driven up. Antidote: Primary Care Primary care comprises 6 8% of a $200 - $250 billion annual spend 55% of physician visits are to primary care physicians Yet, 70% of emergency room visits are avoidable by primary care Primary care is the front-line of care and of medical practice Avoidable Hospital ER visits And Primary Care Physician Supply
But, Primary Care / Family MDs are in shrinking supply! 2014 residency choices reflected 84% opting for specialty practice, and only 16% for Primary Care! AAMC and HIS predict that in 2025 (just 8 years hence), the US will have a primary care physician shortfall of between 15,000 and 35,000!
Health care availability lowest in rural and inner-city areas If all citizens had equal access to health care (if) AAMC reports a 7-12% increase in physicians needed that is 53,000 96,000 physicians! AAFP points out that a reasonable care level is achieved with a primary care to population ratio of 1:1200 In the US as a whole, the ratio currently is 1:1300 In rural areas, the ratio is 1:1910!! Physicians stay in rural areas when they feel secure, freedom and a sense of identity. (AAFP)
Physician shortages in rural North and South Carolina are severe RGC indicates NC has a Primary Care to state population ratio of 1:1633!! Nearly 2000 primary care physicians are needed to close the gap in the next 12 years. RGC indicates SC has a Primary Care Physician ratio to state population of 1:1627. Approximately 1000 Primary Care Physicians are needed to close the gap in the next 12 years.
What can help? There is a need to attract and recruit students to the primary care medical field. Individuals who live in rural areas, or are the spouse of someone who has grown up in a rural area, are more likely as a physician to elect to practice in rural, underserved areas. Research indicates rural physicians feeling a sense of security, freedom and identity in the community tend to stay and practice in rural communities. There is a need to on-board physicians in rural areas, to mentor them to a state of security, freedom and identity. MENTORING! Some Rotarians are perfect fits for mentors.
Mentoring adds value to individuals and results Roche (1979) empirically demonstrated links between mentoring and: Positive Career Outcomes; greater likelihood of following career path; greater career satisfaction and productivity. Dreher and Ash (1990) replicated these findings. Mentees describe mentors with these words: Easy to talk with Listener Guide Introduces new things Open-minded Coach Does Not Judge Trustworthy Lets me decide Knowledgeable Empathetic Reliable
EP A look at: Rotarians Apply First, review the job description for EP Mentoring for Medicine Mentor apply it to you. How is the fit? Good? Excellent, then you are encouraged to put in an application. The Application asks questions about your background to learn about your informal preparation. The Application asks about your interests in mentoring, your reasons for applying, and what you hope to gain as well as give. You are asked to provide four endorsements who may be contacted. You may be asked to complete a couple of surveys to help us get to know you better, in objective, measurable ways. You may then be asked to participate in a phone interview with EP consulting psychologist Larry Newton.
EP A look at: Rotarians Selected Not all who apply will be accepted. Indeed some excellent candidates may not be selected at this time. The selection goal is to achieve a team with a mix and balance of attributes which will help the team and the mentoring to work most effectively. To achieve needed balance, some with excellent applications may not be invited at this time. A later opportunity, however, may be perfect. If you are not selected, please, do not lose heart.
Two Rounds of Mentor Training There is a total of seven hours of training, in two sessions Phase One Team Building Align on purpose for Recruiting and Mentoring Develop relationships and cohesion to support teamwork needed especially during the start-up and recruitment phases Set Goals Study and develop methods that can lead to success Establish accountabilities Phase Two Mentoring Training Orientation to Mentoring for Medicine Understanding individual differences and their contributions to motivation and lack thereof, thinking and relationship style differences, and others; learning how to leverage these differences Listening skills skill practice Decision making a primer on best practices Sustaining relationship skills and motivations needed
Orientation and Team Building are complete Recruitment Begins
Recruiting works! Students Surface! Students will participate in an application process very similar to that used to identify potential Mentors. The application is written and will include an interview. Not everyone with the potential to move along on an undergraduate or graduate training program may be suitable for mentoring. The application process also yields valuable information for use in the Mentor Mentee matching process. The intent is to screen in students with possibility. Selection will be based upon standards and methods designed to deliver fairness as regards gender, ethnicity, religious and/or heritage background.
Matching and Launching Successful Mentor Mentee Relationships All application materials will be utilized to create matches with the best potential for success. A structured process will be used to assist the relationship in getting off to an optimal start as well as setting the tone for accountability and sustained effectiveness over the long distance of the relationship.
This is a long process stretching over years. The Elizabeth Program will provide support in a variety of ways intended to: Enhance the mentoring experience and the likelihood of success Support fun in the learning and motivation for the mentees Support research and on-going development of this very new program
What does success look like? And a whole lot more: Satisfied mentors who have learned, grown, and contributed in unique and highly useful ways Satisfaction in knowing that very important progress has been made on a national problem of significant proportion to life, health and happiness