VCOM - Virginia campus Spring VOMA Update

Jan M. Willcox, D.O. FACOFP

Vice Dean Virginia Campus

The MISSION of the Edward Via College of Osteopathic Medicine (VCOM) is to prepare globally minded, community-focused physicians for the rural and medically underserved areas of Virginia, North Carolina, South Carolina and the Appalachian Region, and to improve human health especially of those most in need.

HistoryDevelopment timelines in VA 2001 Charter VCOM

VA 2003 First class begins

VCOM VA 2006 First residency

program developed 2007

First class graduates Final accreditation

visit 7 yrs granted class size increased

to 175

2010 First primary care complete residency and return

2011 First specialty residency completed by VCOM VA grads

residencies in 6 hospitals

with >200 residency positions

Additions to the Virginia campus since 2004

VCOM RBII

2007 VCOM Center for Simulation and Technology

• 2008 VCOM II Biomedical Engineering Research and Conference Center

VCOM opened an over 20,000 square feet research laboratory in 2004 for biomedical research “RB2”

South Carolina Campus

HistoryDevelopment TIMELINES in SC 2008 branch

development begins

2010 Accreditation approved to recruit/admit

2011 First 4 stages of accreditation completes and first class begins SC

•2013 VCOM students will begin clinical program•2015 First class will graduate VCOM-SC

Early Clinical ExperiencesOMS I and II

Appalachian Medical Missions

Free Clinic Experiences Live Pelvic Models Mini-Medical Schools in

Southwest Virginia SimMan Sim Peds Radiology Introduction to the Hospital

(a day with a resident) Geriatric Clinical Experiences

Students value the early clinical experiences and the regional site faculty report positively on the readiness of our students for the clinical years.

CORE CLINICAL ROTATIONS YEAR 3

Family Medicine Internal Medicine –

hospital based Internal Medicine 2 Obstetrics/

Gynecology Psychiatry

Underserved Care Pediatrics Surgery Geriatrics

Structured with core clinical faculty and on-line curriculum at core training sites

Fourth Year Clinical Rotations allows more flexibility

4 Electives 3 Medical Selectives

(one is Emergency Medicine)

2 Surgical Selectives

chosen based on self-assessment of areas where student would benefit most from further education and patient exposure

List 1 Medical Selectives include:

Internal MedicineCritical Care MedicineCardiologyPulmonologyInfectious DiseaseNephrologyNeonatology or Pediatric Critical CareSub-Internship, Junior Internship,

Acting Internship

List 2 Medicine Selectives Include:

Family MedicineNeurologyRheumatologyEndocrinologyFamily MedicineHematology/

OncologyPhysical Medicine/

Rehabilitation

PsychiatryAllergy/ImmunologySports Medicine

(primary care focus)Osteopathic

Manipulative Medicine

GastroenterologyVCOM Medical

Mission

Surgical Selective RotationsOphthalmology*, Otorhinolaryngology*, Oromaxillofacial surgery*, Orthopedic Sports Medicine, Anesthesiology*, Orthopedics, Neurosurgery, Cardiovascular surgery, Plastic Surgery*, Surgery Trauma Unit, Urology*, Vascular surgery, Urogynecology, Gynecology/Oncology Surgery, Ortho Spine Surgery, Surgical Critical Care, Podiatry*.

* May be 2 or 4 week

Integration of OMM Throughout the Curriculum   Osteopathic Manipulation is

taught throughout the first two years in a weekly lecture followed by a laboratory session.

OMM lecture and laboratory at the end of each rotation. OMM/OPP questions are incorporated into each of the end of rotation exams

3rd, 4th year and postgraduate -utilizes the text and videos “Somatic Dysfunction in Osteopathic Family Medicine” by Kenneth E. Nelson, D.O., FAAO, FACOFP.

Special Sessions with SAAO

3rd and 4th year students in each region are required to attend monthly OMM skills sessions

VCOM State of the Art Center for Simulation and Technology Center for Competency training. Provides over 500 high

fidelity simulation experiences annually

Provides over 1700 standardized patient educational experiences to 580 medical students annually

The Standardized Patient ProgramTrains students in interview skills physical diagnosis

skills differential diagnosis

of disease plan of treatment writing a progress

note

 VCOM trains individuals to simulate patient scenarios utilized in testing at the end of each block in the first and second year as well as end of the third year clinical rotations.

APPALACHIAN MISSION VCOM students and

faculty currently provide medical care in 8 free clinics each Friday. All students have free clinic experience.

Summer Enrichment Program Anatomy Camp (SEE)for students from rural and medically underserved populations to interest them in futures in healthcare

All VCOM student organizations have service mission to the community and region, and many to our international program.

Appalachian Outreach

Each VCOM student is involved in community health experiences including: Mini-Med schools to 15 rural high schools annually Free head start physicals to 15 different head

starts annually Appalachian outreach health fairs to 10 rural

and/or underserved communities annually Each VCOM student spends at least one month

and most three or more in a rural or underserved practice setting with at least one month in a FQHC or Critical Access hospital

Outreach Giles April 22 and Jonesville May 6

Nationally Recognized as a leader in Global HEALTH

VCOM operates permanent – (year round) sustainable clinics in the Dominican Republic and Honduras and mobile clinics to orphanages in El Salvador

VCOM provides 6 additional one week outreach trips in those countries to care for surrounding rural villages that have no care, with over 240 students participating in the 2010-2011 academic year.

The mobile clinic in El Salvador cares for children in three orphanages, one where all children are HIV+.

Received Clinton Global Initiative Recognition for the clinic in the Dominican Clinic

Global Outreach

VCOM faculty and students have provided primary care and preventive services to over 30,000 annually, prenatal care for hundreds not available before, and immunizations for thousands of children who would not have been immunized.

VCOM has responded to over seven disasters in international countries including the Tsunami in India, the Haiti earthquake, a Dengue outbreak, and many Honduran floods.

The global outreach experiences instill in our students an appreciation of public health, community health, and an appreciation of what a physician receives from caring for an underserved population.

Areas of VCOM research include Neurologic

Head Injury Concussions Helmet Study

Nanoparticle (Ceria) on neurological cell protection and healing

M.S. Healthy aging Prevention and Treatment

of Cognitive and Memory Disorders of Aging

Cardiovascular Atherosclerosis Oxidative Stress Metabolic Syndrome Reperfusion studies

Infectious Disease Obesity and Diabetes

research

Inflammation Metabolic triad Lupus Birth injury

Environmental toxicology Water and birth

defects Toxin and free radical

research Musculoskeletal research

Injury prevention Healthy aging Prevention and

treatment of aging spine and joints.

Education mission

Quality education and quality applicants Over 4000 applications in 2010

for the combined 375 positions. Recruit from

54% of students grew spent the majority of their years in centers less than 30,000

COMLEX Board scores in the upper 1/3 of the country.

Low attrition rate (<5%)

Education Mission Outcomes In the first four classes VCOM graduated over 590 physicians Greater than 50% entered primary care

fields (>60% if EM included)

29% entered family medicine 5% entered Pediatrics 18% entered Internal Medicine 6% entered OB/GYN

64 of our graduates in the first four years became Chief Interns and Chief Residents in both AOA and ACGME residency training programs.

VCOM Alumni News

Two class of 2007 alumni Sofia Abraham D.O. and Ann Shaw D.O. will join the VCOM Pediatric faculty and APCA summer 2011.

Daliborka Danelisen, D.O. (VCOM 2007) will join the Psychiatry department in 2011. She will be actively involved in teaching and assist the Chair, Dr. Brian Wood in the development.

Amy Doolan, D.O. is FM and completing the Sports Medicine Fellowship. She has joined the faculty for next year.

VCOM Class of 2007 graduates, Drs. Amy Doolan, Ronna Compton, and Paul Phillips completed the ACOFP Future Leaders Conference in January

Dr. David Danner and Dr. Paul Phillips (2007) provide clinical rotations in Under Served Care for third year students.

Additional Accomplishments Ranked in top ten schools by US

World News and World Report for producing primary care graduates in 2009, 11th in 2010.

Repeatedly ranked as a top school for Hispanic students

Blacksburg VA #1 Small Business Award

Dr. Blood’s tips for giving to your Virginia school Mentorship (shadowing for

premed, young physicians, etc.)

Provide a clinical rotation experience

Scholarship Club participation

Thank you

Please come to Blacksburg

and tour the school

www.vcom.vt.edu