Could you have imagined that a small town boy from rural Louisiana would grow up and see the world in the name of medicine? Seeing the world beyond my small town was all I thought of as a child. Pursuing family medicine physician originated from personal experiences first as a patient then to provider in the typical rural south. As a medical student, I completed my third and fourth year clinical rotations in rural and medically underserved settings in rural areas in Poland and Louisiana. Since then, I’ve discovered that primary care is so basic if the individual is healthy – yet crucial when diagnosis methods are used to treat complex medical concerns. Of all the disciplines of medicines I choose family medicine because it is the frontline …show more content…
I gained a Master’s in Clinical Research from Tulane University School of Medicine then I completed a 10 month research clerkship in trauma and critical care where my research allowed me to gain further experience in data mining and report processing using several electronic health records systems. Additionally, I remained active in the clinical setting, completing a three month outpatient family medicine clerkship and a three month primary care and medicine clerkship. My goal is to practice in a medically underserved community and have involvement in translational and patient-centered outcomes research, particularly projects that will identify shortfalls in practice and health disparities among minority groups within the U.S. population. I plan to use reports from electronic health records to develop strategies that will improve overall patient care by comparing effective interventions, and shorten the time between discovery and application by healthcare providers. These improvements will not only have a positive impact on the health and well-being of patients across the board, but also contribute to a more effective bench-to-bedside, and bedside-to-community …show more content…
Moreover from my understanding of the nature of medically underserved communities, in particular, from my small town upbringing to my travels in the United States and around the world, support my medical education in those communities and will assist me significantly in my career. I have much to learn about family and community medicine and believe that my present skills will fit well into a residency program committed to advocating for patients as well as treating their maladies. I look forward to expanding my knowledge and skill base in a collaborative atmosphere dedicated to improving our patient’s health, lives, and
Health care providers not knowing their surrounding community impacts the way they provide health care to a patient. I hope to use my background in community work with underrepresented populations and the qualities I gained to hopefully reduce and someday diminish the concern that health care isn’t keeping up with the demographics of the surrounding community. The third health care concern I will talk about is another near and dear to me which is the severely low quality health care women in developing countries receive.
Many new technologies are being used in health organizations across the nations, which are being utilized to help improve the quality of health care. Electronic Health Records (EHRs) play a critical role in improving access, quality and efficiency of healthcare ("Electronic health records," 2014). In order to assist in expanding the use of EHR’s, in 2011 The Centers for Medicaid and Medicare Services (CMS), instituted a EHR incentive program called the Meaningful use Program. This program was instituted to encourage and expand the use of the HER, by providing health professional and health organizations yearly incentive payments when they demonstrate meaningful use of the EHR ("Medicare and medicaid," 2014). The Meaningful use program will be explored including its’ implications for nurses, nursing, national policy, how the population health data relates to Meaningful use data collection in various stages and finally recommendations for beneficial improvement for patient outcomes and population health and more.
During one of my undergraduate courses, “Community and Population Health”, I completed a paper on my community and access to healthcare. During the research and community outreach performed to meet the goals of the paper, my eyes were opened to the plight of small communities in regards to access to quality healthcare. This plight has become my passion, and has formed the basis for my vision of the Family Nurse Practitioner role.
Culver, APRN, who specializes in adult health and has been a practicing APRN for over 10 years at a busy private family practice in Louisville, KY. She described her role as working within a team of medical staff consisting of two other advanced practice nurses, two registered nurses, one licensed practical nurse, four support and office staff, and a working collaboration with two internal medicine physicians. Her scope of practice includes telephone triage and seeing, treating and discharging patients with minor illness who need a same-day appointment as well as patients with long-term health conditions such as diabetes and heart disease. She serves a diverse (White, Black, Hispanic, and Asian) middle age to older adult population living in the community in the city of Louisville and surrounding areas. My basis for choosing J.M.C. for this interview is my professional goal of practicing in the primary care setting after I obtain my graduate degree and successfully pass the state licensure board and receive certification to practice as an advanced practice nurse in the state of Kentucky. I believe the opportunity to speak with her allowed me to gain insight into this area of practice as well as see how the core competencies are understood and applied in advanced practice
Patient-Centered Care is a vital step for the underserved populations. In the clinical practice attention, and focus should be priority for these disadvantage patients. As a nurse educator, I should take a proactive role to to improve the health of America's underserved populations. participating in support group will enhance the care to serve the underserved population. In United states there is a disparity in the health of racial , ethnic groups, minorities, and African Americans. Most of the underserved population lives in underserved rural areas. These population lack access for health care, because their poverty, low income, and less access to transportations. Serving in shortage area is sacred mission for health care provider. Nursing role in the underserved areas has a dominant factor to reduce children mortality rate, and reduce elderly diseases. It is an opportunity to address all the barriers that prevent this special group for health care access. It is the real challenging for nurses to use the utmost knowledge, and explore new ideas that need further investigations.
Unfortunately, the quality of health care in America is flawed. Information technology (IT) offers the potential to address the industry’s most pressing dilemmas: care fragmentation, medical errors, and rising costs. The leading example of this is the electronic health record (EHR). An EHR, as explained by HealthIT.gov (n.d.), is a digital version of a patient’s paper chart. It includes, but is not limited to, medical history, diagnoses, medications, and treatment plans. The EHR, then, serves as a resource that aids clinicians in decision-making by providing comprehensive patient information.
Over the last few years, I shadowed a Primary Care Adult Nurse Practitioner whose office is located in the underserved urban area of Irvington, NJ. She also takes care of patients from the surrounding areas of Irvington, Newark, and East Orange, all of which have very large underserved populations including African Americans, Latinos, and patients from the Middle East. During my clinical shadowing, I gained a appreciation for the complexity of treating long term chronic conditions such as asthma, diabetes, HIV, and hypertension. In many cases these conditions were exacerbated due to poor nutrition, non-compliance, and lack of education about healthy lifestyle choices. I gained a keen understanding of the importance of patient education and the ability to connect patients with community services to help them with their economic and social challenges.
...ntralizing and taking a holistic approach towards health for underserved communities, could lead to improved show rates, as well as, knowledge and communication between patient and health care providers. Especially in under marginalized communities, where advocacy and resources are lacking and needed the most, the manner in which health officials effectively educate and provide the resources to these communities need to be strategically assessed to translate scientific research into practice. With the value and importance of public health increasing, I desire to address the social determinants of health to reduce health disparities through utilization of technology and partnerships with community organizers. Thus, I believe a degree from Oregon State will be an excellent opportunity for me to merge my skills, backgrounds, and passions, turning a vision into reality.
I had known for years that I wanted to work in the health care field, but I always believed it would be as a doctor. I watched for the first few years of my brother’s life as he struggled with different health challenges such as being born premature, having croup and breathing difficulty, and speech impairment. Watching my brother struggle and then being able to overcome these difficulties, as well as seeing other children around him who were not as fortunate, really pushed me even at a young age to make a difference. My family, both immediate and extended, were very supportive, and I felt a real positive push towards working hard to achieve that goal of working in health care. In high school, I was fortunate enough to do a cooperative placement at the Peterborough Regional Health Center’s Intensive Care Unit. Through observing rounds and being in the medical setting, I truly knew this is where I wanted to
It is my desire to increase my breadth of knowledge and to serve others in a larger capacity. Following graduation from the nurse practitioner program I would like to be working with a primary care clinic in a rural and underserved area. I have a heart for rural medicine and would love to serve and partner with a community that is in need of primary care providers. My goal would be to encourage patients to take ownership of their health by educating and informing them on healthy lifestyles, diseases, medications, etc. I would also like to help the community become more aware of preventative health. I believe the education of patients goes hand-in-hand with
Family medicine or doctor that provides basic health care to all the members of a family and patients, Family medicine treat and diagnose diseases and stop the immediate abnormal growth, family medical care for all ages, sexes, each organ system. Family medicine also provides personal care for the individual in the community. Family medicine started in the 1800s, family medical don’t have the proper health care the doctors only treat their patients in a small carriage or hunt houses. Doctors don’t have any training, some doctor learned family medicine as an apprentice working with other physicians and some doctors learned a small course and work at a workshop. There is no medical school, organized training and good facilities to care for patients.
Healthcare is intriguing. The health and wellness of people always has been intriguing and always will be. My background in healthcare came as an environmental pass down with a father as a Registered Nurse and a mother in healthcare management. It was inevitable that the journey of healthcare started being instilled without my knowledge of it, as a young child. A constant learning in the health sciences and management directed my way. By the start of college, the intrigue lead to compassion, lighting a fire for the administration of healthcare. This calling spurred by a great woman, my mother, who is a national redesign award winner by the Bureau of Primary Healthcare in Health Disparities. These footsteps down her similar path with careful guidance, but not to be confused with an easy path.
...epersonalized. Although not every patient is easy to deal with and doctors are under colossal pressure, by inspiring students with a possible future in the medical field to get involved with type of community service early we can ameliorate the distressing situation. Coming into contact with, speaking to, and intimately understanding these incredible individuals can dramatically alter one’s perspective and ensure treatment with self respect and dignity. I strongly believe in this notion of early involvement. My changed view coupled with my future medical training in college will allow me to be a figure to emulate and hopefully inspire others to follow this path. By embarking on this monumental journey mankind has the opportunity to shape history and enrich the lives of others while personally experiencing the most rewarding of all endeavors: helping someone in need.
Introduction: Centers for Medicare and Medicaid Services continues with their implementation of their Electronic Health Records Incentive Program, which is also known dubbed as Meaningful Use. The Meaningful Use is currently moving towards its final stages, the criteria that is needed to be accomplished entails improving quality, safety, and efficiency, leading to improved health outcomes; giving patient access to self-management tools; providing access to a comprehensive patient data via Health Information Exchange; and finally improving populations overall health (1). Accomplishing the first two stages of the Meaningful Use initiative had been accomplished by out institution. Successful implementation of the first two stages provided our
As explained by Loghmani, Borhani, & Abbaszadeh, (2014), to establish the specific health conditions of a given family, a family health assessment is important to be performed. In addition, this procedure gives the nurse and other health care practitioners the ability to identify the health needs of the family. Therefore, through this process the nurse achieves the opportunity to communicate with the family, examine to detect potential risks for any health issues, get opportunities for health education, and provide health. Moreover, for the nurse to effectively succeed in this assessment, the interview needs to be performed effectively, data piled appropriately, and the nurse completes the examination. Guided by the Gordon’s 11 functional health