Multi-Skilled Rural Health Professional Work Force


is Goal of UNMC’s Add-A-Competency Program

The University of Nebraska Medical Center’s rural education program

has graduated 64 students since its beginning in 1991. Of those rural program

graduates, 94 percent obtained their first job in a rural area – 76 percent

of those jobs were in rural Nebraska. Prior to the program, only 8 percent

of the graduates took their first jobs in a rural community.

UNMC has designed a program to train medical laboratory workers and

allied health practitioners currently working in rural Nebraska in more

than one area of health care. The focus of the program is to bring more

multi-skilled allied health professionals to rural Nebraska.

The three-year program is funded by a grant of more than $324,000 from

the U.S. Department of Health and Human Services. The funding was awarded

to the division of medical technology in UNMC’s School of Allied Health

Professions. The program’s cost-effectiveness, quality care, patient satisfaction

and professional development are being studied


AAdd-A-Competency is designed to develop a supply of health-care professionals

who have multiple skills for practice in rural Nebraska,@ said Phyllis

Muellenberg, director of the medical technology program and co-director

with Linda Fell of the Add-A-Competency Program.

Courses offered through the program include limited scope radiography,

cardiopulmonary care, advanced management/information technology and phlebotomy/basic

lab skills. Students are only responsible for the cost of books and teaching

materials.

AWe’re looking at building additional skills in people who already are

health-care professionals so they can be of greater benefit to their institutions,@

Muellenberg said.

Research shows that the greatest need in Nebraska’s rural health-care

facilities is for medical technologists with additional skills in radiography.

Training for eligible technologists began last summer in this discipline.

A two-week course titled Limited Scope of Practice in Radiography, is

being offered July 20 through 31. Twenty-eight health-care practitioners

have signed up for the program. Training includes classroom instruction

and conferences, and working in clinical situations, practice laboratory

sessions and computer-assisted instruction. Participants are prepared for

the licensure examination that will enable them to perform limited radiography

procedures.

The limited radiography course is being held at the Rural Health Education

Distance Learning Center in Kearney, a cooperative project between UNMC

and the University of Nebraska at Kearney that supports the application

of distance learning technology. In conjunction with the program, new communication

systems and distance learning options are being explored.


Also this summer, the Cardiopulmonary Skills Module will be offered.

This course will include patient assessment skills, respiratory skills,

such as evaluation of lung sounds, and information on blood gases and oxygen

delivery devices. EKG testing and interpretation will be offered in the

fall.

A full semester course in Advanced Management/Information Technology

will be offered in September, using several types of distance learning

technologies. Areas of financial management, personnel management, state

and federal accreditation procedures and new information technology will

be covered.

Administrators are looking for people who can manage and summarize data,

as well as use information systems for their institutions, Muellenberg

said.

Muellenberg said any health-care practitioner can participate in these

courses. She stressed that the program is designed to augment skills. It’s

add-a-competency, not take one of these skills and make a job out of it.

The Add-A-Competency program was developed following surveys and discussions

conducted by SAHP representatives with rural health-care facility administrators

and practitioners. The research revealed a need for multi-skilled allied

health-care professionals in medical facilities throughout rural Nebraska.

For the first class last summer, Fell expected 10 participants, but

the program drew 23 from 18 communities throughout Nebraska and one each

in Colorado and Kansas. Twenty of these professionals were laboratory personnel

already employed in rural health-care facilities. The other three were

students in health professions programs.

UNMC is the only public academic health science center in the state.

Through its commitment to research, education and patient care, UNMC has

established itself as one of the country’s leading centers for cancer research

and treatment and solid organ transplantation. More than $27 million in

research grants and contracts are awarded to UNMC scientists annually.

In addition, UNMC’s educational programs are responsible for training more

health professionals practicing in Nebraska than any other institution.


 

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