Using rural training tracks to encourage rural practice careers and enhance training in family medicine.
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Biomedical subjects
Publications and source records attributed to C Christman.
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BACKGROUND AND OBJECTIVES: This article describes the process used by the University of Wisconsin-Madison Family Practice Residency Program to establish its first rural training track (RTT) in Baraboo, Wis. The process includes 1) establishing a core planning group to develop rural site selection criteria with specifications on distance traveled, faculty composition, teaching commitment, rural hospital capabilities, and availability of subspecialty teaching, 2) involvement of the state Area Health Education Center, 3) budget planning, 4) telecommunications plans, including e-mail, library search, and Internet connectivity, 5) creation of a residency curriculum in collaboration with the rural site's faculty and staff, 6) preparing an accreditation document to submit to the Residency Review Committee, and 7) faculty development programs for rural faculty. The program then participates in the National Residency Matching Program with an independent Match number.
Care for mother and child once were part and parcel of family medicine. But in an age of increased specialization, that touchstone of health care has changed in the way such care is delivered and administered. This study, based on survey responses from 235 University of Wisconsin (UW) graduates practicing in Wisconsin in 1991, examines issues related to the decline in maternity care provided by family physicians and factors that could reverse the trend.
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Rheumatoid arthritis is a chronic, systemic inflammatory disease, characterized by polyarticular inflammation, joint destruction, deformity and loss of function. Chrysotherapy is indicated in documented cases of rheumatoid arthritis in which other methods of treatment including rest, physical therapy, analgesics and non-steroidal anti-inflammatories have failed. Clinical guidelines for the administration and management of chrysotherapy are presented for the nurse practitioner providing care for patients in which gold therapy has been prescribed by a rheumatologist. Careful initial assessment, follow-up and education are necessary for the effective treatment of patients receiving gold therapy.
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Most people who smoke want to quit. Smoking is a combination of nicotine addiction, psychologic dependency, and habit. Nurse practitioners are in a unique position to influence clients to stop smoking. The authors discuss individual and group therapy programs and the role of the nurse practitioner. Nurse practitioners are encouraged to start smoking cessation programs in their communities.
Noninsulin dependent diabetes (type II diabetes) is a chronic disease characterized by hyperglycemia. Clients can generally be controlled by diet and exercise or a combination of diet, exercise, and oral hypoglycemic agents. When this therapy is not effective in controlling the hyperglycemia, the health care provider must choose to initiate insulin therapy. Outpatient initiation of insulin is an alternative to hospitalization in the type II diabetic client. Clinical guidelines for the initiation of insulin on an outpatient basis and management of the diabetic client are presented.
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