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Biomedical subjects

John R Wheat

Publications and source records attributed to John R Wheat.

13 recordsLinked to original sources
PubMed2005

Physicians for rural America: the role of institutional commitment within academic medical centers.

CONTEXT: Prior study suggests that contextual characteristics of medical schools (e.g., state demographics, public vs private, NIH research effort) predict output of rural physicians without also considering the effects of the medical schools' own policies and programs. PURPOSE: This study examines medical school commitment to rural policies and programs and its relationship to contextual characteristics and rural physician output. METHODS: A survey of 122 U.S. allopathic medical schools provided data to construct a 32-item Rural Commitment Index for each medical school. Data for other characteristics were linked from published sources. Correlations, t tests, and multiple regression analysis were used to study the association between variables and percentage of medical school graduates (1988-1996) who were in rural primary care practice in 2000. FINDINGS: Among 90 medical schools (response rate, 73.8%), the Rural Commitment Index correlated with the percentage of the state population that is rural and whether the school is public or private, and it joined percentage state population rural, public vs private, and National Institutes of Health support in correlating with percentage of graduates in rural primary care. In a regression model that explained 48.4% of variation in the percentage of graduates in rural primary care, the Rural Commitment Index explained most variation, followed by percentage state population rural, public vs private, National Institutes of Health support, and the interaction between the Rural Commitment Index and public vs private. CONCLUSIONS: The findings support the proposition that observable institutional commitment affects rural physician output and provide justification for a definitive study to verify that a change in medical school commitment to rural medicine produces a change in rural physician output.

Academic Medical Centers↗
PubMed2005

What's in a name? Revisited: terms used to describe activities related to the health and safety of agricultural-associated populations and consumer.

The fundamental role of an academic journal is to facilitate a dialogue among scholars to advance the knowledge and art of practice related to the journal's subject, and consequently, to raise the human condition. As the Journal of Agromedicine begins to chart a course under new management and to enlarge the numbers of contributing scholars and sustaining subscribers, the editor has discovered a variety of concepts, historical developments, and terms used by scholars and practitioners in pursuit of health and safety of agriculture-associated populations and consumers. Each of these concepts, developments, and terms reflect the interests of different scholars and practitioners, who represent a surprisingly broad set of disciplines committed to this large endeavor.

Agriculture↗
PubMed2005

Medical connections: use of the internet and traditional sources of health information by rural Alabama households.

Rural household adoption of the PC and Internet for accessing medical and healthcare information was investigated using survey data collected from 305 households randomly selected from non-metropolitan, rural counties across Alabama. The diffusion-adoption model for new technologies was employed to create five adoption stages relevant to this technology and its applications to communication of information in the health field. Descriptive household characteristics of age, education, income, and children revealed differences between adoption stages, with age and education having major impacts. Use of traditional sources of health information and the Internet were compared in relation to age and availability of medical services. Older, less educated households lagged behind in use of the Internet for health information. Medical professionals, doctors and pharmacists, were the most utilized information source by rural households; but those households connected to the Internet used on-line sources, even e-mail to communicate with their doctors.

Aged↗
PubMed2003

Agromedicine focus group: cooperative extension agents and medical school instructors plan farm field trips for medical students.

BACKGROUND: Current medical education policy seeks to address the health care needs of underserved populations, among whom are individuals associated with agriculture. METHODS: This paper describes a focus group approach to planning farm field trips whereby medical students accompany agricultural extension agents to study the personal, occupational, and environmental health concerns of farmers. RESULTS: The resulting plan joins a state's cooperative extension system, medical school, and farm community in partnership to provide an experiential approach to agricultural medicine and rural health education. CONCLUSION: The planning exercise and the field trips are successful examples of agromedicine, a partnership approach to preventive agricultural medicine involving professionals in medicine and in agriculture.

Agriculture↗
PubMed2003

Premedical education: the contribution of small local colleges.

CONTEXT: Small local colleges may be sources of medical students with the gender, ethnicity, and background that promote identity with and empathy for underserved populations. PURPOSE: This study examined the impact of attendance at these premedical colleges on outcomes of medical education. METHODS: Data for 2508 matriculates to the University of Alabama School of Medicine, a state-supported medical school, were examined according to premedical colleges attended. FINDINGS: Medical students who had graduated from small local colleges were more diverse in gender, race, and rural background than other students. They had slightly lower academic performance in medical school, were more likely to drop out (10.6% versus 5.3% overall), and were more likely to locate in rural areas of the host state. CONCLUSIONS: Small local colleges may be rich sources of student diversity and medical students who choose rural practice, outcomes that are gained at a cost in terms of drop-out rate. Compared with other students, minor differences in performance and larger differences in the drop-out rate raise the question of cultural context and social support during medical school as points for intervention.

Adult↗
PubMed2003

The Southern Rural Access Program and Alabama's Rural Health Leaders Pipeline: a partnership to develop needed minority health care professionals.

Rural Health Leaders Pipeline programs are intended to increase the number of youth interested in and pursuing health professions in rural communities. This paper presents 2 complementary approaches to Rural Health Leaders Pipeline programs. Two different organizations in Alabama recruit students from 18 specified counties. One organization is a rural, community-based program with college freshmen and upperclassmen from rural communities. Students shadow health professionals for 6 weeks, attend classes, visit medical schools, complete and present health projects, and receive support from online tutors. The second organization is a university-based program that supplements an existing 11th grade-medical school rural medicine pipeline with 10 minority students from rural communities who have graduated from high school and plan to enter college as premedical students in the following academic year. Students participate in classes, tutorials, seminars, and other activities. Students earn college credits during the 7-week program, maintain contact with program staff during the school year, and by performance and interest can continue in this pipeline program for a total of 4 consecutive summers, culminating in application to medical school. Each organization provides stipends for students. Early experiences have been positive, although Rural Health Leaders Pipeline programs are expensive and require long-term commitments.

Adolescent↗
PubMed2002

Strategy to increase agricultural medicine practice: an exploratory study to predict interest among generalists.

Across the nation, farmers, farmworkers and their families experience an increased risk of death, illness and disability. A major concern is to determine how medical education and the medical profession can realize their potential to benefit the agricultural community. This exploratory study was completed to identify factors that might predict interest in practice of agricultural medicine among primary care physicians. Two hundred seventy-eight Alabama primary care physicians, almost equally distributed as urban and rural, completed a questionnaire that surveyed interest in agromedicine practice, experience regarding 13 agromedicine topics, and other physician characteristics. Through a logistic regression model, interest in agromedicine practice was predicted by a high proportion of practice experience in smaller communities, agromedicine experience through personal hobby or avocation, and through professional literature. These three significant variables correctly predicted a moderate to high level of interest in agromedicine practice in 65% of the physicians in the study. If these results hold up with confirmatory study, the authors recommend that targeted efforts to produce physicians for agricultural medicine should prepare physicians whose backgrounds are rural and whose interests include agricultural and family medicine, thus predicting location and practice relevant to the needs of the agricultural community.

Accidents, Occupational↗
PubMed2002

Preventive agricultural medicine: a student's perspective of farmers' mental health.

As a medical student completing a required rural community medicine clerkship, I discovered my home community's concern for mental health of farmers. A local economic downturn affects everyone, but especially the farmers. One farmer had recently committed suicide. Leaning heavily on work presented at a Nebraska summit on the farm crisis and mental health and on the National Rural Health Association issue paper on rural mental health, I found farmer and rural mental health to be a widespread concern, exacerbated by a scarcity of rural mental health resources. In my recommendations for rural Alabama, I endorse recommendations of others, including strengthening the local family physician role as "front door" to the mental health system, outreach with such agents as extension personnel and ministers, and farm crisis hotlines.

Journal Article↗
PubMedDate not supplied

Health inequity: the plight of uninsured children in a rural Alabama county and the plan to cure it.

Many children in the United States do not have access to health insurance. Providing health insurance for children has been particularly challenging in rural America. This article describes and evaluates a local plan to provide access to health care for school children in a rural Alabama county. A triangulated methodology (personal interviews, ad hoc survey focus groups, US census and health fair data) was used in the evaluation. Gains were made in enrolling children despite some limitations, especially in rural outreach. The most successful aspect of the program was a partnership between local leaders, health providers, and educators to provide impetus for a coordinated plan. The stability of the program is uncertain because of diminishing resources and the negative effects of economic recession.

Adolescent↗