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Coroner training needs. A numeric and geographic analysis.

OBJECTIVE: To define geographically and numerically the need for coroner training programs. DESIGN: Survey and literature review. SETTING: States in the United States that have coroners. MAIN OUTCOME MEASURES: Which states have coroners; which states require coroners to be physicians or have mandated training requirements; and the number of coroners potentially requiring training on an annual basis. RESULTS: Twenty-nine states have coroners in some or all counties with coroner states being located throughout most of the United States except for New England and the Mid-Atlantic states. Four states (Louisiana, Kansas, North Dakota, and Ohio) require coroners to be physicians. Seven states (Georgia, Illinois, Kentucky, Mississippi, Montana, Pennsylvania, and Wyoming) have mandated training requirements. At any given time, there are approximately 2759 individuals serving as coroners. Nationwide, the annual number of newly elected or appointed coroners ranges from 159 to 1546. CONCLUSIONS: It is feasible to provide training to all newly elected or appointed coroners annually. The use of existing training programs, development of state-specific training programs, and the development of a standard national training curriculum may be useful strategies. Funding sources for coroner training need to be explored.

Coroners and Medical Examiners↗

Cancer screening in the community. Taking the show on the road.

PURPOSE: The authors describe the efforts involved in improving cancer screening of an underserved population using a mobile clinic to bring these services to the community. The background, methods, results, and implications are discussed, as are the logistics of packing, scheduling, and providing follow-up. OVERVIEW: Members of the University of Pittsburgh Cancer Institute Cancer Prevention and Early Detection Program developed a cancer screening program to serve the underserved communities in the Pittsburgh area. The African American Cancer Screening Program has presented the staff with significant challenges. The most significant of those challenges has been taking the most comprehensive screening program to the areas convenient to clients. Although coordinating staff, materials, and transportation was a challenge, the logistical problems involved were resolved, allowing for the opportunity to "take the show on the road". CLINICAL IMPLICATIONS: Because the mortality rate from some cancers is higher in black Americans, early cancer screening and detection is crucial in this population. The establishment of a mobile cancer screening clinic allows underserved communities access to these services. The physical screening, educational counseling, scheduling of mammographies and flexible sigmoidoscopies, and meticulous follow-up provided through the mobile clinic may lead to a greater awareness and reduced morbidity and mortality from cancer in these communities.

Black or African American↗

Promoting medical student involvement in primary care research.

BACKGROUND AND OBJECTIVES: As the growth of primary care continues, the need for strengthening the scientific foundations of practice becomes more pressing. Although there is general agreement on the importance of promoting primary care research by medical students, little has been reported on how this can be accomplished. The goal of the program described is to involve medical students in primary care research. METHODS: Over the last 7 years, the Department of Family Medicine at the University of Colorado has promoted the involvement of medical students in primary care research through a program consisting of five elements: 1) a student development program (the Family Medicine Scholars Program), 2) financial support for student research, 3) a core of faculty mentors, 4) a strong coordinating effort by the predoctoral education office, and 5) research agendas geared to student schedules. RESULTS: The number of students involved in primary care research, presentations, and publication of papers by students has increased since we initiated our medical student research program 7 years ago. CONCLUSIONS: The elements discussed have proven successful at increasing student participation in primary care research.

Colorado↗