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Biomedical subjects

L H Andrus

Publications and source records attributed to L H Andrus.

12 recordsLinked to original sources

A cooperative education program for nurse practitioners/physician's assistants.

Traditionally, nurse practitioners and physicians' assistants have been trained separately. Despite similarities in curriculum and graduate practice, there has been little or no articulation between their training programs or professional organizations. In 1977 the Family Nurse Practitioner Program at the School of Medicine, University of California, Davis, and the Primary Care Associate Program at Stanford University Medical Center merged clinical curricula. In this article the authors describe the cooperative educational venture and evaluate its first year.

California↗

A new teacher in medical education: the family nurse practitioner.

At the University of California, Davis, family nurse practitioners who are faculty members in the Department of Family Practice have proven to be effective teachers of medical students and family practice residents. These faculty members, new to the medical school scene, have demonstrated competency in the teaching of clinical medicine within their area of expertise, are extremely well received and sought after by students are effective role models as clinicians in the education-service settings, and expose trainees to and prepare them for the team concept in the delivery of care.

Attitude of Health Personnel↗

Doctor's other office, an alternative to the emergency room.

Doctor's Other Office (DOO), a group of ten family physicians, offers after-hours and weekend health care to non-critical patients who might otherwise go to a hospital Emergency Room, even though their medical problems do not require expensive, elaborate facilities of the Emergency Room. Advantages to patients include less expense than the ER, care that is appropriate to their needs, and comprehensive, continuous care through dealing with physicians who will follow through with referral to a regular physician, often the patient's own family physician. DOO physician members enjoy a rational division of after-hours and weekend coverage among colleagues that permits more free time, yet assures that patients receive good quality, continuous care. The methods of operation are discussed, including personnel schedules, consultants, hospital coverage, and finances. The DOO income just meets office expenses, however, life insurance and other fringe benefits that physician members receive through the corporation aid in making this organization more financially attractive.

California↗

Evolution of a Family Nurse Practitioner Program to improve primary care distribution.

The Family Nurse Practitioner Program of the Univeristy of California, Davis, has effectively improved the distribution of primary health care manpower in medically underserved areas. This has been accomplished by selecting students, preceptors, and faculty from areas of need; decentralizing the clinical and didactic training sites; developing a competency-based, portable curriculum; and coordinating it all with a circuit-riding, institutionally based faculty.

California↗

Assistants to primary physicians in California.

The mid-level practitioner movement is no longer experimental; nurse practitioners and physician's assistants in California have proved to fill a necessary and viable professional role in the delivery of primary health care. The physician's assistant law (AB2109) and the Experimental Manpower Act (AB1503) have facilitated the training and functioning of these new health care professionals; more comprehensive laws are still needed to permit optimal utilization. National agencies for approval of teaching programs and testing of individual graduates will play an increasing role in the accreditation and certification procedures. Professional role difficulties, issues of sex and questions of delegation of responsibility are being resolved and it is hoped that a more equitable and patient-oriented system is evolving.

American Medical Association↗

The Rural Health Program of Southern Monterey County.

The Rural Health Project of Southern Monterey County is attempting to demonstrate that a private group of physicians with the collaboration of the County Medical Society can responsibly and efficiently conduct a program of providing comprehensive medical care to indigent patients. Within the purposes of P.L. 89-749, the Rural Health Project is experimenting with a new way of organizing indigent health care and at the same time is providing the basis for comprehensive health planning at the local level.

California↗