Medical College of Georgia

 MCG Today - Winter 2006

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Allied Health News

Need for Allied Health Professionals is Growing
Simulator Puts Stroke Patients Back in the Drivers Seat
MCG Upgrades Physician Assistant Program to Master's Level
Program Will Link Consumers to Health Care Providers
Students Garner Honors, Scholarships
Dr. Dadig’s Artwork Featured in Magazine
 

Occupational Therapy students Kimberly Chu (right) and Molly Hefner perform ergonomics assessment.Need for Allied Health Professionals is Growing

As America faces a shortage of health care professionals, Dr. Shelley Mishoe faces the interesting problem of classrooms and programs at full capacity.

“Enrollment in our allied health programs has increased 25 percent [in three years],” said Dr. Mishoe, dean of the School of Allied Health Sciences. “The medical technology program alone has quadrupled its enrollment over the past three years.”

MCG’s allied health science programs—biomedical and radiological technology, dental hygiene, health informatics, medical illustration, occupational therapy, physical therapy, physician assistant and respiratory therapy—are at maximum enrollment. The school, in cooperation with Gwinnett Health Systems, also operates a satellite program at Georgia Gwinnett College to allow more students into the nuclear medical technology and medical technology programs.

“Graduates from entry-level programs are the ones who will have the biggest impact and increase the workforce,” said Dr. Mishoe. “We also provide programs for advanced-level training, which is another important need and part of our mission.”

Allied health professionals comprise about 60 percent, or 5 million to 6 million, of today’s health care professionals, according to some estimates. Fifteen of the 30 fastest-growing jobs in the United States are allied health professions.

Attracting students to allied health programs isn’t the challenge – the cost of educating them is, according to Dr. Mishoe.

“Our graduates leave with skills that they’ve learned in clinical and lab experiences – experiences that can’t be duplicated,” she said. “Having to do things hands-on makes the programs expensive.    A lot of the professions are also technology-based. We have to offer students the latest technology to train on, and that’s also expensive.”

But there are ways, Dr. Mishoe said, to increase program size and efficiency. Finding extramural funding sources for faculty positions like endowed chairs, collaborating with other MCG schools and conducting pipeline activities to interest young people in the disciplines will help decrease costs and attract students who are more likely to stay in the programs, she said.

“Our faculty, paid and volunteer, work very hard with our students to minimize attrition,” Dr. Mishoe said. “Every slot is important for preparing the next health professional.”

Increasing public knowledge about what allied health professionals are and do will also help encourage people to join the field, Dr. Mishoe said.

“There is a real lack of public knowledge about allied health professionals” she said. “We are involved in a lot of acute care when patients are unconscious and so much of what we do is often behind the scenes that people don’t often realize just how big our role is in maintaining and restoring good health.”

To learn more about career opportunities in allied health, see the school’s video at www.mcg.edu/sah/sahs-vid.html.

--Jennifer Hilliard

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Simulator Puts Stroke Patients Back in the Drivers Seat

A high-fidelity simulator that allows people to practice driving on a computer-generated course can help stroke patients learn to drive again, researchers have found.

Dr. Abiodun AkinwuntanPatients who received simulator training were also almost twice as likely as stroke patients without the training to pass an official driving test at the end of a five-week training period, according to Dr. Abiodun Akinwuntan, a Medical College of Georgia physical therapy instructor and the lead researcher on the study published in the Sept. 27 issue of Neurology.

“Traditionally, to help patients learn to drive again, therapists have relied on conventional methods like paper-and-pencil-based training and sometimes an on-road training method," Dr. Akinwuntan said. “I have never been a proponent of the on-road method because it can be unsafe. Healthy drivers find the roads dangerous enough.”

In 2003, Dr. Akinwuntan and his colleagues at the Katholieke Universiteit in Leuven, Belgium, the Belgian Road Safety Institute in Brussels and University Hospital in Pellenberg, Belgium studied 83 stroke patients in the hospital’s rehabilitation unit. Using a 20-mile computer-simulated course that Dr. Akinwuntan developed, patients practiced driving in a variety of traffic situations. Virtual rural and open roads, urban settings and highways each tested a different skill level.

“Rural, small roads have less traffic and test basic skills,” he said. “The urban setting has more traffic and can test how well patients perform when their attention is divided among many distractions, and the highway setting gives an idea whether they understand what it means to overtake another car and effectively react to other drivers and their maneuvers.”

For training, patients drive in a specially equipped car on a course projected on a large screen. Mistakes are monitored both by computer and an observing evaluator. Patients using simulator training were more likely both to pass the driver’s test and to retain the skill level achieved in training.

The possibilities to apply simulator training to other areas are endless, Dr. Akinwuntan said. For example, the simulator could help determine the types of driving skills affected at different stages of Parkinson’s disease and how interventions like deep-brain stimulation help people overcome some of the problems. 

Dr. Akinwuntan also plans to help develop a unit at MCG that would use simulators and virtual reality systems to help doctors and therapists determine the challenges patients face after leaving the hospital.

“Such information could be used to modify interventions or influence the rehabilitation programs of patients,” Dr. Akinwuntan said.

Dr. Akinwuntan, a native of Nigeria, earned a physical therapy degree from the College of Medicine, University of Lagos in Nigeria, then worked at the industrial hospital in Lagos for three years before he longed to supplement his clinical work with research.

“I was looking for a way to present my success stories objectively,” Dr. Akinwuntan said. “Of course I can tell people about my successes, but there will always be questions. Was the success pure chance? Is there a standard way to teach this to other people? Could it be applied to other patients? Research was the only answer.”

He searched worldwide for a research program and found one at the Katholieke Universiteit. He didn’t know then what he’d gotten himself into.

“The program director said he’d let me in the program if I conducted specific research,” he said. “We knew that a stroke affected driving, but there wasn’t any research saying whether those who had a stroke could be rehabilitated to drive again and how.”

Dr. Akinwuntan began a study and found that high-fidelity simulator training could prepare stroke patients to drive again. The finding yielded several national and international awards, including the Outstanding Student Paper Award from the International Symposium on Human Factors in Driver Assessment in Aspen, Colo., in 2001.

Dr. Akinwuntan received his master’s degree in physiotherapy in 2000 and his Ph.D. in 2004, both from the Katholieke Universiteit. He also worked as a senior lecturer and earned a postgraduate certificate in teaching and learning in higher education at the University of  East London, where he worked from 2004-05.

He joined the MCG faculty in April, eager to apply his simulator training to other areas. “I’m ready to face the challenges of finding funding to continue the research,” he said. “I just want to be able to make a difference.”

--Jennifer Hilliard

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Physician assistant program students practice giving a physical exam.MCG Upgrades Physician Assistant Program to Master's Level

The School of Allied Health Sciences will upgrade the physician assistant program to a master’s program in May, deactivating its bachelor’s degree by fall 2007 when current students are scheduled to graduate.

MCG is acting on the recommendation of the Association of Physician Assistant Programs and the American Academy of Physician Assistants to transition all physician assistant educational programs to a master’s degree by 2008.

“Our faculty will be working hard to preserve the strengths of our baccalaureate program and to build a unique graduate curriculum that will develop excellent clinicians, educators and leaders of the future,” said Dr. Bonnie Dadig, chair of the Physician Assistant Department.

Physician assistants treat patients under the supervision and responsibility of a physician. They conduct physical exams, diagnose and treat medical problems, order and interpret tests, counsel patients, assist in surgery, and in nearly all states, including Georgia, can write prescriptions.

Physician assistants are educated in the medical model. Like medical students, their training includes a combination of classroom studies and clinical experience.

Applications submitted to MCG’s program are being evaluated based on the new M.P.A criteria.

According to Judith Stallings, director of admissions, applicants needn’t have a bachelor’s degree to qualify for the new program. “Students must have a minimum of 90 credit hours in order to enter the program, which does not necessarily mean they’ve earned a bachelor’s degree,” she said.

The M.P.A. program is offered over seven semesters, one semester longer than the bachelor’s-level program, and requires several new mandatory prerequisites, including biochemistry, statistics and introduction to computers.

MCG physician assistant graduates consistently earn a nearly 100 percent satisfaction rating from employers and exceed national averages of certification tests, Dr. Dadig said.

For more information about the program, including admission requirements, call 706-721-2725, visit www.mcg.edu/sah/PhyAsst/ or arrange a Closer Look tour by calling 706-721-2725 or 800-519-3388.

--Kim Miller

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Program Will Link Consumers to Health Care Providers

The Medical College of Georgia has joined a nationwide initiative to link consumers to health care providers through the World Wide Web.

GoLocal, funded through the National Library of Medicine, will enable a patient or consumer anywhere in Georgia to visit the MedLine Plus Web site for health information, then be directed to providers in their area. MedLine Plus is the National Library of Medicine’s consumer health information Web site.

MCG is collaborating with Mercer University, Morehouse College and Emory University to compile a statewide database of providers, support groups, clinics and other services.

“The basic idea is that without having to do a lot of searching, consumers can find high-quality health information and health service providers,” said Dr. Kent Guion, associate dean of academic affairs in the School of Allied Health Sciences.

Dr. Guion, who is working with staff in MCG’s Greenblatt Library on the project, was selected because of his experience with GRID – the School of Allied Health Sciences’ rural online health directory. Like GoLocal, GRID allows rural Georgians to search out health services by city, county, service or organization. That Web site averages more than 100 hits per week and lists more than 1,600 resources in its database.

GoLocal’s main challenge will be increasing the general public’s awareness of MedlinePlus, Dr. Guion said.

“The ideal is that a person would start with MedLine Plus when looking for health-related information and then be led to GoLocal to find providers in their area,” he said. “So many people don’t know where to look for information. A lot of it is word of mouth now, and people have to be really careful with a lot of what they find on the Internet.”

The project will be implemented in phases, first incorporating existing databases, services and resources like GRID and Georgia 2-1-1, an information and referral service operated by the United Way. Once a base has been established, project coordinators will add resources county by county across the state. The Centers for Disease Control and Prevention is coordinating the project. When the system is fully implemented, Georgia will be one of 20 states in the country offering the service.

For more information about the GoLocal initiative, visit www.nlm.nih.gov/medlineplus/golocal.html.

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Students Garner Honors, Scholarships

Several School of Allied Health Sciences students have been honored recently, including:

  • Respiratory therapy student Leslie Gordon, who received the 2005 Morton B. Duggan, Jr. Memorial Education Recognition Award from the American Respiratory Care Foundation. This is the seventh year in a row that MCG respiratory therapy students have received at least one national award from the foundation, according to Dr. Randy Baker, chair of the department.
     

  • Dental hygiene students Jennifer Mestres, Shawn Neal and Dani Van Deven, who received scholarships from the American Dental Hygienists’ Association Institute for Oral Health. The scholarship fund, established in 1962, provides financial support to dental hygiene students and dental hygienists who demonstrate academic and professional excellence.
     

  • Physician assistant students Jason Rodwell and Wendy Royal, who represented MCG’s winning team at the Georgia Association of Physician Assistants’ 2005 Student Medical Challenge Bowl. The competition tests the medical knowledge of physician assistant students in Georgia. MCG has won the tournament each of its two years of participation, beginning last year.

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Dr. Dadig’s Artwork Featured in Magazine

On a recent business trip, Dr. Bonnie Dadig found an odd source of inspiration for her painting hobby: the back of a plane seat.

Dr. Dadig, chair and program director of the Department of Physician Assistant, found an issue of Skywest Magazine that featured an article filled with photos of picturesque Utah sites by award-winning photographer Frank Jensen. Using the small travel palate and watercolor pencils she frequently takes on plane trips, she started recreating the images on canvas, intending to use the artwork for birthday gifts.

But the gesture came full circle when she submitted her artwork to the very magazine that inspired her: Skywest Magazine. The magazine published her artwork in its September 2005 edition.

Dr. Dadig has enjoyed the recognition but keeps her hobby firmly in perspective. “It’s something I usually just do to pass the time,” she said with a laugh.

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February 17, 2006