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ACOM update: 
• Grand Opening: July 2013, Class 162 
• August 2014: Second class : 320 
• September 2014 : Interview cycle, 15% 
increase over year 1, 21% over year 2, 
Projected # of applicants : 3500 to 4000 
• Clerkships across Alabama and beyond: 
August of 2015 
• Partnerships: Troy, UAB, Research Launch, 
New GME 
2
3
4
Barriers to Telehealth: 
• Is it only technology? 
• How can medical education integrate with 
telehealth? 
• Gaining acceptance with the health care 
providers? 
• Classical medical-psychiatric model success? 
• Role of mid-level providers? 
5
An “Eye Opening Experience” in 
Telehealth 
• Place: San Bernardino County California 
• Year: 2000 
• Tri-City Mental Health 
• Terry: executive director, magician with 
Grants, LCSW 
• Distance barrier: County the size of Rhode 
Island 
• Psychiatrist model failure: outpatient and ED 
6
Medical Center/University Health 
Science Center 
• Barrier: patients expected to come to medical 
center, distance & time & transportation 
• Who expects it? Physicians 
• New model: SAMC medical outreach falls 
short 
• Next step: San Bernardino model and others 
at this conference 
7
Changing Physician Culture/Barriers? 
• Age of physicians: “old” equals hands-on & 
face to face 
• Technology use in medical school training: 
paperless curriculum and learning resources 
(onset of student contribution) 
• Years 1 and 2: Pt actor based training and 
testing and learning 
• Years 3 and 4: Shrinking the State of Alabama 
8
Application of Video Conferencing 
Units to the Medical School 
• Change in technology and cost: Tri-city Mental 
Health, San Bernadino, dependence on high 
cost and T-1 line: Lack of true high definition 
visual and audio 
• Adjunct equipment: otoscope, derm scope, 
cardiac auscultation (teaching unit) 
• What specialties are perfect for VCU? 
• Delivery in high definition 
9
Pilot Program for combining med-ed 
and clinical care 
• International Clerkship elective: Year 4 
• Previous barrier to Faculty delivery 
• Current solution: Send faculty with students 
• Future innovation: Lap-top or Mini-I-Pad with 
morning report from Nicaragua to ACOM 
Small Group Room, 
11
Closing 
• Questions? 
• Comments? 
• Ideas? 
12

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ACOM Telehealth Update

  • 1.
  • 2. ACOM update: • Grand Opening: July 2013, Class 162 • August 2014: Second class : 320 • September 2014 : Interview cycle, 15% increase over year 1, 21% over year 2, Projected # of applicants : 3500 to 4000 • Clerkships across Alabama and beyond: August of 2015 • Partnerships: Troy, UAB, Research Launch, New GME 2
  • 3. 3
  • 4. 4
  • 5. Barriers to Telehealth: • Is it only technology? • How can medical education integrate with telehealth? • Gaining acceptance with the health care providers? • Classical medical-psychiatric model success? • Role of mid-level providers? 5
  • 6. An “Eye Opening Experience” in Telehealth • Place: San Bernardino County California • Year: 2000 • Tri-City Mental Health • Terry: executive director, magician with Grants, LCSW • Distance barrier: County the size of Rhode Island • Psychiatrist model failure: outpatient and ED 6
  • 7. Medical Center/University Health Science Center • Barrier: patients expected to come to medical center, distance & time & transportation • Who expects it? Physicians • New model: SAMC medical outreach falls short • Next step: San Bernardino model and others at this conference 7
  • 8. Changing Physician Culture/Barriers? • Age of physicians: “old” equals hands-on & face to face • Technology use in medical school training: paperless curriculum and learning resources (onset of student contribution) • Years 1 and 2: Pt actor based training and testing and learning • Years 3 and 4: Shrinking the State of Alabama 8
  • 9. Application of Video Conferencing Units to the Medical School • Change in technology and cost: Tri-city Mental Health, San Bernadino, dependence on high cost and T-1 line: Lack of true high definition visual and audio • Adjunct equipment: otoscope, derm scope, cardiac auscultation (teaching unit) • What specialties are perfect for VCU? • Delivery in high definition 9
  • 10.
  • 11. Pilot Program for combining med-ed and clinical care • International Clerkship elective: Year 4 • Previous barrier to Faculty delivery • Current solution: Send faculty with students • Future innovation: Lap-top or Mini-I-Pad with morning report from Nicaragua to ACOM Small Group Room, 11
  • 12. Closing • Questions? • Comments? • Ideas? 12