{"@context":"http://iiif.io/api/presentation/3/context.json","id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/iiif/5q4rj4b96d/manifest","type":"Manifest","label":{"en":["Episode 4- Dr. Wolff"]},"logo":"https://d9jk7wjtjpu5g.cloudfront.net/organizations/logo_images/000/000/246/original/CenterForHistoryFamilyMedicine_2c_RGB.png?1773344256","metadata":[{"label":{"en":["Rights Statement"]},"value":{"en":["\u003cp\u003eThis item is protected by U.S. copyright and related rights. It is being made available by the Center for the History of Family Medicine as its rights-holder for noncommercial use, including sharing and adapting the work. No permission is required for noncommercial use so long as attribution is provided. All other uses require permission from the Center for the History of Family Medicine.  Disclaimer:  The views presented in this broadcast are the speaker’s own and do not represent those of CHFM or the AAFP Foundation. The information presented is for general, educational, or entertainment purposes and should not be considered legal, health, financial, or other advice. \u003c/p\u003e"]}},{"label":{"en":["Language"]},"value":{"en":["English (primary)"]}},{"label":{"en":["Subject"]},"value":{"en":["Tom Wolff (personal name)"]}},{"label":{"en":["Keyword"]},"value":{"en":["family medicine","family practice","physician","New York"]}}],"requiredStatement":{"label":{"en":["Attribution"]},"value":{"en":["\u003cp\u003eThis item is protected by U.S. copyright and related rights. It is being made available by the Center for the History of Family Medicine as its rights-holder for noncommercial use, including sharing and adapting the work. No permission is required for noncommercial use so long as attribution is provided. 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[Transcript]"]},"items":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/1","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_0:\u003c/strong\u003e statistically word trouble in rural and and I know you know that and I'd like to hear what you know about it and what you think we might have to do about that ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=3.45,13.08"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/2","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e but I wish there was a simple simple answer to that ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=13.89,16.77"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/3","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e in the past at least I think the most successful recruiting pieces have been to recruit students from areas where you want them to wind up whether it be inner city ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=17.77,31.24"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/4","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e or whether it be in a you know minorities in inner cities or whether it's folks from rural communities I think it's very hard to transition somebody from an urban lifestyle to a rural lifestyle this is different ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=32.5,46.11"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/5","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e and so you know the impact of finding spouses during your educational career that may have a different tracker need different things can impact it which is why when we move students out if they were married we worked very hard to get their spouses a job if they were working in that community so they could be together in that community and and know what it was like to live and work in this community so we worked we tried it we got their spouses jobs there is a part of that so I think that's a that's a big piece of it I think ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=47.23,83.73"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/6","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e depending on the discipline I think there's a lot of isolation ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=84.54,88.26"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/7","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e and I think that's true I think that's especially true for mental health workers ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=89.18,93.76"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/8","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e I think the mental health workers at a very difficult profession and I think that that the isolation of the mental health workers in our rural areas is it is a big part of the recruiting problem that they don't have that they don't have the support has mental health workers that they need as individuals to be able to serve their patients as their best in and I think mental health is probably one of the biggest crisis we have in our rural areas more even than primary care it's it's it's a really big hole well mental health and so that those issues and up in the in the primary care office so absolutely yes because there's nobody else take care that's right so the so they wind up having to struggle with that and I think the other thing within the rural communities it makes it harder ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=94.92,144.1"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/9","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e and I think I I don't know 8 ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=145.01,147.48"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/10","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e there may be some ways around it but I think that ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=148.8,152.49"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/11","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e you need to be able to have enough of a group of health providers to to make a collegial and to be able to ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=156.03,166.58"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/12","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e have respite ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=167.92,168.86"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/13","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e as a health care worker ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=170.01,171.59"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/14","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e and if you're the only orthopedic surgeon in town ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=172.84,176.18"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/15","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e or you're the only obstetrician in town or you're the only family docking town ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=176.99,182.05"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/16","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e you're on 247 and you burn out ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=183.32,186.22"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/17","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e so I think trying to work out how can we develop ways that these folks can have linkages whether it's ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=188.22,195.81"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/18","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e putting people together from a couple of different community I I don't know I don't have a smart answer for that but I think that's attributed to both difficulties in recruitment ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=196.98,206.63"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/19","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e and retention ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=207.58,208.57"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/20","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_0:\u003c/strong\u003e in these communities these folks just burned out because they don't they don't have any respite a new need respite ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=209.58,216.16"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/21","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_0:\u003c/strong\u003e that's one of the big challenges in medicine from what I've heard is that there's not much training on the forefront of how a provider should take care of him or herself absolutely and I suspect you've seen those issues especially when they feel isolated right and over worked ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=219.55,239.17"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/22","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_0:\u003c/strong\u003e can you talk to us a little bit about what our med is and how it came to be what it does where they are met program that I started it is was a ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=240.19,250.99"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/23","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e there was there was another program in the country that was at the university of Minnesota that had been there for quite some time ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=252.02,259.53"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/24","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e and we modeled it after that and and they hit the founding director actually came and spent a year sabbatical with me John Kirby and that's and so that we could launch this and get it up to speed it up very very quickly ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=260.65,274.87"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/25","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e but it basically takes the student out of the college of medicine structure ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=275.68,281.24"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/26","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e and puts them into a rural community ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=282.05,284.3"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/27","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e for 9 months to a year of their clinical education usually bridging their third and fourth year they have a few rotations here and then a bridge their third and fourth year and come back and finish up their fourth year ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=285.11,295.3"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/28","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e but they wind up being the student in that ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=296.65,299.12"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/29","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e medical setting ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=300.57,301.34"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/30","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e and their teachers other practicing physicians and that medical setting ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=302.47,306.31"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/31","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e when you're the only learner ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=309.24,310.71"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/32","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e everybody huddles around you ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=311.52,313.45"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/33","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e and helps take care of you and gross ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=314.26,316.46"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/34","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e and I think ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=317.27,318.11"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/35","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e edit while they did that in in family medicine they did family medicine ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=319.26,324.91"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/36","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e constantly throughout that 9 months ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=325.72,328.97"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/37","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e and they maybe do 3 half days a week in the family medicine office and the other half days a week would be on whatever rotation they were on ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=330.07,337.73"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/38","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e with you know whether it was pediatrics or OBG or E. R. whatever happened to be we'd integrate their recall other quote required rotations into that surgery ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=338.7,348.22"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/39","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e and so they got to see patients ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=351.02,353.07"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/40","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e in the primary care setting but they also got to follow patients into that other setting for example if they were on general surgery rotation ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=353.92,361.4"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/41","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e Tappan Zee a patient in the family medicine office with abdominal pain that was gonna be referred to the surgeon they follow that patient ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=362.49,368.99"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/42","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e they make you go over ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=370.28,371.83"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/43","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e and follow that patient scene with the surgeon go wind scribe on the surgery ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=372.66,376.67"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/44","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e follow post op scene back in the surgeon's office scene back in the primary care office ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=377.7,382.54"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/45","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_0:\u003c/strong\u003e so they were at able to follow patients through an entire ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=383.35,386.53"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/46","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e process in and out of the hospital is surgery medicine ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=387.34,389.96"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/47","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e ABC the kids follow babies to their first week the first year of life follow women throughout an entire pregnancy pretty much and delivery so that kind of continuity was really critically important and I think that that was it was very different than what their colleagues were getting back at the medical school now we are in our bed stands for rural so you obviously have to make some connections and world New York state to do this yes how did you do it how did it go was there a good reception to this is it's still alive and well ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=390.77,428.45"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/48","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_0:\u003c/strong\u003e yeah the answer is yes there was a great reception because up until that time and this was 27 years ago 25 years ago almost up until that time ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=430.66,441.19"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/49","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e maybe 30 years ago I've lost track was a long time ago anyway nobody from the medical schools ever went out and encountered the physicians in the rural communities ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=442.0,454.39"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/50","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e so part of this program is to build bridges ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=455.2,457.87"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/51","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e so I we visited every one of our sites where we had a student every month they were there ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=459.3,465.44"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/52","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e and I would ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=466.39,466.89"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/53","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e take one of my colleagues from the medical college in one discipline and all the various disciplines over the course of time ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=467.89,474.09"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/54","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e we would go out and spend a teaching day with the student ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=474.99,477.92"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/55","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e and that professor from let's say internal medicine might a minute Diabetologia ist with Ventura CME continuing medical education program for the physicians on that staff and so they would get something out of it the other thing would be is sometimes they were able to do consultations while they were there ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=478.84,496.06"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/56","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e and see patients in there just in their specialty or subspecialty that we're problem cases ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=496.95,501.93"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/57","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e for that doc and they did that we develop relationships between the rural communities and the folks here at the university that never existed before ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=503.18,512.52"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/58","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e because they got to see how each other worked and they begin to appreciate what these rural physicians were facing ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=513.4,519.31"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/59","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e the problems that they had and when they called with a problem they had a problem and they really needed the best brain they could get to help with it ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=520.3,528.88"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/60","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e so I think it helped develop that and that was a very positive thing for the communities and they were responsive to that in each informed each other what's going on out there what's going on exactly how can we help each other and outside of the community being a natural beneficiary do you have the students that are getting both they're getting both so the students face sign up for this it's obviously and something that they elect to do how was the recruitment process and that what types of students would do this to they stick with it do they practice rural ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=529.76,571.34"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/61","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e well certainly those that do it have to have a little adventure ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=572.6,575.91"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/62","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e after the feet have to be pioneering especially the first when you can imagine the first time I tried to do this and was recruiting the first time I had to tell I got a crazy idea for you guys how about spending a year away from the medical school out in a rural community who'd want to do this and I had a couple hands go up that would be fine ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=577.08,594.42"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/63","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e one of my very first dunes is now a very successful practitioner in western in rural western New York south of buffalo along a he's in I can't remember where he is but just to close the loop his son was one of my PA students ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=595.23,612.59"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/64","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_0:\u003c/strong\u003e that will be out with that it's been a really kind of a neat little pockets that's closed but he's about practicing rural physician been there his whole career and ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=613.4,624.33"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/65","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_0:\u003c/strong\u003e did they give it kept sounded students talk about it and yeah I can actually we got so we developed a pretty good stuff at 1.I had probably 2025 students out at a time I every year that we would we would have a recruiting thing and the best recruiters where the current students right ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=625.35,646.11"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/66","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e because they talk to their colleagues and say oh don't worry about not see anything you're going to see more than you'd ever see here ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=646.92,653.16"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/67","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e and you're gonna get to do more ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=654.47,656.38"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/68","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e I can remember one of our one of the sellers came back and was doing he was doing a subspecialty rotation in ENT and his senior year ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=657.19,666.77"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/69","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e and he was the student was scrubbed in with one of the residents ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=668.03,673.13"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/70","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e and the residents say Hey how would you like to do this tonsillectomy how would you like to do that 20 sure okay so he started to do it and the residents said you've done this before ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=674.27,684.42"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/71","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e in the student says yeah I've done about 10 of them in the residence did you've done more than I had hoped for her ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=685.72,691.82"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/72","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_0:\u003c/strong\u003e it's so their experience and what they've done and they've we found this over and over and over in a lot of different settings the experience that they had ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=692.63,700.81"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/73","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e was really hands on was one on one teaching and they they really came out ahead of their colleagues and everywhere you can imagine they had to take the same exams they did better on their exams they did better on their boards overall ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=701.62,716.23"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/74","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e and when I first started to do this they would send out questionnaires to the program directors that took them into their residency program and inevitably the questionnaires came back in a few of the questions one of them was you know how where where were they and inevitably they'd say they started 6 months ahead of every other person in there ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=717.27,737.12"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/75","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_0:\u003c/strong\u003e given this time it seems that this would be a terrific program for students why don't all the students select to do this seems like a terrific way what what I don't know if it's that there's well I think there's a couple of things I think there is still within many of the medical schools ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=737.93,757.7"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/76","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e a negative ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=758.86,760.83"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/77","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e feedback to students regarding family medicine as a discipline ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=761.64,765.25"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/78","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e I think there is still in many medical schools a mind set that you can only learn in the ivory tower ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=766.59,773.56"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/79","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e and so the program is really to quashed by a lot of the other faculty in the school it's very tough to get over that hurdle and I was able to do it by taking people out now the program since I left it has evolved dramatically and they're no longer doing any of that stuff and I think they're finding it much harder to recruit students into ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=775.33,798.79"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/80","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e to do that kind of stuff ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=800.03,801.32"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/81","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e so the students that would go into our meds didn't necessarily have to go into family medicine today hello so so the belief system around this in the academic center was a Rohingya stayed very number one felt that felt they had to go into family medicine or was related specifically to family medicine well because an emphasis was on family medicine ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=802.13,825.93"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/82","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_0:\u003c/strong\u003e but but we had we needed practitioners and of all different specialties in our rural areas so that didn't matter to me if if the student wanted to become a surgeon in a rural area gosh this is a great program to get to understand what that lifestyles like in and be part of it and we did I did have students that went into other many other disciplines that went into rural communities from what I'm hearing is their experience also gave them an opportunity even in the family medicine clinic or center our practice that there they were able to do some procedures and get involved in ways that they wouldn't otherwise otherwise they're applicable in subspecialty absolutely so absolutely but we did have overall I can't and I can't remember all the statistics now anymore but overall I think we had about ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=826.74,877.63"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/83","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e I think we had about 50 percent of the students went back into rural health care ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=880.2,884.77"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/84","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e and somewhere around the third or 40 percent went into primary care in the family well I was going I was gonna ask about that it seems if they're spending quite a bit of time in a rural environment that they would have the opportunity to really understand what real life is like and build some relationships in that community did you find that to be the kind of qualitative response of the students going I love these people I love this this type of practice and and just there was a recruiting piece well sure but part of it was that part of it was also weak several of the students many of the students who recruited were from the rural areas so they would go back in fact we try to get him back home if we could because that's where they were they were grounded but ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=885.84,933.25"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/85","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e bye bye I know a lot of people say oh I got a real program I send them out for a 6 week rotation it blah blah blah out in the rural community they do a rural E. R. R. rural lesser role that ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=934.24,946.08"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/86","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e if you're going to parachute somebody in for 6 weeks and then plug them out I don't care what rotation there on they do not have any clue about what fans of what bro medicines like ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=947.53,957.57"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/87","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e I encourage students to things I did up front their first week that they're out there they didn't do any clinical medicine all I made them go around and find out where the nursing home was I made them spend time with the physical therapist I made them go to the local county health department I made them do all these kinds of things to understand what the community resources war so that when they started to clinical medicine they knew who to call what were the social services they were starting to integrate that right from the very beginning so that was part of their educational package the other thing I encourage them to do was to participate in the community ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=959.01,996.32"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/88","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e so we had students that had played college ball either volleyball or softball or ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=997.39,1003.37"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/89","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e the ball or whatever and I still want to go to a local high school and offered to help coach ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1004.18,1009.84"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/90","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e and a lot of them did that or they joined a local band or they join a local church or they ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1010.87,1015.57"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/91","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e so they became they got to see what it was like because they're there for a year they were able to see what it was like to participate in community activities and their preceptors involves them you know they take him to their lions club or their Qantas or whatever other things they were in or bike whatever their applications were they to include the students so they'd have a better sense of what it was like to live there and be part of the community well disarm harkens back to what we talked about before which is in rural practice it isn't just wrong practice it's world living of which your practice is fully embedded so you're saying your patience ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1016.38,1055.48"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/92","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_0:\u003c/strong\u003e at the store or you're absolutely family your part it's a it's a community experience so it seems to me B. R. med program as a training program that that would be truly apart on the students at all talk about that I mean they know that the person that was pumping their gas was somebody they just seen in the office or the waitress or you know the person that was cashing them out at the grocery store they were all people that they knew ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1056.29,1079.67"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/93","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_0:\u003c/strong\u003e I wanna talk a little bit about toward ask you to talk a little bit about if you would please what you have done with PA I'm very curious you want from the the M. D. academic side and and you moved into the P. A. which is a bit different how is it different ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1080.98,1100.13"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/94","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e well it's obviously different in in in the length of training that's 2 years as opposed to 7 to 10 ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1102.65,1111.32"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/95","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e for you get a practitioner out ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1112.13,1113.84"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/96","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e it's similar it's because it's a medical model ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1114.65,1119.72"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/97","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e as opposed to nurse practitioners which is a nursing model they're they're just different approaches to the system ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1120.65,1127.84"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/98","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e so as a medical model they get probably ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1129.01,1133.4"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/99","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e 70 percent of the basic sciences ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1134.32,1138.14"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/100","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e crammed into a year ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1139.62,1141.01"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/101","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e and ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1142.2,1143.49"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/102","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e and really extract out ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1144.36,1147.65"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/103","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e the practical applications of those basic sciences rather than a deeper understanding of the bio physics and all the stuff the fizzy all the things that are underlying it they do a physiology major you have the courses but it's it's aimed more at a very practical application of that pieces of knowledge rather than the basic understanding of that which get medical school which is different ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1148.64,1173.96"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/104","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e they're clinically here is very much like a third year medical school ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1175.52,1178.96"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/105","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e now our program was designed to have them do that ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1180.53,1183.92"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/106","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e in practice settings rather than at the Medical Center ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1184.73,1188.17"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/107","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e so it would be like an arm it more like a B. R. med program for their their learner and that kind of a community and they'd get a lot much more hands on during that one year of clinical setting that they have ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1188.98,1200.3"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/108","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e the folks that I work with ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1203.88,1205.49"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/109","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e that R. P. ace that our faculty that basically make up our faculty ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1206.3,1210.5"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/110","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e are an incredibly knowledgeable group of health providers most of them have been doing this 20 to 25 years ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1213.15,1222.34"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/111","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e now you go out 20 to 25 years and if you've been working in the healthcare setting ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1223.28,1227.79"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/112","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e the knowledge gap between the physician and the PA goes ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1228.93,1233.44"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/113","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e really narrows down ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1234.3,1235.69"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/114","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e they are very seasoned clinicians by that time and they know one heck of a lot of medicine ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1236.5,1241.56"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/115","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e because they've been working at that and they're they're quite positions unlike other health care workers they want to do their best so they're continually learning here ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1242.75,1250.12"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/116","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e they're updating themselves on things and just like a physician learns as they go along then you heard as they go along so they become much more proficient much better ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1250.93,1259.93"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/117","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e and ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1260.74,1261.15"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/118","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e excellent providers now they're never going to quite catch up to where the position is before they can provide one heck of a lot of good health care once they've been out there now in the beginning there's a big gap ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1262.12,1273.11"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/119","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e and they need more supervision for sure but so the nurse practitioner so do any of the other professions and the physician if if they didn't then either they're awful smart or physicians are awful dumb because it takes them 7 to 10 years to get there it takes them takes a P. 822 so if something else are up but there is a gap there and you need that supervision but over time the really good ones grow ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1274.41,1301.37"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/120","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e and they learned and they become good provided whatever field they're working and many of them and and the thing that's ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1302.41,1308.77"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/121","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e it's unfortunate in some ways I think is that the the PA's 5 have followed the same routes as the physicians ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1309.83,1317.28"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/122","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e and that the majority of will go into the specialties ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1318.49,1321.26"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/123","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e that isn't what it was designed for originally but that's where they go and why did they go there because that's where the money is simple they get paid more ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1322.07,1330.16"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/124","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_0:\u003c/strong\u003e is there a referral program for PA's ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1331.25,1333.96"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/125","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e well our program ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1335.11,1336.24"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/126","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e we label ourselves that because we've tried very hard to get that is a very ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1337.14,1343.51"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/127","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e important component of our program we recruit specifically from rural areas we we will we take students and we would rather have students from rural areas than other places in New York and we put him back out in rural areas so low that's getting more difficult and more difficult because more and more of the medical schools and PA programs they've they're they're blossomed all over the place and the medical schools are finding their expanding and they're finding they don't have the capacity to teach their students in their own settings so they are literally going out to some of these rural communities and buying ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1344.32,1384.25"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/128","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e their way yet and paying the rural hospitals and paying the rural physicians to take their students and we're finding because it's all been voluntary on our part and we don't have the funding to do that ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1385.72,1397.3"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/129","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e we're getting pumped out and we're finding it very very difficult to place our students now anymore it's really hard any emerging solutions to that that you see ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1398.11,1409.7"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/130","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e not from our standpoint unless we can come up with another source of funding to unless the state and it's gonna get worse state school so the state has to say all this is a priority and put some funding into a lot you know allowing us to compete with these private schools that are charging inordinate tuition and have tons of money to go out and do this ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1412.16,1434.49"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/131","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_0:\u003c/strong\u003e one of the things that we look at in world health is the provision of primary care and certainly PA's MPs can do a wealth of that and there is some ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1435.45,1449.28"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/132","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_0:\u003c/strong\u003e believes that the growing programs with PA and and P. R. ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1450.09,1456.08"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/133","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_0:\u003c/strong\u003e are there to help stem the problem of not having enough providers that are rural but what I'm hearing from you is that well there's a limit to that because you have to have a certain number of physicians out there in order to supervise correct and if that is the case arm are I think you know a little bit about the flow of of providers as physicians into rural areas they are aging out are they not yes there ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1456.89,1486.37"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/134","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e our one of our one of my colleagues the director of RPA program is just doing some research and ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1488.18,1494.88"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/135","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e recent research in New York shows that in the rural areas of New York ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1495.69,1500.57"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/136","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e 25 percent of the physicians that are practicing in the rural areas of New York are over 75 over 70 over 7550 percent of the physicians practicing in rural communities in New York are over 65 ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1501.38,1517.77"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/137","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_0:\u003c/strong\u003e is there a level number that are being recruited as physicians into earlier is now said Rawlings entrapping and it's dropping so this situation is dire and it's getting worse ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1518.7,1531.87"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/138","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_0:\u003c/strong\u003e does everybody know that I don't think so or if they do there doesn't seem to be any momentum to start anything to change it ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1532.92,1540.21"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/139","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_0:\u003c/strong\u003e what would you say to someone considering armed ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1541.02,1547.63"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/140","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_0:\u003c/strong\u003e pursuing a career in medicine ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1548.74,1551.92"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/141","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_0:\u003c/strong\u003e whether it's P. A. R. or or as a physician ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1552.73,1555.87"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/142","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_0:\u003c/strong\u003e what advice would you give ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1557.5,1558.97"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/143","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e well the first thing is if you're K. well if you're if you're gonna go into medicine that you ought to go into it because it's something you're going to really love to do ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1559.78,1567.92"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/144","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e because medicine is a very very different is a very tough task master no matter what discipline you go into it's difficult you put time in takes a long time to get there ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1569.16,1583.42"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/145","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e and you were card ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1584.65,1586.04"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/146","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e they work hard ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1587.87,1588.52"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/147","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e so you better love what you do ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1589.33,1591.44"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/148","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e as far as discipline is concerned again do what you love ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1592.46,1598.24"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/149","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e because it doesn't matter what discipline you go into your going to make a comfortable living ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1599.15,1604.23"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/150","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e and you're gonna be okay you're gonna be able to Kerry your family so it doesn't really matter ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1605.9,1610.18"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/151","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e I used to say to the students when they say oh well I don't want to go into primary care pediatrics or what because there is you know they're the bottom they don't make enough money Baba ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1611.11,1620.74"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/152","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e and it says well if I could give you a job that would put you into the top one percent of income earners in the world would you take it ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1621.82,1628.69"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/153","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e Michael ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1630.03,1630.4"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/154","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e how about the 5 top 5 percenters 8 percent of income ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1631.31,1635.15"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/155","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e in the United States would you take it ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1635.96,1637.49"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/156","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e yeah ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1638.52,1638.87"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/157","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e I said you're already there doesn't matter which do ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1639.81,1642.25"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/158","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e so tell me how much is enough ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1643.31,1644.9"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432/transcript/81235/annotation/159","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eS_2:\u003c/strong\u003e do what you love and then you do it and you'll make a living at it matter ","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3117/collection_resources/138304/file/256432#t=1647.78,1653.25"}]}]}]}