AHEC Annual Report 2015

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2015 Annual Report Georgia Statewide

Cover Photography - Phil Jones


Mission Statement Support the recruitment, training and retention of a diverse health professions workforce throughout Georgia. RECRUIT Educate community members about health career choices and recruit future health professionals TRAIN Facilitate student community-based clinical training experiences RETAIN Provide resources that assist and support health care professionals

Georgia Statewide AHEC Network

PCOM-Georgia Campus

_

Emory University School of Medicine

Georgia Regents University AHEC Program Office

Morehouse School of Medicine AHEC Program Office Mercer University School of Medicine

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Greetings!

Denise D. Kornegay, MSW Georgia Statewide AHEC Network Executive Director

As 2015 begins to wane, I am struck by the changes that have occurred over the past year. We implemented the new Preceptor Tax Incentive Program designed to support Georgia’s core primary care educational programs to produce more primary care providers in the state. The health and success of this core - comprised of physicians, physician assistants, and advanced practice nurses - is vital if Georgia is to produce enough primary care providers to care for our citizens moving into the future. And it has brought national attention to our state for crafting such innovative legislation and planning such a unique program. Many other states are actively seeking to replicate what we have done. And a deeply felt “thank you” to the Medical College of Georgia which has funded the administrative costs associated with launching and maintaining this program. The state has also invested heavily in graduate medical education (GME) and this investment is yielding tangible and impressive success. The initiative, funded through the Board of Regents, is on target to exceed its goal of 400 new GME slots in Georgia. Again, our collective efforts are drawing the attention from many states across the USA. The AHECs have continued to thrive and produce outstanding outcomes and measurable results. This report provides just a taste of the programming and services provided over this past year. The Centers are strong and each wholly committed to meeting its’ geographic region’s health care needs. We have some significant changes in our AHEC Network occurring in late 2015. Our longest serving Center Director, and longest serving AHEC staff person, Ms. Pam Reynolds, has announced her retirement from the SOWEGA AHEC. She has provided such strong and creative leadership in southwest Georgia, and her innovative “can-do” attitude will be sorely missed. And we are actively seeking a new Center Director in northwest Georgia, following the resignation of our long serving former Director Ms. Sharon Norman. We wish both of these women all the best as they segue into their lives’ next adventures!

Executive Director’s Report

We would be nowhere without partners. And I would like to especially highlight one: the Georgia Board for Physician Workforce and its Executive Director, Cherri Tucker. The willingness of this organization to explore creative and new ideas, to implement rule and administrative changes to reflect the current needs of the state, and the production of stellar data on which to base policy changes—all of these make the GBPW a key player in Georgia and a valued partner of the AHEC Network. There is still much to be accomplished, and the will to do so must remain firm. Without resolve and commitment to purpose, the primary care gains in Georgia will not continue to occur. Join us as we seek to continually address and promote primary care challenges and opportunities in our state! Georgia Satewide AHEC Network 2014 Annual Report

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Executive Summary

GEORGIA STATEWIDE AHEC NETWORK EXECUTIVE SUMMARY FISCAL YEAR 2015 July 1, 2014 – June 30, 2015 In conjunction with community partners, located in sites across the state of Georgia, the Statewide AHEC Network provided the following services and achieved the following programmatic outcomes during fiscal year 2015: Partnered with 1,372 professionals who served as clinical preceptors for students matriculating at educational institutions (located in and outside Georgia). Exposed 24,823 youth to health career opportunities through 639 regional AHEC activities and programs. Sponsored / co-sponsored continuing education programs serving 5,904 participants and providing 12,810 CME/CEU credit hours; 2,862 of these participants indicated these hours were necessary to meet clinical licensure requirements. Placed 2,439 health professions students and residents in 4,233 rotations in clinical training sites for a total of 666,796 hours of community-based clinical education/ training. Supported travel and housing for 2,716 rotations of health professions students to preceptor sites remote from their educational institutions and within AHEC regions. Provided health careers, clinical training, continuing education or learning resource services to 12,645 minority students, residents, trainees, or practicing health professionals. As a result of these efforts, 395 AHEC supported health professions students completed their educational programs and returned to practice within the supporting AHEC region this year. *Data may vary for FY 2015 due to data system conversion. 3


Program Office Initiatives AHEC Primary Care Summit In early 2008, the AHEC Network began studying closely the issue of primary care workforce shortages in Georgia. In November of that year we hosted our first Primary Care Summit. Early on it was apparent that the topic itself was quite broad and that our efforts would be more effective if we focused on one component of the primary care workforce. We elected to first focus on the medical profession. Thus we honed the mission of our Summit(s) to: “Develop Strategies to meet the primary care physician workforce needs for the citizens of Georgia by 2020.” In 2011, the decision was made to make the Primary Care Summit an annual event and address the broad issues impacting primary care physician shortages. The Statewide AHEC accepted the role of convener of partners committed to addressing the state’s primary care physician workforce challenges. The Summits are interactive and participants work in small groups. The small groups work to identify recommendations by each phase of the medical education pipeline. The recommendations are prioritized. Each breakout group is asked to discuss and explore the recommendations and decide whether to keep, delete or modify the recommendation. The Medical Education Pipeline

PHASE 1

K-12 Education

PHASE 2

PHASE 3

Undergraduate / Medical School College Years

PHASE 4 GME / Residency Training

A follow up meeting is held after each summit to discuss the priority recommendations. White papers are written to define the recommendations. Meetings are held and presentations made to House and Senate committees, legislators, budget staff, medical schools and multiple stakeholders to share information on the priority recommendations to move the recommendations forward. The next Primary Care Summit is scheduled for May 4, 2016.

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Stakeholder Participant Profile Medical Schools GME Programs State Agencies Professional Associations State Legislative Branch Non Profits Other AHEC Center Staff

2008

2011

2012

2013

2014

2015

19

14

16

18

24

21

0

10

7

25

17

19

5

9

7

7

9

5

0

8

7

7

7

8

1

2

4

3

2

1

3

11

9

12

8

5

14

15

13

17

14

14

4

5

7

6

5

6

PRECEPTOR TAX INCENTIVE PROGRAM (PTIP)

Georgia’s new Preceptor Tax Incentive Program (PTIP) began in July 2014. To date, 612 preceptors have registered for the program. There were 18 of 23 eligible academic programs provided rotation and training hour reports for the last six months of calendar year 2014. A total of $816,000 in deductions were certified by the Statewide AHEC for 2014 state income tax filings. Based on the preliminary data, 68% of the deductions were earned and awarded for MD/DO student support. Nurse practitioner students accounted for 11% while PA students accounted for 21%. To date, 9 AHECs in other states have requested intensive technical assistance and training to launch similar programs (Indiana, Oregon, Michigan, Kentucky, South Carolina, Virginia, Ohio, Hawaii, and Pennsylvania). The National AHEC Organization, AMA, AAMC, and the National Rural Health Association have requested technical assistance and/or presentations for their members on the PTIP concept and implementation. In 2016, the AHEC will move forward with inclusion of APRN and PA preceptors as eligible recipients, as well as conversion of the current tax deduction into a tax credit.

5


Georgia Rural Medical Scholars Program (GRMS) The Georgia Rural Medical Scholars Program (GRMSP) was established in Washington County, Georgia in 2010. This program was established through a partnership between Washington County, the Georgia Statewide Area Health Education Center (AHEC) Network, and the University of Georgia’s Archway Partnership: Health. The program was established to provide medical students multiple training opportunities for their required 3rd and 4th year clinical rotations in the same community, in addition to exposing them to the quality of life in rural Georgia. Through the Georgia Rural Medical Scholar Program students have the opportunity to learn under practicing physicians of the highest caliber and interact with the entire community. Currently medical students from Mercer University School of Medicine and the Medical College of Georgia at Georgia Regents University are participating in the program. Students are completing primary care rotations in Family Medicine, Internal Medicine, Pediatrics, Surgery and Community Medicine. The GRMSP is a community driven program with an emphasis on “growing their own” medical professionals. The GRMSP has an Executive Director in Sandersville who oversees the daily operations of the program and a 12 member Board of Directors. There are a number of community volunteers that assist with the social integration aspect of the program to ensure that students fully experience an enriching professional and social life in rural Georgia. In 2015 the GRMSP had its first success story. Caitlin Collier completed rotations in Sandersville while a medical student at Mercer University. She was a champion for the program and helped to recruit more Mercer medical students to complete rotations in Sandersville. After completing a residency in family medicine in Anderson, South Carolina, Dr. Caitlin Collier has returned to Sandersville to begin her career with Washington County Internal Medicine Group working with the very physician that precepted her as a medical student, Dr. Jean Sumner. GRMS Program student rotations to date: Academic Year Family Medicine Internal Pediatrics Medicine 2010-2011 2011-2012

Medicine

5 2

2012-2013 2013-2014

Surgery

2

Community 2

3

1

6

2

2

2

1 1

6

2 2


AHEC / GA PCOM Anchor The Anchor program was created in collaboration with the GA Campus-Philadelphia College of Osteopathic Medicine (PCOM), local hospitals and local health care providers in the Three Rivers AHEC region. The mission of the program is to: “Build a Healthcare Workforce for Georgia with focus on primary care and rural/underserved communities.� In June of 2009 the inaugural 3rd year Anchor class (12 students) began clinical training in rotations which were scheduled in community-based training sites in Columbus and LaGrange. Since 2009 the Anchor has grown and expanded into the Magnolia Coastlands AHEC, SOWEGA AHEC and the Blue Ridge AHEC. Medical students chose Anchor because they get to stay in one city/region for the majority of their 3rd year rotations, they get to know the local medical community very well and have one-on-one teaching with their community based faculty. The Anchor has been presented as a best practice physician recruitment program to community interest groups and health organizations such as the Georgia Rural Health Association and Georgia Association of Primary Health Care. The Anchor also received recognition at three national conferences: National AHEC Organization, American Association of Colleges of Osteopathic Medicine and the National Rural Health Association. GA PCOM Anchor students by AHEC region:

Academic Year

Blue Ridge

Magnolia

SOWEGA

Three Rivers

2009-2010

12

2010-2011

9

10

2011-2012

5

8

10

2012-2013

3

12

12

2013-2014 2014-2015

12 6

16 19

12 12

7

5 7


AHEC / Mercer University Physician CIP (Community Integration Program) In 2013 the Mercer University Physician Assistant Program partnered with Georgia AHECs to encourage their Physician Assistant students to work in rural Georgia by creating the Community Integration Program (CIP). Select cities have been identified outside of the Atlanta area where students will move to and complete all of their clinical rotations. The focus of the program is to allow students to complete all of their core clinical rotations in medically underserved areas over a 15 month period. Students will complete their core rotations in primary care, internal medicine, general surgery, mental health, and orthopedics in their CIP community. Ultimately, this program will foster students’ sense of belonging to their designated CIP community, and provide them with an opportunity to see if they would like to remain within the area and become local providers on a permanent basis. Mercer PA CIP students by AHEC region: Academic Year

Blue Ridge

2013-2014

2

Foothills

Three Rivers 1

2014-2015

3

8

2


9


TRAIN

RECRUIT

Creating a Better State of Health: How GA AHEC Serves Our State

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RETAIN Georgia AHEC Operating Support

11


Georgia AHECS Blue Ridge AHEC

12


Foothills AHEC

Awards/ Grants

• Awarded grant from the Healthcare Georgia Foundation, Inc. beginning May 1, 2014 to produce five distance learning programs through the HealthTecdl project by March 31, 2015. Seven webinars were conducted. • Awarded grant from the Healthcare Georgia Foundation, Inc. beginning May 1, 2015 to produce five distance learning programs through the HealthTecdl project by April 30, 2016. The programs will address issues of access, quality, and cost of Rural Healthcare including the needs of Georgia’s future and existing health workforce.

13


Magnolia Coastlands AHEC

Awards/ Grants • A warded grant from Healthcare Georgia Foundation to produce five webinars focusing on rural health issues through the HealthTecdl project. • Focus on the Family Community Service Award received from the Temple of Higher Calling faith-based program to reduce health disparities in Appling County.

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SOWEGA AHEC

• • • •

• • •

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Awards/ Grants

Healthcare Georgia Foundation, to continue to offer distance learning educational programs using HealthTecdl. Multiple awards to help underwrite the Pathway to Med School Program. American College of Rheumatology, to assist them in increasing southwest Georgia providers’ awareness, knowledge, recognition and treatment of lupus. Georgia State Office of Rural Health, to conduct two weeklong Interpreter Training programs and one review program to assist interpreters prepare for national certification. GA CORE, to raise awareness of breast cancer screening and provide local screening resources in Terrell County, which has one of the highest incidence of breast cancer in Georgia. Awarded grant that provided for AHEC staff to attend a weeklong program in AZ to become the first certified Youth First Aid Mental Health instructors in southwest Georgia. Staff offered four, eight-hour regional training programs to adults who work with youth. Awarded grant to provide work boots for farmworkers who received services during the Migrant/Seasonal Farmworkers’ Projects. Awarded grant to provide dental supplies during the Farmworker Projects. National AHEC Organization, to be the Georgia Training entity for the National Training Grant received from the CDC to offer educational programs to providers about HPV.


SPCC Atlanta AHEC

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Three Rivers AHEC Three Rivers AHEC • •

Established: 1994

Counties Served: 28

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18

0 0 0 0 1 2 19 11 5 0 40 1 0 2 1 47 0 3 3 8 0 18 8 0 227 15 8 19 57 0 49 0 325 0 113 3 0 37 1 38 1 14 125 88 0 0 275 20 0 56 2 9 129 1

Total # of Contacts in County

0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 1 0 0 0 0 0 7 0 0 57 0 1 0 9 0 24 0 72 0 52 0 0 0 0 4 0 0 32 14 0 0 83 6 0 24 0 0 52 0

Total # of Student / Resident Rotations

0 0 0 0 0 0 1 0 4 0 0 0 0 0 0 0 0 1 2 0 0 1 0 0 0 2 0 6 0 0 0 0 79 0 10 0 0 0 0 2 0 5 0 2 0 0 20 6 0 0 0 0 0 0

Other (includes Oral Health) Rotations

0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 7 0 1 0 0 0 2 0 0 1 0 0 1 27 0 22 0 7 0 42 0 0 4 0 23 0 0 45 24 0 0 11 2 0 0 0 0 3 0

Nurse Practitioner Rotations

0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 7 0 0 0 0 0 4 0 0 0 1 7 9 9 0 0 0 53 0 0 0 0 31 0 0 0 0 36 16 0 0 4 1 0 26 0 0 63 0

Nursing Rotations

0 0 0 0 1 2 18 4 1 0 12 1 0 2 1 32 0 1 1 8 0 4 8 0 169 12 0 3 12 0 3 0 114 0 9 3 0 2 1 9 1 9 12 32 0 0 157 5 0 6 2 9 11 1

Physician Assistant Rotations

4 0 0 0 4 1 2 0 1 1 14 0 0 0 0 16 0 0 0 0 0 4 0 0 39 0 0 0 9 0 0 0 0 0 2 1 0 4 1 1 0 0 12 1 2 0 25 0 1 0 0 2 1 1

Medicine Rotations

0 0 0 0 0 0 0 0 0 1 2 1 7 9 4 6 5 4 0 0 27 18 1 1 0 0 2 1 1 1 27 15 0 0 3 3 3 2 8 2 0 0 9 10 8 3 0 0 108 53 15 3 7 2 16 11 27 28 0 0 16 12 0 0 130 163 0 0 76 12 3 2 0 0 26 12 1 1 29 7 1 1 14 6 50 9 54 46 0 0 0 0 147 82 11 14 0 0 31 8 2 2 9 1 129 2 1 1

# of Graduates Remaining in Sponsoring AHEC Region

# of Preceptors

250 40 1 0 80 238 0 1,385 159 43 1,661 13 0 0 180 332 175 0 0 0 297 0 50 0 28 192 0 235 277 0 306 50 212 0 2 372 54 0 0 90 46 0 104 1,082 0 78 793 324 104 16 26 28 112 0

# Primary Care Rotations

18 3 4 4 392 4 17 21 9 17 39 7 2 2 21 197 7 4 0 7 4 7 34 1 228 2 3 21 53 1 25 3 67 37 20 107 6 15 2 63 3 6 21 118 2 13 137 8 9 0 22 7 6 5

# of Participants in Health Career Programs

County

Appling Atkinson Bacon Baker Baldwin Banks Barrow Bartow Ben Hill Berrien Bibb Bleckley Brantley Brooks Bryan Bulloch Burke Butts Calhoun Camden Candler Carroll Catoosa Charlton Chatham Chattahoochee Chattooga Cherokee Clarke Clay Clayton Clinch Cobb Coffee Colquitt Columbia Cook Coweta Crawford Crisp Dade Dawson Decatur DeKalb Dodge Dooly Dougherty Douglas Early Echols Effingham Elbert Emanuel Evans

# of Participants in Continuing Education Programs

2015 Performance Overview By County

272 43 5 4 478 246 47 1,423 178 61 1,772 22 2 5 203 607 182 10 5 17 301 39 95 1 575 212 13 286 424 1 392 53 767 37 149 485 60 68 5 199 51 26 271 1,335 4 91 1,312 366 114 80 52 47 250


19

2 1 106 1 0 108 0 0 1 0 0 0 4 3 64 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 5 0 0 21 0 0 0 0 0 0 0 0 1 0 0 0 1 37 0 0 0 15

4 22 171 14 0 329 12 0 108 37 7 2 68 33 274 0 1 1 2 0 9 205 0 10 0 0 1 0 0 1 6 0 2 8 21 0 0 57 7 0 0 0 5 0 2 0 9 1 0 3 3 383 1 1 0 30

Total # of Contacts in County

0 0 2 2 0 4 0 0 0 3 0 0 3 1 43 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 3 0 0 0 0 0 0 0 7 0 0 0 0 40 0 0 0 7

Total # of Student / Resident Rotations

0 3 0 1 0 17 0 0 0 0 7 0 0 0 27 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 6 0 0 0 2

Other (includes Oral Health) Rotations

0 17 18 3 0 54 0 0 0 10 0 0 5 5 49 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 32 1 1 0 1

Nurse Practitioner Rotations

2 1 45 7 0 146 12 0 107 24 0 2 56 24 91 0 1 0 2 0 3 205 0 10 0 0 1 0 0 1 2 0 2 3 16 0 0 35 4 0 0 0 5 0 2 0 0 1 0 2 2 268 0 0 0 5

Nursing Rotations

0 7 1 1 2 8 0 0 4 0 3 1 21 2 21 0 0 1 0 0 7 5 0 0 0 2 0 0 1 0 1 0 1 1 4 0 0 11 1 0 2 2 0 0 5 0 3 1 0 0 0 37 1 0 0 0

Physician Assistant Rotations

2 3 8 9 90 52 13 13 0 0 210 125 12 2 0 0 53 18 33 5 1 7 2 2 43 29 26 9 154 89 0 0 1 1 1 1 2 1 0 0 8 7 153 38 0 0 8 5 0 0 0 0 1 1 0 0 0 0 1 1 6 2 0 0 2 2 7 5 21 6 0 0 0 0 19 16 7 4 0 0 0 0 0 0 5 1 0 0 0 1 0 0 7 5 1 1 0 0 3 3 3 3 185 105 1 1 0 1 0 0 11 19

Medicine Rotations

231 0 2,842 820 0 1,054 0 24 2 398 108 51 86 194 1,270 0 0 0 0 0 0 35 80 338 0 425 0 0 11 460 0 0 26 384 0 0 0 90 135 0 150 160 140 0 0 26 0 0 0 88 51 508 3 98 0 283

# of Graduates Remaining in Sponsoring AHEC Region

8 21 40 15 1 1806 3 0 17 10 16 3 194 20 81 0 5 24 33 0 36 106 8 20 3 0 1 2 0 1 5 0 15 39 7 1 3 36 4 2 4 1 1 13 3 4 9 3 2 4 5 333 12 25 1 11

# Primary Care Rotations # of Preceptors

# of Participants in Continuing Education Programs # of Participants in Health Career Programs

County

Fannin Fayette Floyd Forsyth Franklin Fulton Gilmer Glascock Glynn Gordon Grady Greene Gwinnett Habersham Hall Hancock Haralson Harris Hart Heard Henry Houston Irwin Jackson Jasper Jeff Davis Jefferson Jenkins Johnson Jones Lamar Lanier Laurens Lee Liberty Lincoln Long Lowndes Lumpkin Macon Madison Marion McDuffie McIntosh Meriwether Miller Mitchell Monroe Montgomery Morgan Murray Muscogee Newton Oconee Oglethorpe Paulding

246 59 3,106 863 3 3,322 17 24 149 450 141 59 398 258 1,735 0 7 27 36 0 59 389 88 373 3 427 3 2 12 463 14 0 46 437 38 1 3 210 151 2 156 163 147 13 11 30 26 6 2 98 62 1,366 18 125 1 343


8 2 2 1 3 3 4 0 2 2 90 22 0 9 0 3 11 29 11 1 0 8 2 1 79 74 44 16 0 1 8 7 0 4 69 12 6 19 29 0 10 6 1 1 5 5 7 1 1 16 415 6 5,904

90 16 3 13 46 3 0 5 1 225 0 0 185 5 5 0 0 1 27 1 1 0 0 0 61 7 1 97 0 0 103 88 100 280 4 3 1 2 2 0 0 0 0 1 2 0 3 2 319 23 16 120 0 0 94 0 1 0 0 0 0 0 0 0 0 0 1,301 0 0 39 0 0 0 6 2 0 17 36 88 23 17 0 7 2 0 8 2 0 0 0 0 31 18 0 0 0 603 0 0 0 0 2 0 0 0 222 6 4 221 6 2 88 4 1 65 1 1 31 0 0 0 4 2 76 7 1 0 0 0 0 0 0 45 9 4 121 20 7 60 3 2 0 0 0 200 0 0 41 1 1 1 1 2 0 2 2 24,823 2,467 1,397

3 15 0 13 2 5 0 0 0 8 0 0 0 1 0 0 0 7 0 0 23 161 3 4 1 0 0 0 5 0 4 0 1 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 8 10 2 36 5 7 0 7 0 0 9 23 0 0 0 0 0 0 0 0 4 1 0 6 0 4 5 1 0 0 1 4 9 7 0 0 0 0 2 1 0 10 1 0 0 0 0 0 0 0 0 0 0 2 395 2,114

0 27 0 0 0 0 0 0 0 0 2 0 0 0 1 3 7 0 0 0 0 0 0 0 0 5 1 0 1 0 5 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 544

0 0 0 0 0 1 0 0 0 0 6 1 0 0 4 0 2 0 8 0 0 0 0 0 0 22 8 1 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 360

1 6 0 0 0 0 0 0 0 0 0 0 2 0 0 0 3 0 0 0 0 0 0 0 2 0 0 0 0 0 3 0 0 2 0 0 0 0 0 0 0 0 0 0 8 0 1 0 0 1 1 0 291

0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 46 24 0 1 0 10 0 0 1 0 0 0 0 0 0 0 0 0 0 0 12 8 0 0 0 1 0 924

16 46 5 0 9 1 1 0 7 0 169 5 2 0 5 3 27 0 8 0 0 0 0 0 6 83 69 8 9 0 47 0 0 3 0 6 6 4 1 0 4 7 0 0 9 22 9 0 0 1 2 2 4,233

*Data may vary due to data conversion

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Total # of Contacts in

Total # of Student / Resident Rotations

Other (includes Oral Health) Rotations

Nurse Practitioner Rotations

Nursing Rotations

Physician Assistant Rotations

Medicine Rotations

# of Graduates Remaining in Sponsoring AHEC Region

# Primary Care Rotations # of Preceptors

Participants in Continuing Education Programs # of Participants in Health Career Programs

# of County

Peach Pickens Pierce Pike Polk Pulaski Putnam Quitman Rabun Randolph Richmond Rockdale Schley Screven Seminole Spalding Stephens Stewart Sumter Talbot Taliaferro Tattnall Taylor Telfair Terrell Thomas Tift Toombs Towns Treutlen Troup Turner Twiggs Union Unknown Upson Walker Walton Ware Warren Washington Wayne Webster Wheeler White Whitfield Wilcox Wilkes Wilkinson Worth Other States Other Countries Total

120 64 10 226 202 5 33 0 71 99 485 313 6 9 12 12 374 149 114 1 0 8 1,303 40 88 201 220 31 11 1 82 7 603 9 69 248 235 112 101 31 17 99 1 1 65 155 79 1 201 59 420 10 36,752


Georgia Statewide AHEC Network Georgia Regents University 1120 15th Street, AA-1057 Augusta, GA 30912

Non-Profit Org. U.S. POSTAGE PAID Augusta, GA Permit No. 210

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Serving Georgia’s Communities Since 1984

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