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1 c o n n e c t i o n s Rural Health Education and Services Vol. 14 No. 1 Summer 2006 What s Inside... Page 3 Nurse-midwifery Page 6 Kansas Career Opportunities Page 7 Kansas Recruitment Center - Job listings Page 14 A journey through Kansas - Northeast Page 16 Gift to the AHEC Page 17 Warren leading the AHECs as director Page 18 Audio-Reader helps rural Kansans TransforMED Transforms Primary Care in Hays Hays Family Medicine, Hays, Kan., will embark on a new journey in health care, as it has been selected as one of 36 practices in the United States to participate in TransforMED, an initiative sponsored by the American Academy of Family Physicians (AAFP). TransforMED seeks to address the rapidly changing needs of health care throughout the United States and focuses on a transformative practice redesign in primary care organizations. The TransforMED project is based on the concept of a relationship-centered, personal medical home and seeks to provide a more patient-centered, consumer-friendly model of care. The $8 million practice redesign initiative seeks to provide consultation and support to the physicians looking to transform their practices to meet the needs of health care in today s society. As the health care system becomes more consumer-driven, TransforMED, has launched a demonstration project that will test the methods believed to enhance primary health care. This practice redesign project is a realworld test that has potential to change the way primary care is delivered in the United States. Hays Family Medicine was chosen to incorporate a new practice design model, as part of a TransforMED demostration project. Thirty-six family medicine practices across the country were chosen to incorporate the new model as part of the TransforMED demonstration project. Over 500 applications were received from interested practices across the country and evaluated based on the organization s commitment to practice transformation, incorporating all components of the new model. The practice s need for change as well as the willingness to change, also influenced the potential participation per organization. Hays Family Medicine was chosen as one site for the implementation of this demonstration project. Terry McGeeney, MD, MBA, FAAFP, President/CEO TransforMED, explains that the Hays Family Medicine was chosen because of their awareness, interest, and willingness to change, to incorporate the TransforMED method of care. He also indicates it is a major accomplishment to be chosen. Continued on page 5

2 From The Director... Lorene R. Valentine Kansas Connections is published four times a year by the University of Kansas Medical Center, Rural Health Education and Services, Kansas City and Wichita. KUMC is an AA/EO/Title IX Institution DIRECTOR Lorene R. Valentine EDITOR Lauren Lambert GRAPHIC DESIGNER Amanda Gardner 2 Kansas c o n n e c t i o n s Family Physician of the Year Robert Moser, MD, loves everything about his job and it shows. Chosen by the Kansas Academy of Family Physicians as the 2006 Kansas Family Physician of the Year, Moser has been integral in positively influencing health care in rural western Kansas. As a family physician at Greeley County Health Services, Moser embraces numerous qualities that contribute to his ability to provide valuable health care to western Kansas. In a statement nominating Moser for the award, Todd Burch, CEO, Greeley County Health Services states, Dr. Moser is the true embodiment of what all family physicians in rural America should strive to emulate. Moser attended Robert Moser, MD the University of Kansass Medical School, Wichita, Kan., and completed his residency training at Smoky Hill Family Medicine Residency, Salina, Kan. In addition to serving as medical chief at Greeley County Health Services, Moser is medical director for Greeley County s LTC, Hospital lab, Home Health and EMS, and is the district deputy coroner. Being a family physician means having the ability to care and treat a wide range of illnesses and variety of patients. The peers, patients, and community members who nominated Moser would attest that his abilities far exceed those minimum requirements, as he has helped shape health care for rural western Kansans. We congratulate Dr. Moser on his accomplishments and thank him for his contributions to health care in rural Kansas. Welcome! The Kansas Recruitment Center (KRC) was established to assist Kansas rural communities in recruiting and retaining physicians and other health care providers; conversely, KRC assists health care candidates in finding the right practice or career opportunity, and ensuring they receive the support and assistance needed to enjoy their life in Kansas. I am proud to say that KRC has been successful in assisting both communities and candidates in finding the right match. Since January, KRC has assisted in the recruitment of eleven physicians and health care professionals to rural Kansas. I would like to welcome each of them. Neil Goodloe, MD, will begin practice at Labette County Medical Center, Parsons, Kan., this summer. Nancy Rushing, RN, originally from Cedar Vale, Kan., accepted a position with Anthony Hospital, Anthony, Kan., early this spring. Jorge Guillen, MD, family physician, is practicing at the United Methodist Mexican- American Ministries, Dodge City, Kan. Amy Madril, MD, family physician, will practice at Ashley Clinic, Chanute, Kan., this summer after completion of her family practice residency at Wesley Medical Center. Brandi Bowen, ultrasound technologist, began her position with Bob Wilson Memorial Grant County Hospital, Ulysses, Kan., in March. Elizabeth Hineman, MD, will begin her practice at Scott County Hospital, Scott City, Kan., in the fall, after completion of her family medicine residency at Baptist Lutheran in Kansas City, Mo. Norman Petty, MD, emergency medicine physician, joined the Labette County Medical Center, Parsons, Kan. In April, Charles Zerr, MD, internist, joined New Frontier Services, Oakley, Kan. Alex Curiel, MD, family physician, will also join the staff at New Frontier Services in July 2007, after completing his residency Continued on back page

3 Nurse-midwifery Increasing health care options in rural Kansas iving in a rural community offers L numerous advantages less traffic, fresh air, and friendly neighbors; but, living in a rural community can also present challenges. Access to resources in health care is one of these challenges. Numerous patients in rural communities are influenced by this challenge each day; including persons receiving treatments for an illness, a patient seeking emergency care, and perhaps even expectant mothers seeking prenatal and birthing care. Each day mothers learn that they will be welcoming a new member to the family. The excitement and nervousness that surrounds this realization can certainly overwhelm any family. With a myriad of decisions to address during pregnancy, delivery and child care, many families are uncertain as to where to begin. In addition, the options for seeking care must be established. Traditionally, choices for prenatal care have been specific to an obstetrician or family physician, but living in a rural community has potential to limit these options. With a lack of health care providers, or physicians who do not provide obstetric care in these areas, families are faced with limited care options. With an increase in certified nurse midwifery care, however, women throughout Kansas, specifically rural communities, may have additional options for seeking health care during pregnancy. Nurse midwifery, while not traditionally a common choice for women, is certainly not a new concept for care. An increased interest in natural childbirth stemmed from the 1970 s, as there was an amplified popularity for individualized care that can oftentimes be provided by a nurse-midwife. A certified nurse-midwife (CNM) can provide a full range of primary health care services to women, including routine gynecological checkups, family planning services, preconception care, prenatal and postpartum care, and delivering babies. Today, most CNMs attend births in hospitals, birth centers, and occasionally in private homes. Common misconceptions regarding the care of a nurse-midwife have been addressed in many states through increased educational requirements and certifications. The common concern that midwives deliver babies only at home and perhaps don t have the training and background necessary in the event of an emergency, has been alleviated through increased training and education. The American College of Nurse-Midwives (ACNM) has addressed the concern by defining criteria for nurse-midwifery to oversee the standards of the field. As a result, a certified nurse midwife must be a highly trained health care provider who has been educated in both nursing and midwifery and is certified by the ACNM. In Kansas, a certified nurse-midwife must complete a master s degree from a pre-accredited or accredited university. A CNM must also possess a state board of nursing license, pass a national certification examination administered by the ACNM Certification Council, and prove continuing competency to practice as an advanced practice nurse, dually recognized by Kansas state boards of nursing. Midwives are an appealing option for women who seek a more individualized, less routine, approach to childbirth than many traditional obstetricians provide. Midwives focus on helping expectant mothers learn about the physical and emotional changes that occur during pregnancy. Specifically, the additional care from a nurse-midwife allows expectant families in rural communities additional options. Kay Garman, FNP, CNM, a certified nurse-midwife in Norton, Kan., states her patients, appreciate the time in which she spends with them during the prenatal and beyond. As a family nurse practitioner in addition to being a certified nurse midwife, Garman also states, I find being a midwife is the best part of my job. Continued on page 4 Kay Garman, FNP, CNM, Norton, Kan, indicates that being a nurse-midwife is the best part of her job. 3

4 Nurse-Midwifery CONTINUED FROM PAGE 3 As a nurse-midwife, Annette VanAnne, FNP, CNM, increases health care options for families in southeast Kansas. For numerous families in rural Kansas, nurse midwifery has become a viable option. Annette VanAnne, FNP, CNM, serves expectant mothers in southeast Kansas. VanAnne has been practicing in the area for nearly a year, and indicates that the idea of utilizing a certified nurse-midwife is becoming more popular. Ginger Breedlove, PhD, CNM, ARNP, FACNM, director, Nurse Midwifery Education Program, University of Kansas School of Nursing, indicates that the popularity has grown [in Kansas] as a direct result of the KU School of Nursing graduate specialty track. To date, 25 students have completed the program of study, states Breedlove. The graduates of the program are now working in many rural and urban areas in Kansas and as small communities continue to be faced with health care challenges, nurse midwives have increased the capabilities of health care to provide further options for women seeking health care in these communities. Breedlove states, Nurse midwives positively impact maternity care in rural communities across the U.S. by providing increased access to cost effective health care that in-turn reduces perinatal mortality related to low birth weight and pre-term birth rates. Adequate prenatal care is an issue for women who are literally hundreds of miles from a qualified provider. With the challenges that continually face rural health care providers, the concept and services surrounding midwifery becomes increasingly valuable. Breedlove states, Just as certified registered nurse anesthetists serve rural settings, CNM s have a significant contribution to make to improve health outcomes of communities. Recruiting health care providers? Maximizing Your Recruitment Efforts: From Ideas to Action Wednesday, Sept. 20, 2006 Grand Prairie Hotel & Convention Center Hutchinson, Kansas Attend this workshop and learn how to enhance your recruitment and retention efforts. Hosted by Rural Health Education & Services For more information call Kansas c o n n e c t i o n s

5 TransforMED CONTINUED FROM PAGE 1 Hays Family Medicine is a rural health care provider in Hays, Kan., and encompasses a staff of 32 health care professionals, including physicians. Richard Rajewski, MD, Hays Family Medicine physician, indicates that the initiative is valuable to not only the 36 practices involved in the project, but health care as a whole. For Hays Family Medicine, the TransforMED initiative has great potential to provide efficient, cost-effective results that will potentially encompass not only family medicine, but medicine in general, states Rajewski. The components of the TransforMED project include several aspects. According to McGeeney, The TransforMED model of care includes such elements as office redesign, access to care, quality and safety, sustainable reimbursement, and advanced information systems. The new model of care involves providing patients with a personal medical home emphasizing a patient-centered care approach, eliminating barriers to access. A team approach to care is also proposed in this new model, utilizing advanced information systems (including a standardized electronic health record); redesigned, more functional offices, and a whole-person orientation that focuses on quality, safety, and care provided in a community context. These practices seek to provide patients a defined realm of services, which will help to clarify patients expectations and understanding of a family medicine practice. McGeeney states that the new models will allow health care organization the ability to implement best practice guidelines, and provide family practice organizations the tools necessary to provide quality care. Participants of the project will engage in the transformative process in two separate groups: 18 practices will implement the model as a facilitated group, the remaining 18 practices will be provided the information to implement the model of care in a self-directed manner. Hays Family Medicine is working in the facilitated group and therefore will received support from TransforMED in the form of tailored implementation strategies, discounted software technology, training, support, and ongoing consultation throughout the project. Evaluation of the successes and failures of the implementation process will be provided throughout the project period. Key findings will be evaluated and disseminated on an ongoing basis among the demonstration sites and within the larger practice community. Once the demonstration project is complete, a more intense evaluation will be reported to examine the project effectiveness in enhancing health care in a primary care setting. While there are challenges that Hays Family Medicine may encounter while implementing the TransforMED model of care, Rajewski indicates that a team approach will empower providers to do more. As with anything, the challenge lies in being profoundly busy. There is risk involved, as it is challenging to remember that the number one priority is in taking care of the patients, all the while implementing new processes in a new model of care. Through the implementation of the TransforMED model of care, however, Rajewski indicates that the model truly has the capacity to give care to everyone who needs care. For Hays Family Medicine, the TransforMED initiative has great potential to provide efficient, cost-effective results that will potentially encompass not only family medicine, but medicine in general. Richard Rajewski, MD The impact that this project may have on health care includes a health care organization s ability to learn to make necessary changes with few resources, states McGeeney. This is truly unchartered territory. AAFP is committed to this effort to transform family practice with limited resources. TransforMED s mission is to lead, empower, and assist family medicine practices as they transition to a patient-centered model of care that offers every patient a medical home within a family physician s practice, states McGeeney. For Rajewski and the staff at Hays Family Medicine, this means a lot. The end result not only promises to make processes simpler and provide benefits to the patients, but has potential to provide benefits to us as health care providers and to our families. For more information regarding the TransforMED project, visit the American Academy of Family Physicians Web site, Richard Rajewski, MD 5

6 Kansas Career Opportunities Exhibitors sought for career fair ural Health Education and R Services is seeking exhibitors for the annual Kansas Career Opportunities event. This event allows rural hospitals, clinics, and physician offices with a need to recruit physicians and other health care providers the opportunity to meet with prospective physicians and health care providers interested in practicing Kansas Career Opportunities Wichita in Kansas. The first event will be held at the University of Kansas Medical Center Kansas City, Thursday, October 26, from noon to 3:00 pm, in the Hixson Atrium. Lunch will be provided for those attending. The second event will be held at the University of Kansas School of Medicine Wichita, on Thursday, November 9, from noon until 3:30 pm. The event will start with a lunch at noon, during which participants will have time to visit with exhibitors. A panel discussion will take place in Roberts Amphitheater from 1 p.m. to 2 p.m. and booths will remain open until 3 p.m., allowing exhibitors face-to-face time with candidates who could fill available positions and are interested in joining a rural health care organization. Exhibit space can be purchased for both events for $300, or $250 for one location. Organizations that participate with the Kansas Recruitment Center under a contingency contract may exhibit free of charge (but must still register for the space). Space is limited to 25 booths at each site. So, mark your calendars and plan to attend the annual Kansas Career Opportunities event. An exhibitor contract may be obtained online at or by calling Rural Health toll free at Your Future Awaits Resident physicians and medical, nursing, and allied health students Mark your calendars to attend Kansas Career Opportunities. Visit with representatives from over 20 rural communities Explore rural practice opportunties Learn about rural living Win prizes Free lunch Spouses welcome to attend Kansas City: Oct. 26, 2006, noon - 3:00 p.m. KUMC, Hixon Atrium Wichita: Nov. 9, 2006, noon - 3:30, KUSM-W REGISTRATION Call: Kansas City Wichita or online 6 Kansas c o n n e c t i o n s

7 K A N S A S R E C R U I T M E N T C E N T E R July 2006 The mission of the Kansas Recruitment Center (KRC) is to assist Kansas rural communities in recruiting and retaining physicians and other health care providers. KRC works with hospitals, private physician practices, community health centers, and other organizations recruiting physicians, nurses, physician assistants or other health care professionals. KRC is also a health care career service for physicians, physician assistants, nurses, nurse practitioners and other allied health professionals. KRC assists candidates in finding a community and practice or career opportunity that meets their requirements. Services are provided to candidates at no charge. Candidates should refer to a position by number when they are calling about a specific opening. For more information, contact the University of Kansas Medical Center, Rural Health Education and Services at or or visit the web site at NORTH CENTRAL KRC Hematologist/Oncologist new cancer center approved by the Commission on Cancer, American College of Surgeons; current staff: 3 physicians and 1 mid-level; patient population is adult thru geriatric; facility amenities include chemotherapy room w/window wall, counseling room, wig room KRC Gastroenterologist 26-physician multi-specialty clinic; currently 10 specialties; additional services include full service lab, nuclear medicine, echo and vascular testing, ultrasound, full x-ray unit; full-service acute facility and surgery hospital nearby KRC Pulmonary Medicine/Critical Care 26-physician multi-specialty clinic; currently 10 specialties; additional services include full-service lab, nuclear medicine, echo and vascular testing, ultrasound, and full x-ray unit; full-service acute facility and surgery hospital nearby KRC Invasive and Interventional Cardiologist 26-physician multi-specialty clinic; currently 10 specialties; additional services include a full service lab, nuclear medicine, echo and vascular testing, ultrasound, and full x-ray unit; full-service acute facility and surgery hospital nearby KRC Internist 26-physician multi-specialty clinic; currently 10 specialties; additional services include a full service lab, nuclear medicine, echo and vascular testing, ultrasound, and full x-ray unit; full-service acute facility and surgery hospital nearby KRC Nephrologist 26-physician multi-specialty clinic; currently 10 specialties; additional services include a full service lab, nuclear medicine, echo and vascular testing, ultrasound, and full x-ray unit; full-service acute facility and surgery hospital nearby KRC Family Physician group practice, 25-bed CAH, acute medical, skilled nursing unit, 24- hour emergency, IP & OP surgery, OB, very active rehab department KRC General Surgeon group practice affiliated with a regional medical center that serves a population of 60K; the medical center s state-of-the-art technologies include a full laparoscopic system, family birthing rooms, well-equipped intensive care unit, ER, Level II nursery, fixed site MRI and CT; salary: $200,000-$250,000, great benefits, good school system, community college, park/zoo, strong community pride; H1-B Visa opportunity KRC Orthopedist group practice affiliated with a regional medical center that serves a population of 60K; the medical center s state-of-the-art technologies include a full laparoscopic system, family birthing rooms, well-equipped intensive care unit, ER, Level II nursery, fixed site MRI and CT; competitive salary, great benefits, good school system, community college, park/zoo, strong community pride; H1-B Visa opportunity KRC Internist two-campus regional medical center that serves a population of 60K; the medical center s state-of-the-art technologies include a full laparoscopic system, family birthing rooms, well-equipped intensive care unit, ER, Level II nursery, fixed site MRI and CT; competitive salary, great benefits, good school system, community college, park/zoo, strong community pride; H1-B and J1 Visa opportunity KRC Family Physician hospital-employed; 25-bed Continued 7

8 CAH currently undergoing extensive renovation; current staff: 3 family practitioners, 1 surgeon, 1 mid-level; additional hospital facilities include a 30-bed long-term care unit and an outreach clinic that is staffed 3.5 days per week; hospital services include OB, a full lab, diagnostic imaging, physical therapy KRC General Surgeon hospital-employed, 25-bed CAH with new surgical addition in progress; current staff: 3 family practitioners, 1 surgeon, 1 mid-level; additional hospital facilities include a 30-bed long-term care unit and an outreach clinic that is staffed 3.5 days per week; hospital services include OB, a full lab, diagnostic imaging, physical therapy; H1B and J1 Visa opportunity KRC Family Physician OB required, prefer ability to do c-section; 25-bed CAH plus 3 satellite facilities; current medical staff: 5 physicians and 2 mid-level practitioners; hospital services include: general surgery, cardiac rehab, cardio pulmonary, radiology, OB, 10 specialties; full benefits KRC Physical Therapist outpatient physical therapy clinic, primarily treating lymphedema patients, training is available for this specialty; additional caseload includes ortho and neuro; current staff: 5 PTs and 2 PTAs; no evenings, call, or weekends; experienced therapists as well as new graduates are encouraged to apply; H1-B Visa opportunity KRC Physical Therapist Assistant outpatient physical therapy clinic, primarily treating lymphedema patients, training is available for this specialty; additional caseload includes ortho and neuro; current staff: 5 PTs and 2 PTAs; no evenings, call, or weekends; experienced therapists as well as new graduates are encouraged to apply KRC Family Physician 25-bed CAH; hospital services include: on-site CT, mobile MRI and ultrasound, lab, x-ray, scopes, swing unit, urology clinic, cardiac clinic; salary: $145,000- $155,000 and potential for production bonus; full benefits 8 Kansas c o n n e c t i o n s KRC C Internist to join a group of office-based internists sharing hospitalist duties, position entails hospitalist work only; current staff: 4 Internal Medicine Physicians, 3 Family Practitioners, 1 Pediatrician, and 1 Neurologist; call coverage is 1:5; the nearby hospital is a Level 2 facility with 250 beds; salary: $120,000- $160,000 plus incentive with a 1 year contract plus renewal; benefits KRC Family Physician with OB for a 25-bed CAH and rural health clinic; the hospital does obstetrics and the family practitioners may perform c-sections; general surgeon, 2 family practitioners, and 2 nurse practitioners on staff; currently, call coverage is 1:4 and they locum tenens ER coverage 1 weekend/month; full service hospital including OB, ER, lab, radiology, specialty care, and long term care; Salary Range: $140,000-$160,000; full benefits KRC C Family Physician without OB or surgery for a 12-bed CAH; rural health clinic attached to hospital; 83 staff members at hospital, including PA; call time is 1:2 and non-call time is completely off for practitioner; hospital services include acute care, swing bed, emergency room, physical therapy, cardiac rehab, ADA certified, and outpatient clinics for cardiac and orthopedics; salary: $135,000-$160,000 w/ 3 year contract; full benefits KRC C Family Physician 25-bed CAH and rural health clinic; current staffing includes 1 physician and 1 PA; call time is 1:3; hospital services include acute care, swing bed, ER services, therapy department, full service lab and x- ray, contracted sonogram and mammogram, and mobile CT scan unit; salary: $135,000- $150,000 w/ 5 year contract; full benefits NORTHEAST KRC Medical Technologist 24-bed CAH; experienced and new graduates encouraged to apply; hospital services include inpatient, outpatient, swing bed, OB; salary: $37,000-$52,000 depending on experience; full benefits KRC Family Physician with OB for a 24-bed CAH; also 2 satellite clinics; currently 2 physicians and 2 mid-levels on staff; call is 1:5; hospital services include inpatient, outpatient, swing bed, surgery, rehab, OB; salary: $125,000-$175,000 with a 3 year contract KRC Physical Therapist 24-bed CAH; experienced and new graduates encouraged to apply; hospital services include inpatient, outpatient, swing bed, OB; salary: $41,600-$60,000 depending on experience; full benefits KRC Occupational Therapist 24-bed CAH; experienced and new graduates encouraged to apply; hospital services include inpatient, outpatient, swing bed, OB; salary: $39,500- $56,000 depending on experience; full benefits KRC Family Physician group practice located next to a 28-bed CAH; prefer OB but not required; currently 3 physicians and 1 mid-level on staff; call is 25%; salary and benefits are not predetermined as this is considered an independent practice; H1B opportunity KRC Internist solo practice; busy hospital and outpatient practice; currently 1 physician and 1.5 mid-levels on staff; 2 hospitals nearby and many specialty services throughout the local area; specialties include radiology, urology, OB/GYN, general surgery, CV, orthopedics, cardiology, ENT, nephrology, and a neurology; salary: $110,000- $140,000 with a 1 year contract; full benefits KRC Family Physician without OB for integrated rural health system including CAH, rural health clinic, home health, and pharmacy; hospital services include acute care, inpatient, outpatient, swing bed, emergency room, and a health clinic; currently 1 physician and 1 mid-level on staff; call time is 1:3; salary is negotiable and competitive; full benefits; H-1B opportunity KRC Physical Therapy Director integrated rural health system including CAH, rural health clinic, home health, and pharmacy; hospital services include acute care, inpatient, outpatient, swing bed, emergency room, and a health Continued

9 clinic; currently 1 PTA on staff; director of PT must be team oriented, self motivated, and have strong intercommunication skills; diverse patient caseload; must be licensed physical therapist; prefer experience; salary is negotiable, competitive, and depends on experience; benefits KRC Physical Therapist Assistant 25-bed CAH; responsibilities include acute care, outpatient, and home health; new graduates and experienced therapists encouraged to apply; must be a graduate of an accredited school and be certified or eligible; currently 3 PTAs, 4 Restorative Aids, and 3 contract PTs on staff; salary range: $29,000-$32,500 depending on experience; full benefits KRC Occupational Therapist 25-bed CAH with an outpatient clinic and six satellite clinics; responsibilities include: receive, interpret, and carry out physician referrals in regards to occupational therapy techniques and services; direct patient participation in selected tasks to restore, reinforce, and enhance performance, and work as an interdisciplinary team member when working with rehabilitation patients; currently 1 OT Director, 1 PRN OTR, and 1 COTA on staff; experienced and new graduates encouraged to apply; must be registered or registry eligible; salary is negotiable and depends on experience; full benefits KRC C Internist private practice in building attached to hospital; this internist would join 3 other internists, all of which are in private practices, in seeing a quickly growing patient population and to share call; clinic office space, practice management services, and a start-up loan to cover initial business expenses are available to the right physician; call is 1:4; family practice physicians perform ER coverage; net income guarantee of $160,000 (negotiable depending on training and experience); benefits KRC Family Physician with OB for a Certified Rural Health Clinic attached to a 12-bed CAH; currently 3 FPs and 2 NPs on staff; call is 1:5 ER rotation; hospital services include acute care, skilled nursing, 24 hour ER, and an outpatient clinic; salary: $120,000-$150,000 with a 1 year contract with multiple 1 year extensions; full benefits; open to Bridging Program participant NORTHWEST KRC Orthopedist 2 positions available for group practice, 190+ bed state-of-the-art medical center with an in-clinic MRI and wellness facility, currently 90 physicians on active medical staff, salary negotiable, 6 weeks vacation, benefits, excellent school systems, university, vo-tech, museums, performing arts center, aquatic park, recreation commission; H1-B and J1 Visa opportunity KRC Plastic Surgeon 190+ bed state-of-theart medical center with new wellness facility, currently 90 physicians on active medical staff, salary negotiable, 5 weeks vacation, benefits, excellent public and parochial schools, university, vo-tech, museums, recreation commission, aquatic park, performing arts center KRC Cardiologist 190+ bed state-of-the-art medical center with new wellness facility, currently 90 physicians on active medical staff, excellent public and parochial schools, university, vo-tech, museums, aquatic parks, performing arts center, recreation commission; H1-B and J1 Visa opportunity KRC Gastroenterologist 190+ bed state-of-theart medical center with new wellness facility, currently 90 physicians on active medical staff, salary negotiable, full benefits, excellent public and parochial schools, university, vo-tech, museums, aquatic parks, performing arts center, recreation commission; H1B Visa and J1 Visa opportunity KRC Nephrologist 190+ bed state-of-the-art medical center with new wellness facility, currently 90 physicians on active medical staff, salary negotiable, full benefits, excellent public and parochial schools, university, vo-tech, museums, aquatic parks, performing arts center, recreation commission; H1B Visa and J1 Visa opportunity KRC Family Physician with OB, prefer c-section certified; 25-bed CAH; currently 3 physicians and 1 mid-level; call is 1:4 as secondary to ARNP (primary ER call); full service hospital including med/surg acute care, obstetrics/ nursery, ER, outpatient, surgery/recovery, diagnostic imaging, lab, physical therapy, respiratory therapy, inpatient pharmacy, ambulance, specialty clinic, primary care clinic; salary includes base plus productivity incentive, approximately $150,000+ depending on OB and procedures with a 3 year contract; full benefits; H1B Visa opportunity KRC Respiratory Therapist 25-bed CAH that includes a 2 physician hospital-based clinic and a 68-bed long term care facility; hospital services include acute care, swing bed, OB, diagnostic, lab, respiratory, specialty clinic, ER, and ICU; staff includes 2 full time therapists and 3 prn therapists; there is a daily average of 15 patients; rotating call; open to experienced therapists and new graduates and CRTT or RRT KRC Nurse Practitioner 5 month contract with possibility of becoming a permanent position; 25-bed CAH with 2 satellite clinics; currently 2 physicians and 1 mid-level on staff; $40.00 per hour with a very flexible schedule KRC Physician Assistant 5 month contract with possibility of becoming a permanent position; 25-bed CAH with 2 satellite clinics; currently 2 physicians and 1 mid-level on staff; $40.00 per hour with a very flexible schedule KRC General Surgeon to join medical staff; new hospital is to be complete by 2007; currently 4 physicians and 3 mid-levels on staff; call is for weekdays only and will rotate with six other providers; salary is negotiable; benefits KRC General Surgeon 190+ bed, state of the art medical center and wellness facility; currently 90 physicians on staff; call time is 1:3; salary is negotiable; benefits KRC Hematologist/Oncologist cancer center that is an affiliation of a 190+ bed, state-of the-art Continued 9

10 medical center and wellness facility; due to growth; currently 90 physicians on staff; salary is negotiable; full benefits; H-1B and J-1 opportunity KRC C Psychiatric Director progressive outpatient community mental health center; looking for board eligible or certified general psychiatrist to work in center and 5 branch locations; caseload will be approximately 25% youth and 75% adult cases; call will rotate with 2 other center psychiatrists; center provides outpatient services for adults, children, and substance abusers, screening and referral services available 24-7, case management services, community support services for SPMI adults, Respite Center services, and alternative school for SED youth; salary base is $144,000 but depends on experience; excellent benefits KRC Internist 190+ bed, state of the art medical center and wellness facility; currently 90 physicians on staff; call is 1:5; salary is negotiable; benefits include paid vacation, CME allowance, and relocation costs; an outstanding hospital in a positive and progressive environment; H-1B and J-1 visa opportunity KRC Pediatrician 190+ bed, state of the art medical center and wellness facility; currently 90 physicians on staff; call is 1:4; salary is negotiable; benefits include paid vacation, CME allowance, and relocation costs; an outstanding hospital in a positive and progressive environment KRC Family Physician without OB for 190+ bed, state of the art medical center and wellness facility; currently 90 physicians on staff; call is 1:6; salary is negotiable; benefits include paid vacation, CME allowance, and relocation costs; an outstanding hospital in a positive and progressive environment KRC C Family Physician 25-bed CAH and family health care center; this physician will provide primary health care services in a new clinic attached to the hospital; this clinic serves the whole county; satellite clinic located 19 miles east; acute care and swing beds, 37-bed long term care unit and 6-bed assisted living unit; 10 Kansas c o n n e c t i o n s currently 3 physicians and 1 mid-level on staff; call is 1:4 weekends and 1 night/week w/ backup on midlevel; hospital services include on-site CT, mobile MRI, nuclear medicine, lab surgery, and rehab; physician will be taking over an existing patient base; salary is $140,000 with additional income for ER coverage can be higher based on productivity; 2-3 year contract preferred; full benefits KRC C Internist 25-bed CAH and family health care center; this physician will provide primary health care services in a new clinic attached to the hospital; this clinic serves the whole county; satellite clinic located 19 miles east; acute care and swing beds, 37-bed long term care unit and 6-bed assisted living unit; currently 3 physicians and 1 mid-level on staff; call is 1:4 weekends and 1 night/week w/ backup on midlevel; hospital services include on-site CT, mobile MRI, nuclear medicine, lab surgery, and rehab; physician will be taking over an existing patient base; salary is $140,000 with additional income for ER coverage can be higher based on productivity; 2-3 year contract preferred; full benefits SOUTH CENTRAL KRC Family Physician without OB; hospital-employed; 24-bed CAH; hospital services include: inpatient, outpatient, physical therapy, ER; currently 2 physicians and 2 mid-levels on staff; salary: $140,000-$150,000 KRC Family Physician multi-specialty clinic, currently 15 specialties and 24 physicians on staff among 4 satellite clinics, excellent benefits, competitive salary with possible production bonus; 60 miles from major metro area KRC Urologist multi-specialty clinic, currently 15 specialties and 24 physicians on staff among 4 satellite clinics, excellent benefits, competitive salary with possible production bonus; 60 miles from major metro area KRC Orthopedist multi-specialty clinic, currently 15 specialties and 24 physicians on staff between 4 satellite clinics, excellent benefits, competitive salary with possible production bonus; 60 miles from major metro area KRC Family Physician group practice, with or w/o OB, currently 2 physicians and 1 NP on staff, 22 bed CAH with clinic next door as well as a satellite clinic, hospital services include lab, oncology, physical therapy, CT, travel MRI, Dexxa, full-service surgery; salary: $130,000- $140,000 KRC Family Physician dedicated research facility conducting clinical drug trials; primarily psychiatric populations on outpatient basis and on clinical research unit studies; option for full or part-time; salary varies with full time or parttime status; benefits; H1B Visa opportunity; located in metro area KRC Internist dedicated research facility conducting clinical drug trials; primarily psychiatric populations on outpatient basis and on clinical research unit studies; option for full or parttime; salary varies with full time or part-time status; benefits; H1B Visa opportunity; located in metro area KRC Psychiatrist dedicated research facility conducting clinical drug trials; primarily psychiatric populations on outpatient basis and on clinical research unit studies; option for full or part-time; salary varies with full time or parttime status; benefits; H1B Visa opportunity; located in metro area KRC Family Physician rural health clinic attached to a 25-bed CAH; currently 3 physicians and 1 mid-level on staff; each provider has a nurse and support staff; hospital services include x-ray, physical therapy, CT, home health, mammography, diabetes education, lab, ER; call is 1: 4 weekdays and 1: 4 weekends, rotating holidays; salary $125,000-$140,000 with a 3 year guarantee then production; benefits KRC Physical Therapist Assistant 22-bed CAH with 32-bed LTC Unit; provide services to inpatient, outpatient, and home care patients; currently KS licensure is required; hospital services include lab, physical therapy, radiology, Continued

11 CT, travel MRI, Dexxa, outpatient, ER, oncology, full-service surgery; salary is negotiable; full benefits KRC Pediatrician group practice in a clinic and 82-bed hospital; includes covering a secondary level nursery; electronic medical records utilized; currently 1 full time pediatrician, 1 part-time pediatrician, and 1 NP on staff; call is 1:4; salary range: $110,000-$115,000 full time or $55,000-$60,000 part-time; benefits KRC C Family Physician without OB for 25-bed CAH; hospital services include acute care, swing bed, lab, x-ray, physical therapy, occupational therapy, 24-hour ER, mobile CT scan, ultrasound, mammogram, and bone density screening; call is 1 evening/week and 1:5 weekends; salary: $150,000-$160,000 with up to a 2 year contract; full benefits KRC Registered Nurse hospital based rural health clinic connected to a 25-bed CAH; prefer acute care or surgery experience in a hospital setting; will consider new graduates; day shift (7:00am- 3:00pm); currently 2.2 FPs and 1 PA on staff; hospital services include x-ray, CT, ultrasound, lab, surgery, specialty clinics, mobile MRI, and telerad; salary: $33,800-$44,000; benefits KRC Family Physician without OB for hospital based rural health clinic connected to a 25-bed CAH; one offsite rural health clinic; currently 2.2 FPs and 1 PA on staff; call is for backup coverage only; hospital services include x-ray, CT, ultrasound, lab, surgery, specialty clinics, mobile MRI, and telerad; salary: $130,000- $160,000; full benefits KRC Physician Assistant 25-bed CAH with an attached rural health clinic and satellite clinic; this position has a diverse patient caseload and will practice at both the on-site and off-site rural health clinics (w/in 40 miles); ER coverage may also be included; currently 2.2 FPs and 1 PA on staff at the hospital; hospital services include x-ray, CT, ultrasound, lab, surgery, specialty clinics, mobile MRI, and telerad; salary is competitive; full benefits KRC Nurse Practitioner 25-bed CAH with an attached rural health clinic and satellite clinic; this position has a diverse patient caseload and will practice at both the on-site and off-site rural health clinics (w/in 40 miles); ER coverage may also be included; currently 2.2 FPs and 1 PA on staff at the hospital; hospital services include x-ray, CT, ultrasound, lab, surgery, specialty clinics, mobile MRI, and telerad; salary is competitive; full benefits KRC Physician Assistant Family Medicine Department of multi-specialty group; this certified rural health clinic has 5 board certified providers specializing in Family Medicine, OB/ GYN, General Surgery, and Internal Medicine; the clinic provides digital radiology, minor surgery, bone densitometry, nerve conduction testing, allergy testing, pulmonary function tests, and stress tests; current staffing is 1 FP, 1 mid-level, and 3 nurses in the Family Medicine Department; call time is shared with the physician; salary begins at $65,000 and depends on experience; benefits SOUTHEAST KRC Family Physician with OB; 25-bed CAH; call rotates with groups of 5; hospital services include OB, ICU Level I, general surgery, orthopedics, ENT, urology, CT, lab; salary is negotiable; benefits KRC Orthopedist group practice, 2 orthopedic surgeons looking for a 3rd partner; additional staff includes 1 mid-level, office manager, 2 radiology techs, 1 orthopedic nurse; office located in a 100+ bed hospital, salary $350,000, benefits; culturally active community, superb schools, lakes with activities available KRC Anesthesiologist with Pain Management office located in hospital, 3 orthopods on staff want to open a pain management clinic, option to work as a solo physician or be hospital-employed, salary is negotiable, benefits, culturally active community, superb schools, lakes with activities available KRC Non-Invasive Cardiologist 100+ bed hospital, option to work as an independent practitioner or be hospital-employed, salary is negotiable, benefits, culturally active community, superb schools, quick access to metropolitan areas, beautiful lakes with activities available KRC Psychiatrist 100+ bed hospital, opening a Geriatric Psychiatric Unit, option to work as an independent practitioner or be hospital-employed, salary negotiable, benefits, culturally active community, minimal traffic, low crime rate, superb schools, quick access to metropolitan areas, beautiful lakes with activities available KRC Orthopedist multi-specialty group with main clinic and 4 satellite clinics; the clinic also sponsor a surgical outreach clinic and a urological outreach clinic; current staff includes: 6 family practice physicians, 1 pediatrician, 2 internists, 2 general surgeons, 1 urologist; the clinic offers a full spectrum of care such as family medicine including obstetrics, physical exams and sports physicals, on-site laboratory and x-ray, on-site EKG testing and bone density studies, minor surgery, wellness exams and preventative medicine, osteopathic manipulations, physical therapy, diabetic education, cancer center; salary is negotiable; full benefits KRC Internist multi-specialty group with main clinic and 4 satellite clinics; the clinic also sponsor a surgical outreach clinic and a urological outreach clinic; current staff includes: 6 family practice physicians, 1 pediatrician, 2 internists, 2 general surgeons, 1 urologist; the clinic offers a full spectrum of care such as family medicine including obstetrics, physical exams and sports physicals, on-site laboratory and x-ray, on-site EKG testing and bone density studies, minor surgery, wellness exams and preventative medicine, osteopathic manipulations, physical therapy, diabetic education, cancer center; salary is negotiable; full benefits KRC Family Physician with OB for a growing multi-specialty group with main clinic and 4 satellite clinics; the clinic also sponsors a surgical outreach clinic and a urological outreach clinic; current staff includes: 6 family prac- Continued 11

12 tice physicians, 1 pediatrician, 2 internists, 2 general surgeons, 1 urologist; the clinic offers a full spectrum of care such as family medicine including obstetrics, physical exams and sports physicals, on-site laboratory and x-ray, on-site EKG testing and bone density studies, minor surgery, wellness exams and preventative medicine, osteopathic manipulations, physical therapy, diabetic education, cancer center; salary is negotiable; full benefits KRC C Obstetrician/Gynecologist with choice of being an independent practitioner or employed by the 109-bed hospital; the medical center has 37 physicians representing over 15 medical specialties; currently 1 OB/GYN and 2 family practitioners that perform OB on staff; salary range: $ 250,000; relocation and loan repayment available; benefits and vacation offered if employed by the hospital SOUTHWEST KRC Family Physician federally qualified community health center, 3 satellites; current staff includes 1 physician and 8 mid-levels; no call coverage, no weekends, salary negotiable, benefits; H-1B and J-1 Visa opportunity KRC Internist federally qualified community health center, 3 satellites; current staff includes 1 physician and 8 mid-levels; no call coverage, salary negotiable, no weekends, benefits; H-1B and J-1 Visa opportunity KRC Interventional Cardiologist multi-specialty group affiliated with a 100+ bed medical complex; the complex consists of an acute care, outpatient surgical facility, women s center, rehab center, transitional care unit, outpatient services; the medical complex has approx. 70 physicians on staff that represent more than 20 specialties; salary is negotiable, benefits; H1-B Visa opportunity KRC Orthopedist multi-specialty group affiliated with a 100+ bed medical complex; the complex consists of an acute care, outpatient surgical facility, women s center, rehab center, transitional care unit, outpatient services; the medical complex has approx. 70 physicians on 12 Kansas c o n n e c t i o n s staff that represent more than 20 specialties; salary is negotiable, benefits; H1-B and J1 Visa opportunity KRC Urologist multi-specialty group, 30 physicians with 11 specialties, large service area with many regional referrals, 3 satellite facilities including urgent care clinic; the local hospital is 100+ beds; salary is negotiable, benefits; H1-B and J1 Visa opportunity KRC Physician Assistant hospital-employed, PA for FP w/o OB, hospital consists of 12 acute/swing beds, 35-bed LTC Unit, rural health clinic; hospital services include physical therapy, lab, x-ray, ER, skilled and intermediate swing bed, home health; salary: $70,000, benefits KRC Registered Nurse 25-bed acute care setting including swing bed unit and ER, experienced nurses and new graduates encouraged to apply, ASN or BSN acceptable, 12-hour evening shift 3 days a week; salary depends on experience, benefits KRC Registered Nurse nursing home unit, experienced nurses and new graduates are encouraged to apply, ASN or BSN acceptable, 12-hour evening shift 3 days a week, salary is negotiable, benefits KRC Extended Care Facility Manager 48-bed nursing home unit, responsible for supervising staff of approx. 30 employees, must be RN with long-term care experience, long-term care management experience preferred but not required, ASN or BSN acceptable, salary is negotiable, benefits KRC Lab Tech 25-bed acute care setting with swing bed unit and ER, first shift, will also cross train into radiology with training provided if needed, salary is negotiable, benefits KRC Family Physician with OB; CAH; current staff: 3 physicians; progressive, energetic practice seeking medical professional interested in satisfying career in family-oriented community; hospital recently remodeled, has state-of-theart computer system; First Frontier National Community Center of Excellence in Women s Health; great salary and benefits KRC Physician Assistant CAH; current staff: 3 physicians; progressive, energetic practice seeking medical professional interested in satisfying career in family-oriented community; hospital recently remodeled, has state-of-the-art computer system; First Frontier National Community Center of Excellence in Women s Health; great salary and benefits KRC Physical Therapy Manager 45-bed county owned, not-for-profit, rural hospital; department treats an average of 5-10 patients per day; minimum of 1 year experience and hold KS licensure, or eligible; hospital services include radiology, lab, obstetrical care, ER, mobile MRI, CT, swing bed, acute care, general surgery, pediatric care, respiratory therapy, ICU, home health, and PT; salary is negotiable KRC General Surgeon 45-bed county owned, not-for-profit, rural hospital; currently 2 physicians and 1 PA on staff; call coverage is negotiable; hospital services include radiology, lab, obstetrical care, ER, mobile MRI, CT, swing bed, acute care, general surgery, pediatric care, respiratory therapy, ICU, home health, and PT; salary and benefits are negotiable KRC Family Physician 25-bed hospital; patient care is also provided at the clinic and extended care facility; hospital services include general medical-surgical care, skilled nursing care, emergency room, obstetrics, geriatrics, inpatient, outpatient, and long term care; currently 1 family practitioner, 1 part-time general surgeon, and 1 NP on staff; call is one week every 3-4 weeks; salary range: $150,000-$170,000; benefits KRC Physician Assistant position available for a 25-bed hospital; patient care is also provided at the clinic and extended care facility; patient caseload includes women s health, child health, diabetic care, and ER; currently 1 family practitioner, 1 part-time general surgeon, and 1 NP; Continued

13 salary range: $70,000-$95,000; benefits KRC Nurse Practitioner position available for a 25-bed hospital; patient care is also provided at the clinic and extended care facility; patient caseload includes women s health, child health, diabetic care, and ER; currently 1 family practitioner, 1 part-time general surgeon, and 1 NP; salary range: $70,000-$95,000; benefits KRC Family Physician 12-bed CAH and rural health clinic; currently 1 physician and 2 mid-levels on staff; hospital services include acute care, skilled nursing, physical therapy, lab, x-ray, CT, wellness center, and mobile ultrasound/mammography/mri; call coverage is 1:3 emergency room coverage; salary range: $150,000-$170,000; benefits; H-1B opportunity KRC Internist 12-bed CAH and rural health clinic; currently 1 physician and 2 mid-levels on staff; hospital services include acute care, skilled nursing, physical therapy, lab, x-ray, CT, wellness center, and mobile ultrasound/mammography/mri; call coverage is 1:3 emergency room coverage; salary range: $150,000- $170,000; benefits; H-1B opportunity KRC Nurse Practitioner community health center with 3 satellite facilities; currently 1 physician, 6 NPs, 2 PAs, and 1 volunteer physician on staff; no call coverage or weekends; salary range is $58,000, negotiable; full benefits KRC Physician Assistant community health center with 3 satellite facilities; currently 1 physician, 6 NPs, 2 PAs, and 1 volunteer physician on staff; no call coverage or weekends; salary range is $58,000, negotiable; full benefits KRC Family Physician with or without OB for 25-bed CAH; salary range is $120,000- $150,000 with a 3 year contract; full benefits; H-1B and J-1 Visa opportunity KRC Physician Assistant federally-qualified community health center with 3 satellite facilities; currently 1 physician, 7 NPs, and 1 PA on staff; no call coverage or weekends; salary: $55,000- $58,000; benefits KRC Nurse Practitioner federally-qualified community health center with 3 satellite facilities; currently 1 physician, 7 NPs, and 1 PA on staff; no call coverage or weekends; salary: $55,000- $58,000; benefits Candidates looking for job opportunities in Kansas can gain access to those listed by the KRC by logging onto our Web site at 13

14 A jou urney throug ugh Kansas: as: A Closer look at the Northeast ccording to 2000 Census data on A geographic entity counts, there are 628 incorporated cities in Kansas. Each of these cities, be it small or large, has its own niche, its own specialty, or its own flavor. Many visitors come to explore these cities to experience a taste of the area and many people have As one of the world s most celebrated aviators, Amelia Earhart spent much of her time as a child in Atchinson, Kan., where today, visitors may tour her home as the Amelia Earhart Birthplace Museum. chosen to make Kansas their home. With over 50 percent of Kansans living in rural communities, one might wonder what it is that is so great about living in a small town. Susan Baker, Baldwin City Chamber of Commerce, would say it s how everyone pulls together in times of trial and in celebration! As part of the six-part series highlighting unique attractions in areas throughout the state, with the help of Marci Penner s book entitled, The Kansas Guidebook, this issue will provide a small taste of the sites and sounds of northeast Kansas, a part of the state known for its barbeque, its people, and rich history. To begin the journey, it s interesting to note that Horton, Kan. boasts the first ever power pole in Kansas. The first electric power pole was erected in Horton on November 10, 1937, for the Brown- Atchison Electric Cooperative. It was the first rural electric project to energize Kansas and was financed by a loan from the Rural Electrification Administration. Atchison, Kan., contributes to the history of the country in a different way, as it was home to Amelia Earhart and houses the Amelia Earhart Birthplace Museum. Amelia was born in Atchison on July 24, Despite living in many different cities, Amelia considered Atchison her hometown, having spent more of her life in Atchison than anywhere else. The Amelia Earhart birthplace represents the most tangible remaining link with the famous female aviator. In contribution to the taste of the area, the Holy-Field Vineyard and Winery can be found in Basehor, Kan. The vineyard and winery consists of a 14-acre vineyard, wine production cellar, tasting room, and gift shop. The carefully tended grapes are harvested and pressed, fermented, aged, and bottled in the cellars beneath the winery s tasting room. Visitors are encouraged to visit the small winery and experience the literal taste of Kansas. While Kansas is known for its contribution to agriculture, referred oftentimes as the bread basket of the world, farmers in Whiting, Kan., contribute to agriculture in a different way. A small town with fewer than 210 residents, is home to Schlaegel s Home-Grown Popcorn, a popcorn farm that feeds visitors and residents alike. The Schlaegel s Web site 14 Kansas c o n n e c t i o n s

15 indicates that popcorn has been raised on the farm for over 20 years, growing and packaging three varieties of popcorn. Visitors to the town can experience over 32 different flavors of popped popcorn including cinnamon toast, pizza, chocolate drizzled caramel, peanut butter, and blueberry. Another small town in northeast Kansas, Belvue, is home to only 280 residents, but numerous varieties of vegetation and wildlife. The Oregon Trail Nature Park allows explorer s the opportunity to trek and wander through similar terrain with natural grasses and forbs as experienced by Oregon Trail travelers. Located near Manhattan, in Riley County, the Tuttle Creek State Park also offers visitors a broad variety of outdoor recreation and plenty of room to roam. Tuttle Creek Reservoir, the state s second largest impoundment, offers 12,500 acres of water and about 100 miles of rugged, wooded shoreline to explore. A swimming beach, boat ramps, nature trails, a mountain biking trail, and a scenic equestrian trail offer explorers a variety of routes to experience the aesthetic Flint Hills environment. Scenic picnic areas, an 18-hole disc golf course, volleyball courts, horse shoe pits, and facilities accommodate park visitors. If seeking something unique, Bonner Springs, Kan., is home to the Moon Marble Company. The store is located near the intersection of K-32 & Hwy 7 in Bonner Springs and stocks machine-made marbles in a multitude of colors and designs. In addition, artisan and owner Bruce Breslow frequently demonstrates his marble-making abilities. During demonstrations, Breslow will explain the process of glass working, marble history, and other fascinating areas of marble interest. The Moon Marble Company also exhibits and sells the work of several dozen prominent glassworkers from across the country. The northeast corner of Kansas has a lot to offer travelers. Even if a visitor is merely passing through to seek another destination, the Flint Hills Scenic Byway provides a taste of the beauty and nature found in Kansas. The Flint Hills Scenic Byway stretches 47.2 miles across the Flint Hills of Kansas on K-177 between Council Grove and Cassoday. The byway is a two-lane, paved road easily reached from the Kansas Turnpike, I-70, U.S. 50 and U.S. 56. The drive features the panoramic views of the tallgrass prairie, ranches, and even dips down into the creekside to follow magnificent stone walls around farmsteads still in operation. Historic sites along the way include the city of Council Grove, home to the Kaw Mission State Historic Site and Museum, Council Oak, Santa Fe Trail, Old Cowboy Jail, Post Office Oak and Museum, KATY Depot, Bonner Springs, Kan., is home to the Moon Marble Company, where visitors can watch the process of glass-working during demostrations by the owner. Hays House, and the Last Chance Store. Marci Penner s book, The Kansas Guidebook, explains that Council Grove has been designated a National Historic Landmark because of its significance to the Santa Fe Trail. She states, in 1860 alone, 3,000 wagons, 7,000 travelers, and 60,000 mules passed through the city. Council Grove, Kan., boasts numerous tourist attractions, and listed on the town s Web site are the top ten reasons visitors should come to the area: shade, lakes, music, food, development, river walk, easy access, central location, friendly people; to learn the best reason to come to Council Grove, however, the city urges visitors to come find out for themselves. With numerous sights and sounds located in northeast Kansas, finding the best reason to visit isn t a bad idea. Northeast Kansas has a lot to offer a visitor, but even more to offer a resident. Emma Boltz, Sabetha Chamber of Commerce, would say there are several reasons to live in a rural community. In a small community people know each other, support each other, and come together in times of need. People are here for each other, states Boltz. 15

16 Gift to the AHEC Hays Kiwanis Club makes donation 16 Kansas c o n n e c t i o n s the cost of health care continues to A s increase, patients have been forced to pay more in insurance premiums, health care, and prescriptions. This impact, while considerable for patients, has impacted health care We appreciate the gift of this equipment from the Kiwanis club. It will certainly enhance our Hays clinics, in assuring that we have accurate and consistent readings. We are most grateful for this gift. Ruby Jane Davis, Director of AHEC Northwest providers as well. The rise in costs impacts the level of care that can be provided in many health care facilities, especially those in rural communities. The Hays Kiwanis Club has assisted the Area Health Education Centers (AHEC) in helping to alleviate the impact increased cost has had on the health care delivery in Hays, Kan. The Kiwanis Club provided an opportunity that would allow the AHEC Northwest clinic to purchase a vital signs monitor allowing staff members to gather additional information Lucas Stouffer helps demonstrate how the Welch Allyn Vital Signs Monitor works. from the patient, accurately and effectively. The Welch Allyn Vital Signs Monitor, which will be purchased with the donation from the Hays Kiwanis Club, has the capability to monitor blood pressure, pulse, blood oxygen levels, and temperature. The club s donation of approximately $3,200 to purchase the equipment will assist in the clinic s ability to be more consistent and provide further information about the patient. Ruby Jane Davis, director, Northwest AHEC, indicated that the AHEC clinic has always made do without such advanced technological equipment, however, the purchase of this equipment will enhance the assessment of the patients. The previous equipment being used consisted of a manual blood pressure cuff, which did not provide temperatures and oxygen saturation levels. The vital signs machine will enhance the care provided through the consultation clinics, as Davis states, with prompt and accurate readings of blood pressure, pulse, temperature, and oximetery. The AHEC Northwest, Hays, Kan., provides consultation clinics to many low income children and families in Ellis County. In an effort to bring additional care to patients, rather than forcing them to drive out of town, many specialists from the University of Kansas Medical Center travel to Hays to provide specialized care. These clinics include: pediatric cardiology, pediatric behavior, pediatric endocrine, pediatric rheumatology, and orthopedic. The Hays specialty clinics see more than 400 patients each year. The Kiwanis Club s gift will definitely make a difference. Davis concludes by saying, We appreciate the gift of this equipment from the Kiwanis club. It will certainly enhance our Hays clinics, in assuring that we have accurate and consistent readings. We are most grateful for this gift. For more information, please contact Ruby Jane Davis, , or rjanedavis@kumc.edu.

17 Warren provides leadership as statewide AHECs director The Area Health Education Centers (AHECs) have been integral in addressing the state s health and health work force needs by providing educational programs and health care services throughout the state. The organization s contribution has changed the face of health care in Kansas and will continue to do so through the leadership of Mary Beth Warren, RN, BSN, MS, as she has been named the AHECs statewide director. Through Warren s dedication and desire to serve Kansas, she has been vital to the success of the organization. Dave Cook, PhD, assistant vice chancellor of External Affairs, states, Mary Beth is dedicated to the mission of the AHECs in enhancing the availability and quality of health care in rural Kansas. As a result, I am excited to see how her capabilities will influence the AHECs organization further as she serves in this capacity. Warren has served rural Kansas in some facet for most of her life. Born and raised in southeast Kansas, she has experienced, first hand, the challenges associated with receiving quality health care in a rural community. Warren completed her Bachelor of Science degree in nursing from Pittsburg State University, a Master of Science in adult education from Kansas State University, and contributed to health care in two separate rural health care organizations for over 15 years. This experience has provided Warren a firm understanding of the needs rural communities face in regards to health care. I learned, through experience, how important a strong health care system is to the overall wellbeing of rural communities. I experienced the rewards, challenges, and struggles of providing health care in these communities, states Warren. As a member of the AHEC team since 1994, Warren has seen changes occur within the AHECs, similar to those within the health care system as a whole. As with most organizations, the AHECs operate with a limited budget. This factor is a priority for Warren, as it equates financial stability for services provided through the AHECs organization. An additional priority as director is to continue assessment of opportunities, to consolidate functions and streamline processes. As interim director for the previous 18 months, Warren has begun the process of centralizing financial management, and capturing usable information on the services, partners, and customers utilizing the AHECs programs. Warren has amplified her focus within the AHECs to encourage success and increase capabilities of programs and services provided. Her anticipated evaluation of the AHECs programs include examining the most important functions and services provided through the Mary Beth is dedicated to the mission of the AHECs in enhancing the availability and quality of health care in rural Kansas. As a result, I am excited to see how her capabilities will influence the AHECs organization further as she serves in this capacity. Dave Cook, PhD, Assistant Vice Chancellor of External Affairs organization, to further the mission and vision of the University of Kansas Medical Center, and to represent the needs of rural Kansas. I feel my role as statewide director is to articulate our vision, point us in the right direction, and provide the staff the tools necessary to advance that vision, states Warren. In her new role, Warren anticipates enhancing the AHECs mission of providing key services to rural communities throughout the state. Terri Schmitz, RN, BSN, continuing nurse education coordinator, states this about Warren s leadership: I have always found Mary Beth to be a supportive leader. She allows her staff to grow right along with her and the organization. Her vision is far reaching and she works diligently to promote the health care of all Kansans. Mary Beth Warren, Statewide AHECs Director 17

18 Millie Meck of Girard, Kan., says the Kansas Audio-Reader is a godsend. 18 Kansas c o n n e c t i o n s Audio-Reader Rural Kansans benefit from radio reading services The average morning routine can oftentimes include a cup of coffee and the local newspaper; this is true of someone living in an urban or rural setting. The local newspaper keeps residents informed of the community events and happenings and assists in maintaining the culture of a community. The morning routine for a person with a visual disability may be somewhat altered according to these activities, but with assistance from the Kansas Audio-Reader, blind, visually impaired, and print disabled individuals in Kansas have the ability to engage in the local newspaper and have the opportunity to stay connected to the community in which they are involved. The University of Kansas Audio- Reader Network is a reading and information service for blind, visually impaired, and print disabled individuals in Kansas and western Missouri. Any person whose eyesight or physical condition makes it difficult or impossible to read a newspaper or book may receive the broadcasts. There is no charge for service. Established in 1971, Audio-Reader was one of the first radio reading services in the world. Audio-Reader s original program is a radio reading service for anyone who has difficulty reading standard printed material. Broadcasting 24 hours a day, Audio-Reader uses a large pool of volunteers to read daily and weekly newspapers, magazines and books, as well as news, interviews and other programs dealing with disability and aging issues. Audio-Reader is generally broadcast on the subcarrier of an FM radio station. This means a special radio is required in the home. The radio is provided by Audio-Reader, on loan, for as long as it is wanted. In some locations Audio- Reader may only be available through the local cable company. In those cases, Audio-Reader will provide a special radio if one is required, but the listener will have to subscribe and pay for basic cable service. Listeners receive a monthly program guide in large print or Braille. Today, with the help of several media outlets reading by radio is available to thousands of people all across Kansas and western Missouri, with some programming available via satellite through other radio reading services across the United States. The service has proven to be an invaluable tool for those utilizing it. For Millie Meck the program is a godsend. Meck is a resident of Girard, Kan., and has used the services of Audio-Reader since At age 88, Meck is mostly home-bound and relies on the help of someone to get her out and about. She gets excited about the service, because it has something for everyone. She listens to Audio-Reader mostly for the news, but admits she enjoys reading/listening to a good book every once in a while. Meck is an advocate for the program and depends on the Audio-Reader to get her the local news. She listens to the Wichita Eagle and states, it s wonderful having the Pittsburg news as well. The Kansas Audio-Reader serves approximately 3,500 registered listeners in Kansas and Missouri. Kansas Audio-Reader covers many rural areas in northeast Kansas, including the area between Topeka and Kansas City; a large portion of central Kansas between Hays and Salina; and out into western Kansas, including Hill City, Wakeeney, Garden City, Satanta, and numerous towns in between. Areas not covered by the radio reader are covered through internet broadcasts and special request (cassette) recording services. Diana Frederick, Development Director, University of Kansas Audio-Reader Network states, Our regional newspaper broadcasts, featuring local news articles from dozens of small-town Kansas newspapers, are especially popular with rural listeners. The Audio-Reader service provides an option for print-disabled and visually impaired residents to engage in media outlets they may

19 not otherwise engage in without the service. The service is invaluable to rural communities in several different ways, states Jim Boyd, University of Kansas Audio-Reader, Telephone Reader Supervisor/Listener Liaison. For one, we broadcast all the local newspapers we can get a hold of in Kansas and western Missouri, from the Holton Recorder to the Tonganoxie Mirror to the Russell County News and all points in between. So it s very likely that rural listeners can get to listen to their hometown newspaper, which puts them in touch with what s going on in their community. If the local paper is not broadcasted, the Kansas Audio-Reader will take requests, and often have a volunteer record the newspaper and send it to the listener on cassette. On the other side, Audio-Reader is good for rural communities in that it brings the wide world of books, national newspapers, and magazines directly to our listeners. For most of our listeners, Audio-Reader is their one of their only links with the outside world, and in terms of the printed word, often the only link. Audio-Reader fills that gap for them, providing entertainment, news and information, explains Boyd. The service not only provides the traditional newspaper content for listeners, but content such as local grocery advertisements, department and discount store ads, catalogs, and other information is read to the listeners as well, so that they might use it right away. For print disabled residents in south central Kansas, the Wichita Radio Reading Service Audio-Reader is good for rural communities in that it brings the wide world of books, national newspapers, and magazines directly to our listeners. For most of our listeners, Audio-Reader is one of their only links with the outside world, and in terms of the printed word, often the only link. Jim Boyd, University of Kansas Audio-Reader, Telephone Reader Supervisor/Listener Liaison (WRRS) is also available. The WRRS currently broadcasts on a 60 mile radius of Wichita, and has listeners in the area smaller towns and communities within this area. WRRS has been working in the southern Kansas region for 30 years and provides each listener with a pre-set closed-circuit receiver tuned to readings which are broadcast 24 hours a day, 7 days a week. Volunteers read several publications for listeners of WRRS, including the Wichita Eagle, USA Today, magazines, novels and other materials. While this service covers a smaller region of the state, it also services approximately 3,500 listeners. WRRS is broadcast as a sub-carrier of the public radio station operated by Wichita State University. Kansans with a print disability interested in receiving the Kansas Audio-Reader service can request an application to be sent through the mail. To request the application brochure, please call , or download the form from the Web site at ku.edu/. For information about the Wichita Radio Reading service, please contact Bridget Jones, WRRS Coordinator, at (316) , or via at jones@kmuw.org Rural Kansas Photography Contest The 2006 Rural Kansas Photography Contest is presented by the University of Kansas, Rural Health Education and Services. Photos submitted should depict Kansas as a great place to live, work, and play. Winning photos will be published and prizes will be awarded. Photographs are due by September 30, Download an entry form today! ruralhealth.kumc.edu 19

20 Rural Health Education and Services has published Kansas Connections for nearly 15 years and in that time has served in addressing health care issues that impact rural communities throughout the state. A lot has happened in that time and we hope that Kansas Con- From the Director CONTINUED FROM PAGE 2 program. Tariq Hameed, MD, began his nections continues to provide valuable practice at the Central Kansas Medical insight into rural health care in Kansas. Center, Great Bend, Kan., at the end In an effort to reflect the changes in the of May and Amy Hogan, MD, family Kansas landscape, we are excited to reveal a new look for the publication. This physician, will begin her practice with Central Kansas Medical Center, in January 2007 after the completion of her newsletter, brochures, and Rural Health new look will grace the covers of our residency program. Web site pages. I want to welcome each of you to your While the look of Rural Health new communities. Thank you for practicing in Kansas and for providing care assured that our commitment to serving Education and Services has changed, be to rural Kansans. In addition, congratulations to those communities who will will continue to provide services to rural Kansas has not changed. Rural Health be working with these great health care Kansas to improve the availability and providers! number of health care providers in those areas. New Look New Recruitment Workshop Rural Health Education and Services is excited to host a workshop entitled, Maximizing Your Recruitment Efforts: From Ideas to Action, on Wednesday, September 20, at the Grand Prairie Hotel & Convention Center, Hutchinson, Kan. This workshop will focus on the efforts necessary to recruit and retain health care providers in rural Kansas and is targeted to hospital administrators/ CEOs, HR managers, and recruitment personnel. We are excited to provide this opportunity to rural health care organizations, and hope to see you in Hutchinson! Publication Schedule If you have an idea for an article in Kansas Connections, we welcome your input. Please send information to the KU School of Medicine-Wichita, 1010 N. Kansas, Wichita, KS Ideas are also welcomed by telephone at ; fax, ; or , lvalenti@kumc.edu. Deadline for submission of ideas for the next issue is September 4, If you know of someone who is not receiving the newsletter, but might enjoy reading it, please let us know. Non-Profit Organization U.S. Postage PAID Wichita, KS Permit #864 The University of Kansas School of Medicine Wichita 1010 N. Kansas Wichita, KS RETURN SERVICE REQUESTED