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1 c o n n e c t i o n s Rural Health Education and Services Vol. 16 No. 2 Fall 2008 What s Inside... Page 3 Physician Assistant Program Page 5 J-1 Visa Program Page 7 Kansas Recruitment Center - Job listings Page 14 Scholarships and Programs Page 16 Eight Wonders of Kansas Page 18 Rural Kansas Photography Contest Generations in Medicine Doubek family has health care providers in 3 generations The Doubek family continues to be committed to Kansans health care with three generations of health care professionals and possibly more to come. Herbert Doubek, MD, 79, is a retired family physician from Belleville, Kan. His daughter Debra Doubek, MD, 50, currently practices family medicine in Manhattan, Kan. His granddaughter and Dr. Debra Doubek s niece, Danae Doubek, 25, is in her third year of medical school at the University of Kansas School of Medicine in Wichita, Kan. Dr. Herbert Doubek graduated from the KU School of Medicine in 1956 and began From left to right, front row: Chris Doll (Sheryl s fiance, 4th year medical student in Kansas City), Sheryl Doubek (social worker in KC), Lou Doubek, Herbert Doubek, Debra Doubek-Phillips, Danae Doubek. Back row: Nathan Phillips (Debra s oldest son), Kyle Goerl (Danae s fiance, 3rd year medical student in Wichita), Neil Phillips (Debra s youngest son). practicing family medicine in Belleville in 1957 until he semi-retired in January He then worked part time until his 50-year anniversary in January He was honored as the Kansas Family Physician of the Year in 1992 by the Kansas Academy of Family Physicians. While growing up, he and his three brothers worked in their father s blacksmith shop. He also worked at the Coats, Kan., pharmacy and found he loved working around medicine. Eventually, he went on to medical school and was a family physician. At one time I used to be a clinical professor at KU Wichita, he said. I helped teach residents, 29 of whom spent time in training in Belleville. He says the biggest changes in medicine over the years are the technology and the paperwork. Also, he says there seems to be less personal time to spend with patients. His daughter, Dr. Debra Doubek, earned her medical degree from the KU School of Medicine and spent two years as an assistant clinical professor at KU School of Medicine, Department of Family Medicine. She has been practicing medicine in Manhattan, Kan., for 16 years full time. She is board certified in family medicine and bariatric medicine (specialty of obesity and overweight medicine). Doubek says she has a full, rich life and is thankful every day to be who she is. If given choices, I would not choose to do anything different with my life, she said. I get to wake in the mornings and go to a job that I absolutely love. Her love of science and a desire to help people are the joys of her profession. Not a day goes by that I don t feel I have changed someone s life in a positive way. Perhaps in a small way with a hug, or in a huge way by saving someone s life in making an early diagnosis. Continued on page 4

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. This publication is available in alternate formats upon request. Contact Amanda Gardner,(316) Kansas Relay Number DIRECTOR Lorene R. Valentine EDITOR Marena Frazier EdITOR /GRAPHIC DESIgNER Amanda Gardner 2 Kansas c o n n e c t i o n s Plainville hospital opens new facility Rooks County Health Center of Plainville, Kan., opened the doors of its new facility for the first time in September, allowing local residents to tour the 59,000 squarefoot building. In attendance at the official dedication, held Sept. 7, 2008, were Congressman Jerry Moran and Governor Kathleen Sebelius, each giving addresses to the overflow crowd. Construction of the $19 million project began in December 2006, and staff and patients relocated to the new facility, on Sept. 22. Both inside and out, the new facility displays iconic materials found within the rural communities of Rooks County. The exterior color palette is also representative of the area. Red was chosen to represent barn buildings, lean-tos or other construction you might find on a farm. The green siding was used to represent the green fields and grass. The design uses material indigenous to this area of Kansas like galvanized metal, brick, concrete, steel and limestone. These things are frequently seen in farm settings all around Rooks County. The rationale behind the new hospital s aesthetics was when someone uses this hospital there would be a sense of familiarity. The new hospital will enable Rooks County Health Center to expand its physical therapy department and launch an occupational therapy program. The radiology department also will be expanding, and the hospital now has additional facilities for obstetrics and an additional operating room. Rooks County Health Center, Plainville, Kan., ribbon cutting at new facility It is hoped that the space increase of 30,000 square feet and enhanced capabilities will allow for more specialization and future growth. Congratulations to Rooks County community members for the newly-constructed hospital. AAFP introduces a rural Web site The American Academy of Family Physicians (AAFP) launched the new rural online community for rural physicians on July 7, With this new resource, rural FPs can stay on top of news that is important to them and their patients. They can share information with one another and can access other resources to support quality rural health care. The Rural Online Community features: Links to headlines from national and local publications on topics of interest to rural FPs, as well as access to the CMS Quarterly Provider Update and news releases An discussion list for community members An online library community that members can use to post resources to share with others Rural FP profiles, giving rural FPs a chance to learn about one another and giving individuals considering a career in rural medicine a glimpse into the lives of rural FPs Updates on pertinent legislative issues A calendar of events for rural FPs across the country Rural health resources on topics including reimbursement, coding, practice management, and AAFP policies. The rural online community is located at: membership/ruralcommunity.html Continued on back page

3 Kansas Physician Assistant Program Preparing students for practice in rural areas Established in 1972, the Department of Physician Assistant at Wichita State University (WSU) is one of the oldest physician assistant programs in the United States and the only PA program in Kansas. The PA program prepares students to practice medicine under the supervision of a licensed physician. Wichita State s College of Health Professions offers one of the largest university-based programs for health professionals west of the Mississippi. The college provides training in the area s many medical facilities and offers students a chance to learn from some of the top professionals in the state. Kimberly Dansel, PA-C, attended WSU for her PA education and now practices with Greeley County Health Services in Tribune, Kan. Wichita State University prepared me well for my roll in primary care, she said. As a student, I selected rural practical rotations versus those in urban areas, as it was my intention to return service to those types of areas. Her practical experience in rural settings allowed her to have a broader experience in ER, surgery, hospital, and clinical settings. She says it gave her the to see diseases first hand and to practice a wide variety of clinical skills. Dansel was raised 10 miles from one of the clinics she currently provides services in. I am privileged to live back in my hometown of Weskan, Kan., just a few short miles from my parents farm. I love the rural lifestyle and my involvement in my community on more than just a professional level. Rural life has a more personal and intimate feel; people genuinely care for one another. Dansel says PA s have an important role in rural health care. Mid-level care can help make services more accessible when physician numbers are few, and they provide a more personal health care experience as PA s are promoted as having more time to spend with their patients. More than just returning home, Dansel chose to practice in rural Kansas because she liked the autonomy it gave her. What Dansel loves most about practicing in a rural community is that every day is different and has its new for learning. She says she tries to make it a point to learn at least one new thing each week or to at least polish up on something that was seemingly forgotten. I am amazed at how frequently that goal is met, she said. I appreciate the people of rural Kansas and enjoy that I can truly empathize and relate to their lives. I am also blessed with an amazing group of physicians to learn from and to grow under as I expand my practice. Robert Moser, MD, Medical Chief of Staff, Greeley County Health Kimberly Dansel, PA-C I appreciate the people of rural Kansas and enjoy that I can truly empathize and relate to their lives. I am also blessed with an amazing group of physicians to learn from and to grow under as I expand my practice. Kimberly Dansel, PA-C, Tribune, Kan. Services says Dansel was someone they knew before she started her physician assistant training and they were excited to learn she was pursuing her degree. She is bright, intelligent, and a very caring person so we knew she would succeed and be a great fit with our health care community. The function of a physician assistant includes performing diagnostic, therapeutic, preventive and health maintenance services in any setting in which a physician renders care, thereby allowing more effective and focused Continued on page 6 3

4 Generations continued from cover And she enjoys sharing stories with family members when they get together. My family is very close, and we make it a priority to all gather together for holidays, she said. We love to tell stories and laugh. Doubek says she loves to hear her father reminisce about what medicine was like in the 1950s, 1960s and 1970s. He has some wild stories that he tells! From her father, Doubek says she 4 Kansas c o n n e c t i o n s has learned how to balance multiple aspects of her life as well as how to lead by example. He was not defined by simply his role as a physician, she said. He was so involved in all aspects of our community in Belleville, where I grew up, including church, the school board, Boy Scouts, County Coroner, Bridge Club, High School team physician, teaching medical students and residents, as well as attending all of his children s school activities. By his example, Doubek says, she has been involved in many areas of volunteerism and leadership in the Manhattan community. Her husband of 24 years was Mayor of Manhattan last year, so one of her most recent job descriptions was First Lady of Manhattan. Danae Doubek just started her third year of medical school clinical rotation at the VA Hospital in Wichita. She already has some original, cute stories about taking care of the VA Veterans, said Dr. Debra Doubek, Danae s aunt. Danae s sister, Cheryl Doubek is marrying a doctor. My older sister Diane is a nurse. We can all identify with one another. Dr. Debra Doubek says she s encouraged to see Danae and her classmates going through medical school 20 years after her training. I see bright, energetic, kind students who seem to be in the field of medicine to help others be healthy. Danae Doubek made the decision to study medicine when she was in college. She has always loved to travel and she thought she might be an international business major. But Doubek soon found she had little interest in business-related subjects. She did, however, enjoy the general biology course required for My grandfather and aunt are two of the most compassionate people I know, not just in medicine, in life. Danae Doubek, third-year medical student graduation. As a result, she switched her major and found her passion for medicine while working at her aunt s office. I had a job there stocking the exam rooms with supplies, and sometimes I was allowed to bring patients back to the exam room to get their vitals, said Doubek. It was there that I found I loved working with people and was constantly curious about the diagnoses the doctors worked on, and was really interested in the handouts the patients would receive about their condition. Three years later, I was accepted into medical school. At medical school, students asked her if she knew Dr. Doubek from Manhattan and then would tell her what a great teacher she was. She s been a support to me during school also and has listened to me at times when I was stressed and needed help with balancing life and medical school. Doubek says it s amazing having other family members in the health field. I love hearing my grandpa s stories about the way things were when he started practice, said Doubek. A while back, we went to a KU basketball game together, and he told me about everything from medical school to the way he practiced before he retired, and it was one of the most special times I can remember. He recently gave me some of his books from medical school, so I was able to look at his notes and read about his classes. Doubek says from her grandfather and aunt she has learned compassion. My grandfather and aunt are two of the most compassionate people I know, not just in medicine, in life. My grandpa will send me articles about medicine or books about the medical school just because he s thinking about me, and it always brightens my day. I ve seen from being a part of their family why their patients love them. My aunt is a fireball, and I ve seen how she puts so much of that energy into her patients wellbeing, and it has been inspiring to me. I know that I will be a better physician because of lessons I ve learned from them. Doubek was proposed to in September and her fiancé, Kyle Goerl, is also a third-year medical student at KUSM-W. Upon completion of her medical degree, she intends to stay in Kansas and practice family medicine or pediatrics. Dr. Herbert Doubek s oldest daughter is the Director of Nursing at Republic County Hospital in Belleville, Kan. He has a granddaughter who is a registered nurse at the Registered Hospital in Kansas City and a granddaughter who is a case manager at the nursing home in Belleville. Danae s sister is a graduate of KU School of Psychology and is now a practicing psychologist. She is also engaged to a fourth-year medical student at KUMC. Dr. Debra Doubek has two boys who may possibly end up in the medical field as well. One is a sophomore in college at KU and the other a junior in high school in Manhattan. It gives me pride and satisfaction to know that some of my family is following in my footsteps, said Dr. Herbert Doubek. There is still a great in the medical world for doctors. It s a good profession to be in and there is room for more good doctors in the medical field.

5 J-1 Visa waiver program Bringing skilled physicians to rural Kansas Several rural areas are receiving much needed help from foreign-born physicians who fill the needs of many rural health care facilities. The physicians are part of the J-1 Visa waiver program. Hassan Shafeeq, MD, from the Maldives Islands, went to medical school in Katmandu, Nepal. Dr. Shafeeq moved to the United States in 2002 for residency, which he completed in 2005 at Mount Sinai Hospital in New York. He was then placed by the Kansas Recruitment Center with Meade Hospital in Meade, Kan. Without Dr. Shafeeq, the 20-bed hospital in Meade might not even have a doctor. He is one of more than 100 foreign-born physicians from countries such as Egypt, Pakistan and Croatia who have served in Kansas communities since 1994 under the J-1 Visa waiver program. As with other states, Kansas is authorized to provide waivers for up to 30 physicians a year. The program is crucial in small farming towns such as Meade, Greensburg, and La Crosse, where it has become nearly impossible to recruit physicians. Though Shafeeq said living in Meade took some adjustment after living in New York, he says he s been pleasantly surprised by the warmth and openness of the community. It s laid back working in a rural area, said Shafeeq, whose wife and two young children also moved to Meade. The J-1 Visa allows an international medical graduate to come to the United States under an educational exchange program for up to seven years. Normally, the physician must return to his/her own country for at least two years before applying for a permanent visa in the United States. The J-1 Visa waiver program eliminates the two-year home residency requirement, allowing the physician to remain and practice in the United States. State government agencies may also sponsor J-1 Physician waiver requests which are called Conrad State 30 programs. There are five statutory bases upon which a person can apply for a waiver of the two-year foreign residence requirement: No objection statement from the host government, if needed, referred to as a No Objection Letter; it takes an average of four months to obtain. Request from an interested U.S. Government agency on the person s behalf, referred to as an International Government Agency Waiver; it takes an average of four months to obtain. Claim that you will be persecuted if you return to your country of residence, referred to as an Asylum Waiver; it takes an average of nine months to obtain. Claim of exceptional hardship to a U.S. citizen or permanent resident spouse or child if you are required to return to your country of residence, referred to as a Hardship Waiver; it takes an average of nine months to obtain, and Request by a designated State health agency or its equivalent; it takes an average of five months to obtain. The J-1 Visa Waiver program has been important and helpful for rural communities to sustain access to health care in many rural communities when other recruitment efforts have been unsuccessful. The J-1 Visa Waiver is beneficial for both the doctor and the community, because the program is dependent on the physician working in a Health Professional Shortage Area or Medically Underserved Area, the physician is able to stay in the United States to practice, and an underserved community gets a much-needed doctor. 5

6 Robert Moser, MD PA Program continued from page 3 application of the physician s particular knowledge and skills. The specific tasks performed as a physician assistant vary because of the different practice requirements mandated by geographical, political, economic, and social factors. For those reasons, WSU s PA education emphasizes didactic and clinical studies which prepare students to function as generalists with the to The collaboration between providers is imperative to provide the physician directed medical home that can support effective patient care and the access patients require for their care. Robert Moser, MD expand to more specialized areas. The education and training students receive also prepares and encourages them to provide care in underserved areas where the need for health care is greatest. Most of those underserved areas in Kansas are in rural areas. With more than 100 years of combined clinical experience among faculty members and more than 80 years of experience in health care education, the PA program is dedicated to training excellent primary care physician assistants. Of the more than 1,000 graduates of the WSU PA program, 52 percent are working in primary care settings and 15 percent are in underserved areas, both of which are above the national average. Dr. Moser says providers such as physician assistants and nurse practitioners are an important component of our health care system and in other rural and underserved areas of Kansas. Many communities are seeing the graying of their populations and that includes the physicians as well. Chronic disease management takes more clinic visits per year and provider time to manage and an adequate provider workforce remains unmet in many communities. The collaboration between providers is imperative to provide the physician directed medical home that can support effective patient care and the access patients require for their care, he said. Dansel and her husband, Jonathan, enjoy the community of approximately 200 people and have been influential in starting the Weskan Community Improvement Association to help promote their community. When she is not working she enjoys time outdoors with her 5-month-old son and watching her husband coach football for the Wallace County High School Wildcats. She also goes back to her roots, helping out on the family farm. Greeley County 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 November 2008 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 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, or , or visit the Web site at NORTH CENTRAL KRC Pulmonary Medicine/ Critical Care 26-physician multi-specialty clinic; currently 10 specialties; full-service acute facility and surgery hospital nearby KRC Invasive & Interventional Cardiologist 26-physician multi-specialty clinic; currently 10 specialties; full-service acute facility and surgery hospital nearby KRC Internist 26-physician multispecialty clinic; currently 10 specialties; full-service acute facility and surgery hospital nearby KRC Orthopedist group practice affiliated with a regional medical center serves a population of 60K; competitive salary; great ; H1-B Visa KRC General Surgeon hospitalemployed, 25-bed CAH, new surgical addition in progress; current staff: 3 FPs, 1 surgeon, 1 PA/NP; hospital facilities include 30-bed long-term care unit and outreach clinic is staffed 3.5 days a week; H-1B and J-1 KRC C Family Physician w/o OB or surgery, 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; salary is $135,000-$160,000; full KRC C Family Physician 25-bed CAH and rural health clinic; current staffing includes 1 physician and 1 PA; call is 1:3; salary: $135,000- $150,000; full KRC Gastroenterologist a 26-physician multi-specialty group with 3 Gastroenterologists seeks BC/BE Gastroenterologist to join a well established, busy practice; early partnership, surgical hospital ownership, excellent and a large referral area KRC General Surgeon multispecialty clinic that is owned and operated by 25 physicians representing 11 medical specialties; 3 general surgeons on staff; call is 1:4; full service acute care facility nearby as well as a surgery hospital; salary and are negotiable KRC Family Physician without OB for 25-bed CAH; current staff: 3 FPs, 1 surgeon, and 1 PA/NP; hospital facilities include a 25-bed long term care unit and outreach clinic that is staffed 2 ½ days/week; rotating local on-call backup; salary is $145,000-$165,000; full KRC Emergency Medicine 25- bed CAH; current staff: 3 FPs, 1 surgeon, and 1 PA/NP hospital facilities include a 25-bed long term care unit and outreach clinic that is staffed 2 ½ days per week; rotating call schedule; salary is $145,000- $165,000; full KRC Family Physician ER in a 25-bed CAH; current staff: 3 FPs, 1 surgeon, and 1 PA/NP; hospital facilities include a 25-bed long term care unit and outreach clinic that is staffed 2.5 days per week; rotating call schedule; salary is $145,000- $165,000; full KRC Family Physician a 25-bed CAH; they are expanding their medical staff to treat patients at the Rural Health Clinic and hospital; must have experience in a rural ER; call is 1:4 or 1:5; salary is $180,000 with a bonus package; full ; H-1B and J-1 KRC Family Physician w/o OB for two-campus, 99-bed hospital with secondary campus 20 miles southwest; salary is $140,000 + production incentive + sign-on bonus; call is 1:2; full KRC Orthopedic Surgeon with interest in fracture care, joint replacement, and sports medicine for well-established group practice; currently 2 orthopedic surgeons and 3 PA s on staff; call is 1:3; full ancillary services available; new Q-Rad Radiographic System on premises; excellent compensation; KRC Family Physician w/ or w/o OB (OB preferred) for well-established group practice; currently 4 physicians and 1 ARNP on staff; weekend call is 1:5; full service acute hospital and surgical hospital nearby; salary is competitive; full KRC Obstetrician/Gynecologist single specialty clinic with OB/GYN practice; must be board certified or eligible; 385-bed hospital; 125 physicians currently on staff; salary is competitive; full ; H-1B KRC Orthopedist successful single specialty clinic w/ thriving Ortho practice; must be board certified or eligible; 385-bed hospital; 125 physicians currently on staff; salary is competitive; full ; H-1B KRC Radiologist well-established private practice; must be board certified or board eligible; the 385-bed admitting hospital; 125 physicians on staff; salary is competitive and negotiable; full ; H-1B Continued 7

8 KRC C Obstetrician/Gynecologist two-campus, 99-bed, regional acute care hospital; the primary campus is located in town, and the second is 20 miles southwest; currently 450 births annually but is expected to grow; call is divided in two, unassigned will be 1:4 and practice call will be 1:2; NP will cover physician s first call about ½ of the time; salary is $240,000-$300,000; full KRC Family Physician w/o OB for 20-bed CAH w/ 5 rural health clinics; currently 2.25 physicians, 2 PAs, and 1 NP on staff; call is 1:5 w/ separate contract for holidays and weekends; salary is 100% production-based, guaranteed first 2 years; full KRC Medical Technologist 25-bed CAH; day shift available, with 1-2 days call/week; equal rotation of weekend and holiday coverage and 8-10 hour shifts; salary is competitive; KRC Family Physician KRC Internist 14-bed modern, progressive CAH w/ large rural health clinic and ER; caseload includes inpatient and outpatient; salary is competitive and negotiable; full ; H-1B and J-1 KRC Nurse 25-bed CAH; 12 hr shift w/ shift differential for evening/weekend and holiday coverage; rotating schedule 3 days on and 4 days off; salary is competitive; full KRC Echo Tech 25-bed CAH; includes leadership for growing dept; CT experience or willingness to be cross-trained preferred; salary is competitive and negotiable; excellent KRC General Surgeon group practice; salary is $200,000-$250,000 w/ production and signing bonus; full ; H-1B KRC Family Physician with or without OB for community health center; currently 4 faculty physicians, 12 family medicine residency physicians, 4 PAs, a dentist, and support staff on staff; no call; physician will see patients Mon-Fri 8-5 with no weekends and evening clinic on rotation; salary is $130,000-$156,000; full ; H-1B and J-1 KRC Hospitalist for 385-bed regional health center that focuses on career, community, and family; 125 physicians on staff; salary is competitive; full KRC Registered Nurse for 12- bed ICU; the 385-bed hospital focuses on career, community, and family; 125 physicians on staff; salary is competitive and negotiable; full 8 Kansas c o n n e c t i o n s KRC Radiologist for two-campus, 99-bed regional acute care hospital; salary is competitive and negotiable; great ; H-1B NORTHEAST KRC Medical Technologist 24- bed CAH; experienced and new graduates encouraged to apply; salary: $37,000-$52,000 depending on experience; full KRC C Internist to join 3 internists in employed practice or new private practice; call is 1:4; family practice physicians perform ER coverage; 30,000 new residents expected within the next 6 years; hospital undergoing a $43 million expansion; net income guarantee of $160,000; KRC Family Physician group practice located next to a 28-bed CAH; prefer OB, but not required; currently 3 physicians and 1 PA/ NP on staff; call is 25%; salary and are not predetermined as this is considered an independent practice KRC General Surgeon group practice; currently 1 general surgeon on staff; limited call coverage; hospital is a 28-bed CAH and supports a satellite clinic; salary is structured on a fee-for-service basis; are negotiable; H-1B KRC Obstetrician/Gynecologist privately-owned practice; hospital service area is 45,000 and they expect 30,000 new residents within the next 6 years; hospital is undergoing a $43 million expansion over the next two years; salary is competitive and negotiable; full KRC Cardiologist 120-bed, hospital-based regional health center with a variety of services; call is no more than 10 days/month; salary is competitive and negotiable; strong vacation and package; H-1B and J-1 KRC Hematologist/ Oncologist for 120-bed, hospital-based regional health center; serves an 8-county population of approx. 186,000 people; physician needed to diagnose and treat tumors, and blood and blood-forming tissue disorders; call is no more than 10 days/month; salary is competitive and negotiable; strong ; H-1B and J-1 KRC Pharmacist with KS licensure for 150-bed hospital-based regional health center; pharmacist prepares and dispenses drugs, monitors patient drug therapies, and provides drug information; hospital uses electronic MAR and bed-side verification; currently 4 pharmacists on staff; salary is competitive and negotiable; full KRC Oral and Maxillofacial Surgeon for group practice, with for partnership; call is no more than 10 days/month; salary is competitive and negotiable; strong vacation and package available; H-1B and J-1 KRC C Family Physician to join 2 physician at group practice clinic; salary is $140,000+; call coverage rotates; full ; H-1B and J-1 KRC Certified Occupational Therapist Assistant 24-bed CAH with 2 satellite clinics; current staff: 3 FPs, 1 PA/NP, and 1 OT; no call; salary range: $14.65-$20.51/hr dependent upon experience; full KRC Occupational Therapist 24-bed CAH with 2 satellite clinics; current staff: 3 FPs, 1 PA/NP, and 1 OTR; no call; salary range: $23.00-$32.20/hr dependent upon experience; full KRC Orthopedic Surgeon group practice w/ 6 board certified orthos; position includes seeing patients from the hospital and a local practice; potential partnership option and teaching available if interested; hospital is currently undergoing a $43 million expansion, including a new surg center; salary is $250,000-$300,000; KRC Family Physician community health and dental center; 1 physician, dentist, hygienist, PAs/NPs, clinical psychologist, and 2 case managers on staff; salary is competitive and negotiable; KRC Otolaryngologist 120-bed hospital-based regional health center; only ENT practice serving a 9 county area; currently 2.5 otolaryngologists on staff; salary is competitive and negotiable; strong ; H-1B and J-1 KRC Occupational Therapist 12-bed CAH and rural health clinic; current staff: 1 OT, 1 PRN OT, 1 COTA, and 1 PRN COTA; avg. of patients/day in inpatient, outpatient, home health, nursing homes, schools and contract services; experienced as well as new grads encouraged to apply; salary is competitive and negotiable; excellent KRC Neurologist to join single physician practice clinic; current services include physical medicine, pain management, etc.; salary is competitive and negotiable; strong ; H-1B and J-1 KRC Director of Nursing 12-bed Continued

9 CAH and rural health clinic; salary is competitive and negotiable; excellent KRC Neurologist 120-bed, hospital-based regional health center with a wide variety of services; this is the only neurology practice serving a 9 county area; current staff: 2.5 neurologists; salary is competitive and negotiable; strong ; H-1B and J-1 KRC Certified Registered Nurse Anesthetist for independent practice; join 2 other CRNAs on staff, but would be in charge of the dept and responsible for ensuring coverage; 28-bed CAH nearby; CRNA will provide general anesthesia, pain control epidurals/ob; call is included; salary is paid per unit, based on a per unit fee of $45; experienced and new grads encouraged to apply KRC Pediatrician for hospitalemployed and managed practice; the hospital service area is 45,000 and they expect 30,000 new residents within the next 6 years; the hospital is undergoing a $34 million expansion; 1 pediatrician on staff; salary is $140,000-$150,000; full KRC Internist for multi-specialty group; the practice is supported by 120-bed hospitalbased regional health center with a wide variety of services; current group includes internists, oncologist, and 2 pulmonary critical care physicians; salary is competitive and negotiable; ; H-1B and J-1 KRC Internist for multi-specialty group including 13 physicians whose specialties include internal medicine, pulmonology, cardiology, gastroenterology, oncology, gerontology, pain management, and immunology; 4 PAs/NPs on staff; 4 satellite clinics; 120-bed admitting health center; call is 1:8; salary is competitive and negotiable; KRC Spine Physician to join large ortho group serving patients throughout KS, including patients from KSU; 120-bed admitting hospital is a regional health center with a variety of services; salary is competitive and negotiable; strong KRC Non-Invasive Cardiologist to join group practice supported by the 120-bed, hospital-based regional health center with a wide variety of services; currently 2 interventional cardiologists on staff; new addition is due to pop. growth; salary is competitive and negotiable; ; H-1B and J-1 KRC Radiology/Oncology Physician for 120-bed, hospital-based regional health center with a wide variety of services; position has the option of becoming hospital-employed or joining an existing group practice; salary is competitive and negotiable; ; H-1B and J-1 KRC Rheumatologist for 120- bed, hospital-based regional health center with a wide variety of services; position has the option of becoming hospital-employed, joining an existing group, or establishing and individual practice with hospital support; salary is competitive and negotiable; ; H-1B and J-1 KRC Obstetrician/Gynecologist for 120-bed, hospital-based regional health center with a wide variety of services; salary is competitive and negotiable; ; H-1B and J-1 KRC General Surgeon for 120- bed, hospital-based regional health center with a wide variety of services; salary is competitive and negotiable; ; H-1B and J-1 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; 90 physicians on active medical staff; salary negotiable; ; H1-B and J-1 KRC Gastroenterologist 190+ bed state-of-the-art medical center with new wellness facility; currently 90 physicians on active medical staff; salary negotiable; full ; H-1B and J-1 KRC Nephrologist 190+ bed state-of-the-art medical center with new wellness facility; currently 90 physicians on active medical staff; salary negotiable; full ; H-1B and J-1 KRC Family Physician with OB, prefer c-section certified; 25-bed CAH; currently 3 physicians and 1 PA/NP; call is 1:4 as secondary to ARNP (primary ER call); salary includes base + productivity incentive, approximately $150,000+ depending on OB and procedures; full ; H-1B 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; ; an outstanding hospital in a positive and progressive environment; H-1B and J-1 KRC Family Physician w/o OB for thriving clinic looking to expand; currently 6 physicians, 2 PAs/NPs, 7 RNs on staff; the 190+ bed, state of the art medical center is adjacent to the clinic; call is 1:6; salary is negotiable; full ; H- 1B and J-1 KRC C Family Physician 25-bed CAH; OB preferred; rural health clinic on-site (4-day schedule); current staff: 3 FPs, 1 general surgeon, 1 PA/NP; call is 1:5 ER and 1:3 OB; salary is $140,000-$150,000 + incentives; full ; J-1 and H-1B KRC C Family Physician 25-bed CAH with a 33-bed long term care unit attached; 2 clinics - one in town, and one 15 miles away; out of town clinic has a physician half day/week and FT NP; new FP will work in the clinic 4.5 days and will perform rounds on long term care patients and their patients in the hospital; OB preferred, but not required; no high-risk OB; current staff: 1 physician (does OB), 1 NP, and 2 PAs; call is 1:4 with second call backup for the PAs; salary is $150,000- $165,000; full ; H-1B and J-1 KRC Physical Therapist 25-bed CAH; building new hospital; currently 1 PT and 1 PTA on staff; responsibilities include evaluation, planning and administering therapy treatment to an avg. of 20 patients/day; 4 satellite clinics; experienced and new graduates encouraged to apply; must have KS licensure or be eligible; salary is negotiable; full KRC Anesthesiologist to join group of 4 anesthesiologists; exclusive agreement with hospital to provide services; current staff: 4 physicians and 6 CRNA s; 193-bed admitting hospital; salary is $250,000; full ; H-1B and J-1 KRC C Family Physician w/o OB for health center that operates a 24-bed CAH, 2 rural health clinics, 8 specialty clinics, and a retirement community; the FP sees patients in rural health clinic setting and long-term care facility, and participates in the admission and delivery of inpatient care; call is no more than 1:3 ½ ; currently 3 full-time providers on staff; salary is $150,000-$170,000; excellent ; H-1B and J-1 KRC C Internist for health center that operates a 24-bed CAH, 2 rural health clinics, 8 specialty clinics, and a retirement community; the internist sees patients in a rural health clinic setting and long-term care facility, and participates in the admission and delivery of inpatient care; call is no more than 1:3 ½; currently 3 full-time providers on staff; salary is $150,000-$170,000; excellent ; H- 1B and J-1 KRC Family Physician w/o OB for 18-bed CAH; patient population is pediatric thru geriatric in variety of settings; excellent with an up-and-coming rural healthcare facility; current staff: 1 physician and 1 PA/NP; call is 1:3 with ER; flexible schedule; salary is $150,000; full ; H-1B and J-1 KRC Internist 18-bed CAH; patient population is pediatric thru geriatric in variety of set- Continued 9

10 tings; current staff:1 physician and 1 PA/NP; call is 1:3 with ER; flexible schedule; salary is $120,000+ with sign-on and production bonuses; full ; H-1B and J-1 KRC Pediatrician 18-bed CAH; patient population is pediatric thru geriatric in variety of settings; excellent to learn and grow with an up-and-coming rural healthcare facility; current staff: 1 physician and 1 PA/NP; call is 1:3 with ER; flexible schedule; salary is $120,000+ with sign-on and production bonuses; full ; H-1B and J-1 KRC Medicine-Pediatrics 18- bed CAH; patient pop. is pediatric thru geriatric in variety of settings; current staff:1 physician and 1 PA/NP; call is 1:3 with ER; flexible schedule; salary is $120,000+ with sign-on and production bonuses; full ; H-1B and J-1 KRC Family Physician w/o OB, outpatient and inpatient caseload; 24-bed CAH with a rural clinic on-site; 1 board certified internist and 1 PA on staff; salary is competitive and negotiable; full ; H-1B and J-1 KRC Pulmonologist/Critical Care Physician for 2 physician team, practice attached to hospital; the 190+ bed state-of-the-art medical center has 90 physicians on staff; call is 1:3; salary is competitive and negotiable; full ; H-1B and J-1 KRC Radiologist well-established, hospital-based, state-of-the-art medical center and wellness facility; currently 90 physicians on staff; call is 1:4; salary is negotiable; full ; positive and progressive environment; H-1B and J-1 KRC Family Physician w/ or w/o OB for group practice in 24-bed CAH and 36-bed long term care unit; current staff: 3 FPs and 1 NP on staff; FP will work in clinic w/in walking distance of hospital; call is 1:4 days; 1 satellite facility; salary range is $130,000-$150,000; loan repayment and relocation available; H1-B and J-1 KRC Internist group practice in 24-bed CAH and 36-bed long term care unit; current staff: 3 family physicians and 1 NP; Internist will work in clinic w/in walking distance of hospital; call is 1:4 days; 1 satellite facility; salary range is $130,000-$150,000; loan repayment and relocation available; H-1B and J-1 KRC Physician Assistant to support Cardiologist within a 190+ bed, state-of-the-art medical center and wellness facility; experienced PAs and new grads encouraged to apply; currently 90 physicians on medical staff; salary is competitive and negotiable; full 10 Kansas c o n n e c t i o n s KRC C Family Physician w/ OB for newly remodeled rural health clinic on campus of 25-bed CAH; current staff: 2 physician and 2 PAs/ NPs; ER call is 1:5 and OB call is 1:3; C-section ability a plus; salary is $170,000-$200,000; full KRC Internist outpatient and inpatient caseload; 24-bed CAH with rural health clinic on-site; current staff: 1 board certified internist and 1 PA; salary is competitive and negotiable; full ; H-1B and J-1 KRC Medical Technologist 25- bed CAH; must have CLS or ASCP certification; call is 1 day/wk and every 5th weekend; currently 5 med techs and 2 phlebotomists; avg. 14 patients/day; salary is competitive and negotiable; full KRC Director of Laboratory Services 25-bed CAH; must have ASCP certification or equivalent and 3-5 yrs experience; currently 4 med techs, 1 MLT, and 1 phlebotomist on staff; salary is competitive and negotiable; KRC Echo Tech for 25-bed CAH; currently 7 members on radiology staff; experienced and new grads encouraged to apply; salary is competitive and negotiable; excellent KRC Registered Nurse 16-bed newly remodeled CAH; experience and new grads encouraged to apply; the hospital offers wellrounded experience and mentoring; very strong staff w/ low turnover; ADN or BSN welcome; very aggressive with educational opportunities: NALS, PALS, ACLS, TNCC, and advanced burn; salary is competitive; strong KRC Registered Nurse w/ extensive labor, delivery and post-partum nursing experience for 16-bed newly remodeled CAH; will work with DON and medical staff to coordinate nursing care in OB dept; currently very strong staff w/ low turnover; ADN or BSN welcome; very aggressive with educational opportunities: NALS, PALS, ACLS, TNCC, and advanced burn; salary is competitive; strong KRC Dentist private practice or community dental clinic; growth potential and community support is outstanding; large service area; currently 1 part-time dental hygienist with ECP I and II permits, additional hygienists may be recruited; community will provide guaranteed salary to serve indigent pop. and offer incentives to help establish practice for 3 yr period; income is $100,000- $130,000/year; possible student loan reimbursement; relocation and temporary housing KRC Medical Technologist or Medical Laboratory Technician for 18-bed CAH; excellent to learn and grow with an up-and-coming rural healthcare facility; position includes routine lab functions for clinical chemistry, consultation, hematology, blood bank, and urinalysis; must have ASCP certification; experienced and new grads encouraged to apply; call varies; salary is competitive and negotiable; KRC Obstetrics Nurse Management 25-bed CAH with 3 delivering physicians; currently 6 licensed personnel on floor each shift, including shift supervisor, ER nurse, and OB nurse; duties include assisting in design and implementation of OB policies and procedures, assisting in staff development, and serving as a clinical resource person; 3 yrs experience required as well as KS license, ACLS, and NRP; call is shared; salary is $55,000-$62,000; excellent 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; ; H-1B and J-1 KRC Urologist to join 3 physician urology group for 190+ bed, state of the art medical center and wellness facility; currently 90 physicians on their active medical staff; salary is negotiable; ; H-1B and J-1 KRC Hematologist/Oncologist for group of 2 hematologist/oncologist physicians and 2 PAs; admitting 190+ bed medical center employs more than 90 physicians; nursing staff takes 1st call, physician call is 1:3; salary is $400,000; KRC Hospitalist for 190+ bed, state of the art medical center and wellness facility; currently 90 physicians on staff, and will be 6 hospitalists providing care; current 12 hr shift is 7on, 7 off; physician will provide evening coverage every 6th week; salary is competitive and negotiable; KRC Physician Assistant KRC Nurse Practitioner for outpatient and inpatient caseload; the 24-bed CAH provides outpatient surgery, med surg, CT, lab, and radiology; currently 1 BC internist and 1 PA; position will participate in ER coverage at the hospital; salary is competitive and negotiable; KRC Registered Nurse for home health in conjunction with a 24-bed CAH and 36-bed long term care unit; currently 3 family physicians and 1 NP on staff; 1 satellite; salary is competitive and negotiable; SOUTH CENTRAL KRC Family Physician w/o OB; 2 physicians and 1 NP on staff, 24-bed CAH with Continued

11 on-site clinic; salary: $130,000-$140,000 (2 yr. contract); relocation and CME allowance; possible loan repayment KRC C Internist KRC C Family Physician w/o OB for 25-bed CAH; call is 1 evening/week and 1:5 weekends; salary: $150,000-$160,000 with up to a 2 year contract; full ; H-1B and J-1 KRC Registered Nurse hospital based rural health clinic connected to a 25-bed CAH; prefer acute care or surgery experience in hospital setting; will consider new graduates; day shift (7:00am-3:00pm); 2.2 FPs and 1 PA on staff; salary: $33,800-$44,000; KRC C Otolaryngologist new group practice; strong physician support for ENTs; 105-bed admitting hospital; call would not exceed 10 days/mo; salary is competitive and negotiable; full ; H-1B and J-1 KRC C Family Physician w/o OB for 25-bed CAH with attached clinic; 1 physician, 1 general surgeon, and 2 PAs/NPs on staff; call is 1:4; to be responsible for patient care at clinic, hospital rounds, and ER call; salary is $170,000-$200,000; full ; H-1B KRC C Urologist progressive multi-specialty group practice; salary is $350,000 (guaranteed first year), with possible production bonus; excellent KRC C Orthopedist for progressive multi-specialty clinic; salary is $350,000 (guaranteed first year), with possible production bonus; excellent KRC Registered Nurse familyfocused, hospital-based rural health clinic connected to 25-bed CAH; 2.2 family physicians and 2 PAs on staff; shift supervisor position available as well as fulland part-time opportunities for RNs; will consider new grads; salary is competitive; full KRC C Internist progressive multi-specialty group practice; call is 1:6; established patient base; 11 specialties, 22 physicians, and 5 PAs/NPs on staff; clinic is physician owned and governed w/ partnership available after 1 yr; salary is $150,000; excellent ; H-1B KRC Family Physician w/o OB for growing community health center; physician will spend majority of time in the clinic with some supervisory duties of PAs/NPs; currently 1.5 PAs/NPs and 1.7 physicians on staff; facility is new with all new equipment; prefer physician willing to accept call; salary is $110,000-$140,000; excellent KRC Physician Assistant busy community health center; currently 1.5 PAs/NPs and 1.7 physicians on staff; facility is new with all new equipment; call is included, but is only via telephone; salary is $52,000-$61,648; ; experienced and new grads encouraged to apply KRC Family Physician with OB for rural health clinic; currently 3 physicians and 2 PAs/NPs on staff; phone call is 1:4; 4 days/week schedule; nearby 80-bed hospital; salary is competitive and negotiable; full KRC Family Physician w/o OB for 25-bed CAH; hospital expansion to begin summer 2009 to include a new clinic, admissions, and lab; 3 physicians, 4 PAs/NPs on staff; call is ER 1-2 nights/week and primary call is 1:14 weekend; salary depends on experience; great KRC Family Physician w/ OB for busy group practice; currently 6 physicians and 1 PA on staff; admitting 35-bed hospital is 1 mi. from practice and has complete ancillary services; call is 1:3 w/ every 8th weekend; salary is competitive and negotiable; full KRC Internist group practice; 103-bed admitting hospital; this hospital is a top performer with outstanding physician-administration-board of directors relationships; call is shared community-wide; salary is $160,000; full ; H-1B and J-1 KRC Medical Technologist or Medical Laboratory Technician 25-bed CAH with attached clinic; experienced med techs and med lab techs as well as new grads encouraged to apply; call is 1:4; salary is competitive and negotiable; excellent KRC Registered Nurse 103-bed medical center; numerous opportunities with all shifts in the following areas: surgical unit, inpatientrehab, OR, surgical center, and maternity unit; experienced RNs and new grads encouraged to apply; salary is $37,440-$52,874; full KRC Internist group located within a 69-bed acute care facility; also, a 51-bed short-term and long-term care facility, home health agency, rural health clinics, and specialty physician clinics; currently 3 internists and 1 gastroenterologist KRC C Orthopedic Surgeon for group practice; position includes general ortho inpatient and outpatient surgeries within 2 local offices; call is shared among 2 ortho groups; salary is competitive and negotiable; excellent KRC Vascular Surgeon for 105-bed community hospital developing a vascular service line in conjunction with new interventional imaging services; currently no specialists in vascular surgery; hospitalists available for inpatient coverage; hospital will provide income guarantee to surgeon; ; H-1B and J-1 KRC Orthopedic Surgeon to join established ortho practice in a brand-new, attractive office setting with ample space; position will join 1 other physician in practice w/ 2 other ortho surgeons in town to share call; 105-bed admitting hospital; hospital will provide income guarantee; ; H-1B and J-1 KRC Pediatrician for group practice with suburban and rural patients in clinic and hospital, covering a level II nursery; complete clinical EMR/HER; currently 3 pediatricians and 1 NP on staff; call is 1:4; salary is competitive and negotiable; SOUTHEAST KRC Internist multi-specialty group with 4 satellite clinics; staff includes: 6 FPs, 1 pediatrician, 2 internists, 2 general surgeons, 1 urologist; the clinic offers a full spectrum of care; salary is negotiable; full KRC C Pulmonologist 148-bed licensed, 105-bed operating medical center; not a hospital employee, salary guarantee; KRC C Otolaryngologist 148-bed licensed, 105-bed operating medical center; not a hospital employee, provided a salary guarantee; KRC C Family Physician busy rural health clinic; 1 FP, 1 NP, 1 practice administrator, and 1 office coordinator on staff; admitting 25-bed licensed inpatient acute care CAH directly across street; salary is competitive and negotiable; great KRC Family Physician KRC Internist federal clinic; 70 staff members including 3 physicians, 3 NPs, and 1 PA; call is included; salary is $130,000-$136,000; great KRC Family Physician OB preferred but not required, for federally qualified community health center; experience w/ geriatric patient caseload a plus; physician will work 4 days/ week in the clinic and provide inpatient care; currently 75+ employees: 4 physicians, 5 NPs, 3 dentists, 3 hygienists, 3 psychologists, and 1 pharmacist; call is shared among all providers; salary is $130,000- $150,000; full ; H-1B and J-1 KRC Internist federally qualified Continued 11

12 community health center; busy clinic staffed by FP, pediatrician, and PAs/NPs; focus on chronic patients including team leader of diabetes collaborative; 4 days/week in the clinic and provide inpatient care; currently 75+ employees and call is shared among all providers; salary is $130,000-$150,000; full ; H-1B and J-1 KRC Medicine-Pediatrics federally qualified community health center; a busy clinic currently staffed by FP, pediatrician, and PAs/NPs; focus on chronic patients including team leader of diabetes collaborative; 4 days/week in the clinic and provide inpatient care; currently 75+ employees and call is shared among all providers; salary is $130,000- $150,000; full ; H-1B and J-1 KRC Internist busy multi-specialty group; 2 internists, pediatrician, 4 OB/GYNs, 1 general surgeon, and 5 FPs on staff; the 160-bed admitting hospital is at the same location; call is 1:2; salary is $160,000 plus bonus ; great ; H-1B KRC C Certified Registered Nurse Anesthetist 109-bed hospital that serves a 6 county area; currently 2 anesthesiologists and 1 CRNA on staff; call is 1:3 OB, 1:4 general procedures; salary is $120,000-$130,000; full KRC C Radiologist 109-bed hospital that serves a 6 county area; currently 1 interventional radiologist on staff; call is 1:2; candidates must be skilled in muscular skeletal MRI and mammo; salary is $400,000-$500,000 w/ partnership available after 1 year; full KRC C Family Physician w/ OB, 109-bed hospital that serves a 6 county area; currently 7 family physicians and 2 OB/GYNs on staff; call is 1:4 and hospital maintains a hospitalist program; salary is competitive and negotiable; full KRC C Internist 109-bed hospital serves a 6 county area; will serve in-patient and outpatient pop.; currently 37 physicians representing over 15 specialties on staff; salary is competitive and negotiable; full if employed by the hospital KRC C Hospitalist 109-bed hospital to oversee medical, surgical, ICU, and minimal peds patients; currently 1 hospitalist and 1 PA on staff; no call; flexible schedule; salary is $200,000+; full KRC Medical Oncologist multispecialty group within cancer center; 190-bed admitting hospital; call is a minimum of 10 days/mo.; salary is competitive and negotiable; excellent KRC Neurologist for 190-bed hospital; seeking physician to possibly direct the I/P rehab unit; call is a minimum of 10 days/mo.; salary 12 Kansas c o n n e c t i o n s is competitive and negotiable; hospital offers income guarantee; excellent KRC Physiatrist for 190-bed hospital; seeking physician to possibly direct the I/P rehab unit; call is a minimum of 10 days/mo.; salary is competitive and negotiable; hospital offers income guarantee; excellent KRC Urologist for solo practice; 190-bed admitting hospital; call minimum of 10 days/mo.; income guarantee of $400,000 plus RVUs; + KRC Radiologist for radiology and nuclear medicine group w/ 2 on-site radiologists; 190-bed admitting hospital; salary $500,000, negotiable; + KRC Internist multi-specialty group practice; 105-bed admitting medical center; 1st year guarantee offered to solo practitioner; KRC Family Physician w/ or w/o OB for multi-specialty group practice; 105- bed admitting medical center; 1st year guarantee offered to solo practitioner; ; H-1B and J-1 KRC Internist to join 2 internists in a multi-specialty group; 190-bed admitting hospital; salary $180,000 plus RVUs; KRC C General Surgeon for solo practice; 105-bed admitting medical center; the medical center offers practice establishment assistance and marketing; first year guarantee; ; H-1B KRC C Orthopedic Surgeon for solo practice; 105-bed admitting medical center; one ortho surgeon currently on staff; the medical center offers practice establishment assistance and first year guarantee; ; H-1B KRC Certified Physical Therapist Assistant for 25-bed CAH; PT dept. provides outpatient, inpatient, and nursing home therapy; salary is competitive and negotiable; KRC Internist for rural health clinic; caseload is primarily outpatient, 4.5 days/ week at clinic; responsible for inpatient practice with 1:7 call; 25-bed CAH is 12 miles from clinic; physician can practice in the clinic on-campus as well if preferred; 1 ARNP, 1 LPN, and a CAN/staff on staff; salary is $180,000; full ; H-1B and J-1 KRC Nurse Practitioner for rural health clinic; the admitting 25-bed CAH is 12 miles from the clinic; currently 1 ARNP, 1 LPN, and a CAN/staff on staff; no call; salary is competitive and negotiable; KRC C General Surgeon for 109- bed acute, intensive and skilled care hospital; recent $20 million expansion; 37 physicians representing over 15 medical specialties; approx. 400 surgeries performed in the OR per month by 3 general surgeons; call is 1:3; salary is competitive and negotiable; great KRC Registered Nurse 5 physician private practice; ACLS and previous cardiac training preferred, but willing to train; no call; full-time position with M-F schedule only; salary is competitive and negotiable; excellent KRC Anesthesiologist for solo practice; 105-bed admitting medical center; salary is competitive and based on experience; possible loan repayment and CME allowance available; H-1B KRC Emergency Medicine for 109-bed acute, intensive and skilled care hospital; 37 physicians from 15+ medical specialties; ER sees an avg. of 900 visits/mo.; 3-bed multi-care area, cardiac room, trauma room, and ortho room; applying for Level 3 trauma designation; 3 ER physicians form an LLC; ideally, 4 full-time physicians to provide coverage 24/7,12 hour shifts (4 days on, 4 days off); salary $118/hr for non-er certified and $125 for ER board certified KRC Certified Registered Nurse Anesthetist for 105-bed medical center; salary is competitive and based upon experience; possible loan repayment and CME allowance KRC Internist board certified for hospital-based group practice; currently 5 physicians on staff; the office is adjacent to the 190-bed hospital; call is 1:4-5; salary is $160,000-$175,000; full KRC Emergency Medicine Physician for 105-bed medical center; new ER includes 2 trauma rooms and 8 private rooms; salary is competitive and negotiable; excellent SOUTHWEST KRC Family Physician for federally qualified community health center w/ 3 satellites; current staff: 3 physicians and 7 NPs; no call; no weekends; salary negotiable; ; H-1B and J-1 KRC Urologist for multi-specialty group with 27 physicians and 11 specialties; large Continued

13 service area with many referrals; 3 satellite facilities; 100-bed admitting hospital; salary is competitive and negotiable; full ; H-1B and J-1 KRC Lab Tech 25-bed acute care setting with swing bed unit and ER; first shift; will cross-train into radiology with training provided if needed; salary is negotiable; KRC Family Physician 25-bed hospital; patient care provided at clinic and extended care facility; 1 FP, 1 part-time general surgeon, and 1 NP on staff; call 1 week every 3-4 weeks; salary is $150,000-$170,000; KRC Nurse Practitioner KRC Physician Assistant community health center with 3 satellite facilities; 2 physicians, 7 NPs, 2 PAs, 1 dentist, and 1 volunteer physician on staff; no call coverage or weekends; salary is competitive and negotiable; full KRC C Family Physician w/o OB for multi-specialty group practice; strictly outpatient, clinic-based; 2 FPs, 5 internists, and 4 pediatricians on staff; call shared with FPs and internists; FPs are responsible for answering questions over the phone (1:3); 132-bed admitting hospital; salary is $150,000; full KRC Physical Therapist new 20-bed CAH and 43 bed long-term care unit; under direction of an experienced PT, this PT will provide services for post-op ortho patients, athletic injuries and geriatrics; experienced therapists and new grads encouraged to apply; Director, PTA, and an aide on staff; salary is $62,000-$83,000; full KRC C Pharmacist solo position available in a 45-bed county owned, not-for-profit, rural hospital; experience preferred but new grads encouraged to apply; PharmD required and must be KS licensed or eligible; hospital is currently contracting with a local pharmacist; salary is $75,000- $110,000; full KRC C Family Physician growing multi-specialty group; excellent for physician interested in learning more general surgery and OB/GYN; position is w/o OB, but if there is a strong interest, there may be flexibility; 3 physicians and 1 PA/NP on staff; call is 1:3 (no ER); caseload primarily outpatient; 100-bed hospital full service acute care center 1 block away; salary $135,000+; full ; H-1B and J-1 KRC C Medicine-Pediatrics growing multi-specialty group; specialties: family medicine, general surgery, OB/GYN; 3 physicians and 1 PA/NP on staff; call is 1:3 (no ER); caseload primarily outpatient; 100-bed hospital full service acute care center 1 block away; salary $135,000+; full ; H-1B and J-1 KRC Endocrinologist multi-specialty group housing 25 physicians with 11 specialties; serves the endocrine needs of 24 counties; 2 satellite facilities; proud of their highly complex lab and radiology/nuclear medicine depts; call is 1:6; 100-bed hospital is 3 blocks away; salary is $180,000; full ; H-1B and J-1 KRC Rheumatologist multispecialty group housing 25 physicians with 11 specialties; large service area w/ many referrals; 2 satellite facilities; proud of their highly complex lab and radiology/nuclear medicine depts; call is 1:6; 100-bed hospital is 3 blocks away; salary is $180,000; full ; H-1B and J-1 KRC Pulmonologist multi-specialty group housing 25 physicians with 11 specialties; large service area w/ many referrals; 2 satellite facilities; proud of their highly complex lab and radiology/nuclear medicine depts; call is 1:6; 100- bed hospital is 3 blocks away; salary is $180,000; full ; H-1B and J-1 KRC Gastroenterologist multispecialty group housing 25 physicians with 11 specialties; large service area w/ many referrals; 2 satellite facilities; proud of their highly complex lab and radiology/nuclear medicine depts; call is 1:6; 100-bed hospital is 3 blocks away; salary is $180,000; full ; H-1B and J-1 KRC Family Physician with or w/o OB for multi-specialty group w/ 23 physicians and 11 specialties; currently 2 physicians and 1 NP; call is 1:3; local 100-bed hospital is 3 blocks away; salary is competitive and negotiable, full ; H-1B and J-1 KRC C Obstetrician/Gynecologist growing multi-specialty group with the following specialties: family medicine, general surgery, and OB/GYN; 3 physicians and 1 PA/NP on staff; call is 1:3 (no ER); caseload primarily outpatient; 100-bed admitting hospital is 1 block away; salary is $135,000+; full ; H-1B and J-1 KRC C Internist growing multispecialty group; excellent for physician interested in learning more of the general surgery and OB/GYN disciplines; 3 physicians and 1 PA/NP on staff; call is 1:3 (no ER); caseload is primarily outpatient; the 100-bed admitting hospital is 1 block away; salary $135,000+; full ; H-1B and J-1 KRC C Family Physician w/ OB for 25-bed CAH and rural health clinic; 3 FPs, 1 PA-C, 1 NP, and 1 CRNA on staff; call is 1:4; starting salary: $170,000 + $15,000 sign-on bonus; full ; H-1B and J-1 KRC C Pediatrician for multispecialty group; group has family medicine, general surgery, and OB/GYN; 3 physicians and 1 NP/PA on staff; call is 1:3 (no ER); caseload is primarily outpatient, physicians follow their admitted patients at local hospital 1 block away; salary is competitive and negotiable; full ; H-1B and J-1 KRC Registered Nurse for 13-bed CAH; 1 FP and 1 PA/NP on staff; facility is under renovation; candidate must have KS license, CPR and ACLS certified; experienced and new grads encouraged to apply, salary is $36,420-$48,963; KRC Licensed Practical Nurse 13-bed long term care facility attached to a 13-bed CAH; 1 FP and 1 PA/NP on staff; facility under renovation; candidate must have KS license, CPR certified; experienced and new grads encouraged to apply, salary is $28,080-$34,320; KRC Physician Assistant KRC Nurse Practitioner for 13- bed CAH; 1 FP and 1 PA/NP on staff; facility under renovation; experienced and new grads encouraged to apply; salary is competitive and negotiable; KRC Nurse Practitioner for health department to specialize in women s health, family planning, children s exams, and some outpatient sick visits; no call or weekends; 2 ARNPs on staff; salary is $60,000-$70,000; excellent KRC Family Physician w/o OB at hospital-based clinic; mostly outpatient, no ER; 25-bed hospital next door to clinic; 2 physicians and 2 ARNPs on staff; schedule is days/week; call is 1:2 weeknights and 1:4 weekends; salary $150,000 plus production incentive;, including hospital ; H-1B and J-1 KRC Internist for multi-specialty group with 23 physicians from 11 specialties; large service area; satellite facility; 100-bed hospital is 3 blocks away; 2 opportunities due to growth; 2 physicians and 1 NP on staff; call is 1:3; competitive and negotiable salary full ; H-1B and J-1 KRC Medical Technologist or Medical Laboratory Technician 25-bed CAH and rural health clinic; 2 med techs, 1 med lab tech, and 2 PRN med techs on staff; experienced med techs and MLTs as well as new grads encouraged to apply; salary competitive and negotiable; KRC Nurse Practitioner 25-bed CAH w/ rural health clinic and long-term care unit; NP to provide care w/in the clinic and take ER call; call to be determined will be at least 8 days/mo; 2 Continued 13

14 board certified physicians on staff; salary competitive and negotiable; full KRC Family Physician w/o OB for 12-bed CAH and rural health clinic; currently 1 physician and 1 PA/NP on staff; call is 1:4 or 5; salary is $170,000; great ; H-1B and J-1 KRC Physician Assistant KRC Nurse Practitioner for 12-bed CAH and rural health clinic; currently 1 physician and 1 PA-C on staff; call is 1:4 or 5; salary is competitive and negotiable; great KRC C Urologist for 99-bed acute care facility which offers traditional hospital services including a fully staffed 24-hour ER; position may be hospital employed, part of the 22 physician multispecialty group, or go into private practice; currently no urologists on staff; salary is competitive and depends on experience; full ; J-1 KRC C Endocrinologist for 99-bed acute care facility which offers traditional hospital services including a fully staffed 24-hour ER; position will join the well-established 22 physician multi-specialty group; currently no endocrinologists on staff; salary is competitive and depends on experience; full ; J-1 KRC C Pulmonology/Critical Care Physician for 99-bed acute care facility which offers traditional hospital services including a fully staffed 24-hour ER; position may be hospital employed or part of the 22 physician multi-specialty group; currently no pulmonologists on staff; salary is competitive and depends on experience; full ; J-1 KRC C Internist for 99-bed acute care facility which offers traditional hospital services including a fully staffed 24-hour ER; call is 1:3; salary is competitive; full ; J-1 KRC C Family Physician with or w/o OB for 99-bed acute care facility which offers traditional hospital services including a fully staffed 24-hour ER; call is 1:3; salary is competitive; full ; J-1 Candidates looking for job opportunities in Kansas can access those listed by the KRC by visiting ruralhealth.kumc.edu on the Web. Scholarships and Programs for Providers Statewide Programs Kansas Medical Student Loan The Kansas Medical Student Loan (KMSL) program represents a generous and serious effort by the people of Kansas to encourage students in the University of Kansas School of Medicine to practice primary care medicine in the state of Kansas. The Kansas Medical Student Loan is awarded on an annual basis in return for agreements to practice medicine in the state. The Kansas Medical Student Loan provides payment of tuition and monthly living expenses during medical school for physicians who agree to practice primary care (including emergency medicine) in Kansas. Contact: KUMC Department of Student Financial Aid, edu/studentcenter/financialaid.html, financialaid@kumc.edu Kansas Medical Retroactive Student Loan Depending on availability, the Kansas Medical Student Loan (KMSL) can be awarded retroactively. Students who did not apply for a KMSL when they first enrolled as a medical student may be eligible to receive it in later years, for up to the full amount they would have received if it had been offered to them as 14 Kansas c o n n e c t i o n s an incoming student. For each Retro KMSL contract a student receives, one year of obligation will be required. For more details on the obligation, please refer to the information under Kansas Medical Student Loan. Contact: KUMC Department of Student Financial Aid, edu/studentcenter/financialaid.html, financialaid@kumc.edu C.E. Boudreau Scholarship The C.E. Boudreau Scholarship is administered by Susan B. Allen Memorial Hospital and is for medical students who graduate from a Butler County high school. Current financial status and current/future financial obligations are required. Detailed information regarding the use of money is required. Statement of specific amount of money requested which should be supported by above information. Contact: KUMC Department of Student Financial Aid, edu/studentcenter/financialaid.html, financialaid@kumc.edu Henry H. and Regina Kerns Ehlers Loan Fund This fund assists graduates of Jefferson County high schools who study medicine or surgery at the KU School of Medicine. Loan recipients who choose to practice medicine in Jefferson County also can receive a discount on the amount they must repay. Contact: KUMC Department of Student Financial Aid, edu/studentcenter/financialaid.html, financialaid@kumc.edu Scholars in Rural Health Program The Scholars in Rural Health Program provides an assured admission to the KU School of Medicine for select rural Kansas students who have participated in a longitudinal premedical curriculum that includes supplementary directed rural health care experiences. Each program participant must demonstrate academic achievement and a significant, informed interest in rural health care. Participants in the Scholars in Rural Health Program will be given priority for forgivable student loans through the Kansas Medical Loan Program. Contact: K. James Kallail, PhD, (316) , Kansas Bridging Plan KUMC Rural Health Education and Services offers the Kansas Bridging Plan. This is a loan forgiveness program offered to residents in family Continued on next page

15 medicine, general internal medicine, general pediatrics, and medicine/pediatrics in Kansas. Its purpose is to encourage residents to practice in a rural community after completing their residency training. For the purposes of the Kansas Bridging Plan, rural means any community in any county in Kansas except Douglas, Johnson, Sedgwick, Shawnee, or Wyandotte. Contact: Joyce Tibbals, jtibbals@ kumc.edu State Loan Repayment Program The Kansas Department of Health and Environment s (KDHE) Office of Local and Rural Health (OLRH) administers a State Loan Repayment Program (SLRP) to help with repayment of educational loans for graduates of health professional programs. Loan repayment assistance is provided in exchange for one year of service in a federally qualified underserved area in Kansas. Agreements are renewable annually based on the availability of funding. Contact: KDHE, state.ks.us/olrh/ Kansas Board of Regents Kansas Dental Education Opportunities Program This program is designed to encourage dentists to establish Kansas practices. Kansas helps pay the difference between resident and nonresident tuition at the University of Missouri-Kansas City. Contact: Kansas Board of Regents, Kansas Nursing Service Scholarships The Kansas Nursing Student Scholarship was enacted by the 1989 Kansas Legislature to provide financial incentives for students to study and practice nursing in Kansas with an emphasis on underserved rural areas. It was renamed the Kansas Nursing Service Scholarship by the 2001 Legislature. Minimum criteria include: 1. Acceptance to a Kansas nursing program (pre-nursing will not be funded) and, 2. Commitment by an eligible sponsor to fund up to half of the scholarship and provide full-time employment to the recipient within six (6) months after licensure. Contact: Kansas Board of Regents, Kansas Osteopathic Medical Service Scholarship The Kansas Board of Regents has the authority to grant scholarships to individuals pursuing a medical career in osteopathy. The program is designed to encourage doctors to practice primary care medicine in areas of Kansas where there is an insufficient number of medical providers. The Osteopathic Medical Service Scholarship provides an annual award for up to four years of study at nationally accredited osteopathic schools. Preference goes to first year students. Recipients return one year of practice for each year of assistance. Contact: Kansas Board of Regents, National Programs National Health Service Corps Loan Repayment Program The KDHE Office of Local and Rural Health fully supports, promotes, and coordinates with the National Health Service Corps (NHSC) loan repayment program in Kansas. NHSC offers a number of programs to encourage health professionals to practice in America s underserved communities. NHSC gives fully trained health professionals who are dedicated to serving the underserved and have qualifying educational loans the to apply for loan repayment if they choose to serve in a community of greatest need. Contact: NHSC, hrsa.gov National Health Service Corps Scholarship The NHSC Scholarship Program is a competitive scholarship open to eligible students in a variety of primary health care disciplines who have career goals that include practicing in underserved areas. Scholarships are awarded in exchange for a student s commitment to practice in a community with a shortage of health professionals. NHSC scholars receive payment of tuition and fees for up to four years of education; 12 monthly stipend payments per year of scholarship support; and payment of other reasonable expenses, such as books, supplies, and equipment in exchange for their commitment to serve in a community in need. Contact: NHSC, hrsa.gov Nursing Education Loan Repayment Program NELRP is a competitive program that repays 60 percent of the qualifying loan balance of registered nurses selected for funding in exchange for two years of service at a critical shortage facility. Participants may be eligible to work a third year and receive an additional 25 percent of the qualifying loan balance. Authorized by Section 846 of the Public Health Service Act, as amended, the purpose of the NELRP is to assist in the recruitment and retention of professional nurses dedicated to providing health care to underserved populations. Contact: Private Programs John J. Mingenback Memorial Scholarship The Mingenback family has created a scholarship fund within the Golden Belt Community Foundation for aspiring health practitioners, which encourages personal and professional commitment to the community. Applicants must be from Barton County, Kan., be enrolled (or going to be) at an undergraduate or graduate school, be majoring in a health/medical related field, and have a minimum 3.0 GPA. Contact: gbcf@ goldenbeltcf.org 15

16 Wonders 8of Kansas The Kansas Sampler Foundation has chosen the 8 Wonders of Kansas. This is the third story of four in a series highlighting the wonders. The wonders were announced on Kansas Day, Jan. 29, by Gov. Kathleen Sebelius. The Kansas Sampler Foundation is a non-profit organization. Its mission is to preserve and sustain rural culture in part by educating the public about what there is to see and do in the state which all Kansas communities, regardless of size. Kansas Underground Salt Museum The fifth wonder of Kansas is the Kansas Underground Salt Museum. Located in Hutchinson, this wonder is one of 16 salt mines in the United States Kansas Underground Salt Museum, Hutchinson, Kan., courtesy KS USM 16 Kansas c o n n e c t i o n s and one of three salt mine museums in the world; the other two are in Poland and Austria. The Kansas Underground Salt Museum showcases the natural treasure of salt that exists 650 feet below the Kansas plains. While at the museum, visitors can explore an exotic environment carved from salt deposits formed 280 million years ago. People from across the country visit Hutchinson to catch a glimpse of this wonder. The tour adventure begins on board a double-decked elevator that takes visitors to the salt deposit 650 feet underground. Upon arriving, they board mined out areas with naturally occurring geologic formations and artifacts left behind by miners over a period of 85 years. Tourists then have the to wander through exhibits that tell the story of salt mining, the geological history of the area and how these vast salt caverns underneath Hutchinson have been used to store over 7 million documents. Salt Block, courtesy KS USM The world s oldest living organism, estimated to be about 250 million years old, is now living at the Kansas Underground Salt Museum. The unprecedented discovery of living bacteria found trapped inside a salt crystal, is part of the museum s newest exhibit. Also on display at the Kansas Underground Salt Museum is General Electric (GE) Engine No. 2, one of only three such engines ever built. The antique train was built in 1919 and ran along a short railway line from 1928 to 1963 that provided switching services for the Carey Evaporation Plant and Salt Mine. The rail line was less than six miles but was vital to the success of the Carey Salt Mine. In addition to providing switching services between the salt mine and the evaporation plant, it was also used by Champlin Oil Refinery, Detroiter Continued on next page

17 Mobile Homes and the Kelly Mills companies. Weighing 60,000 pounds, the locomotive was powered by a 260 horsepower engine. The Kansas Underground Salt Museum plans to add new windows and doors to the locomotive and then will begin restoring it to its original state. The area around the train will be landscaped and will include exhibit information for visitors to learn about the history of GE Engine No. 2. These are only a few of the many things to see and do at the Kansas Underground Salt Museum. For more information about the exhibits or to schedule a tour, visit org/ or call The Salt Museum is open to the public for tours Tuesday Saturday from 9 a.m. to 6 p.m. and Sundays from 1 p.m. to 6 p.m. Monument Rocks & Castle Rock The sixth wonder of Kansas is a combination of two sites Monument Rocks and Castle Rock. They were chosen as a wonder of Kansas because of the scientifically significant fossils these ancient chalk beds have produced and because they have been highly eroded into unusual spires and shapes, making them spectacular landmarks on the plains of western Kansas. Monument Rocks is a series of large, heavily sculpted chalk monoliths, Castle Rock photo by Marci Penner located on the western edge of Gove County. The site has been designated as a National Natural Landmark and is sometimes referred to as the Chalk Pyramids. The Castle Rock, a chalk spire that stands by itself in the valley of Hackberry Creek, is located in eastern Gove County. Immediately south of Castle Rock is an extensive outcrop of chalk, capped by the younger Ogallala Formation. The chalk was deposited during the Cretaceous Period, about 80 million years ago, when the central interior of the U.S. was covered by a seaway. The several hundred feet deep water contained single-celled animals that drifted to the sea floor, creating a mucky ooze over time. This material was perfect for trapping and preserving the remains of animals that lived in that ocean, such as fish, turtles, sharks, swimming reptiles called mosasaurs and plesiosaurs, swimming birds, gliding reptiles called pterosaurs, as well as invertebrate animals such as giant clams. Today, the chalk beds routinely give up these fossils. Probably the best-known fossil from these beds is the famous fish-withina-fish on display at the Sternberg Museum in Hays. Keystone Gallery is near Monument Rocks and is a good place to learn about fossils. For more information visit www. naturalkansas.org/castle.htm; html; and Monument Rocks aerial photo 17

18 2008 Rural Kansas Photo T he 2008 Rural Kansas Photography Contest, presented by the University of Kansas Medical Center, Rural Health Education and Services, had a number of wonderful entries. Photographs were submitted from across the state to create a collection of images that reflect why Kansas is a great place to live, work, and play. To view winning photographs and honorable mention photos in color, visit kumc.edu. Rural Landscape Community 1st Place Harold Gaston - 4th of July Council Grove, Kan.. 2nd Place Deborah Swearingen - Neewollah Grand Parade Independence, Kan. 18 Kansas connections 1st Place Harold Gaston - Flowers on a Wire Lyon County, Kan. 2nd Place Richard V. Ohmart, MD - Wheat Scott County, Kan.

19 graphy Contest Winners Health Care Recreation 1st Place Harold Gaston - Boating at Sundown Council Grove, Kan. 1st Place Lori Beikman - CCMC Teddy Bear Clinic Examining Ears Clay Center, Kan. 2nd Place Jamie McNally - Give me your hand Farm east of Havensville in Pottawatomie County 2nd Place Cathy Gordon - Labor of Love Shawnee Mission, Kan. 19