International Partnership Model for Capacity Building: - PowerPoint Presentation

1. International Partnership Model for Capacity Building: The Sino-US Advanced Healthcare Professional Exchange ProgramKimberly Connelly, MATSenior International OfficerOffice of International Programs, University of Kansas Medical CenterRobert M. Klein, PhD, FAAAChancellor’s Club ProfessorVice Chancellor for Academic and Student Affairs, University of Kansas Medical CenterAAHC: Association of academic health centers2018 GLOBAL ISSUES FORUMTORONTO, ONTARIO, CANADAApril 30-May1, 2018

2. presentersRobert KleinChancellor’s Club Professor, Vice Chancellor for Academic and Student Affairs913-588-2739, rklein@kumc.eduKimberly ConnellySenior International Officer913-588-1480, kconnelly@kumc.eduA life-long professional and ardent advocate of International Education, Kimberly Connelly currently leads the Office of International Programs as the Senior International Officer at the University of Kansas Medical Center managing both the inbound and outbound arms of international education. Ms. Connelly’s mission is to connect people to each other through international educational and cultural experiences. As Senator Fulbright said, “Educational Exchange can turn nations into people, contributing as no other form of communication can to the humanizing of international relations.” Prior to coming to KUMC in 2013, Ms. Connelly served as the Assistant Director of International Student Services and the interim Director at Park University for a stint of eight years. She has over 20 years of teaching and teacher-training experience having earned her Master of Arts degree in TESOL at The School for International Training in Brattleboro, Vermont, which she pursued after teaching on the island of Pohnpei, Federated States of Micronesia for three years. Ms. Connelly taught ESL and Culture and Diversity courses at the university level for years before transitioning into administration. She earned undergraduate degrees in Mass Communication and Political Science, with a minor in French from Regis University, Denver, Colorado. Robert M. Klein, PhD, FAAA, is Vice Chancellor for Academic and Student Affairs and Chancellor’s Club Professor of Anatomy & Cell Biology at the University of Kansas Medical Center (KUMC). He earned his Ph.D. from New York University and completed postdoctoral work at Marquette University. Dr. Klein has been a faculty member at KUMC since 1975. His current responsibilities include oversight of the faculty and student academic life cycle. During Dr. Klein's academic career, he has been honored with an American Council on Education Fellowship and was Associate Dean for Professional Development and Faculty Affairs in the School of Medicine for 11 years. Dr. Klein has earned numerous teaching awards, including the Chancellor's Distinguished Teaching Award, the Bohan Teaching Professorship, The International Association of Medical Science Educators’ Master Teacher Award, The Alpha Omega Alpha (AOA) Robert J. Glaser AAMC Teaching Award, and was twice honored with the Kemper Teaching Excellence Award. He is an honorary member of the AOA Honor Medical Society, a Fellow of the American Association of Anatomists, and the 2010 Honorary KU Medical Alumnus. Dr. Klein was recently named a 2018 Icon of Education by Ingram's Magazine. His research career spans more than 30 years at KUMC where he has dedicated much of his career to mentoring of graduate and medical students, as well as junior faculty. 

3. Building capacity: Building the Sino-US Advanced Healthcare Professional Exchange Program

4. Building capacity: THE Foundation of the Sino-US Advanced Healthcare Professional Exchange ProgramKUMC is committed to capacity building that promotes global health education and training for our students, residents and faculty. We work with global partners in reciprocal exchange relationships that are symbiotic and beneficial to our respective partners, communities, educational programs, patients and countries.  Through our global health programs we provide experiential learning opportunities that encourage our trainees and faculty to view healthcare through new lenses and bring innovation into the educational and patient care setting.

5. Building capacity: The foundation of the Sino-US Advanced Healthcare Professional Exchange ProgramTHE UNIVERSITY OF KANSAS MEDICAL CENTER (KUMC)Main campus located in Kansas City, KS School of Health Professions, School of Medicine, School of Nursing, and the University of Kansas Health System which is a separate entity.Fast Facts:Student enrollment (2016): 3509School of Medicine: 2159 (3 campuses)School of Nursing: 677 (2 campuses)School of Health Professions: 655KUMC is a National Cancer Institute-designated cancer center (one of only 69)CTSA: Frontiers, KU Clinical and Translational Science Institute (one of ~57)National Institutes of Health-designated Alzheimer's Disease Center (one of only 31)12 medical and surgical specialties ranked in the top 50 by U.S. News and World Report

6. Building capacity: Building the foundation of the Sino-US Advanced Healthcare Professional Exchange ProgramNeeded process and infrastructure already in place for existing Inbound Programs that support over 600 internationals who come to the medical center:VisitorObserverSpecial ProgramsVisiting Medical StudentResearch LearnerInternshipsF-1/J-1 International StudentJ-1 Exchange VisitorSupport for GME International Residents/Clinical Fellows H-1B Employee

7. Building capacity: building the program of the Sino-US Advanced Healthcare Professional Exchange ProgramTHE HISTORYThrough a collaboration with the American Chamber of Commerce in China, Dr. Susan Pingleton travelled to China to visit several healthcare facilities. Subsequently, a delegation from China visited KUMC in the fall of 2013. An initial Memorandum of Understanding was then signed in June 2014 between KUMC and the Ministry of Health in China. Per the request of the Chinese Ministry of Health, KUMC worked with them to develop extended Observerships at KUMC for Chinese physicians.

8. Building capacity: Building the pROGRAM of the Sino-US Advanced Healthcare Professional Exchange ProgramProgram terms and objectives confirmedTimeline established Budget finalizedImplementation agreement signed TIMELINE SAMPLE SINO-US (KANSAS) ADVANCED HEALTHCARE PROFESSIONAL EXCHANGE PROGRAMGROUP # Program Dates: June 1 to August 25DECEMBER 1 – 8KUMC receives 10 names of incoming Observers from the Implementation Center. DECEMBER 9 – 19Program Curriculum and China-US Relations Advisor and Program Clinical Department Advisor confirms the placements of 6-7 Observers in the KUMC clinical departments and conducts SKYPE or phone interviews with the candidates.OIP provides the Center with and Invitation Letter first by email and then by DHL for each incoming Chinese Observer.OIP emails and DHL’s the Implementation Agreement with an invoice for the deposit and an invoice for the balance.JANUARY 23 –27 OIP emails the Center the Observership questionnaire and immunization instructions for each of the Observers to complete. FEBRUARY 27The Center emails the Chinese Observer questionnaire and all supporting documents (including immunizations) for each Observer to OIP.MARCH 3The Implementation Center emails KUMC a color copy of the passport ID page of each Chinese ObserverOIP provides the Center with a Consulate Letter by email and then original by DHL for each incoming Observer.Incoming Observer schedules a VISA appointment and obtains B/1- B/2 VISA  MAY 1The Center emails KUMC OIP a color copy of each of the Observers VISA The Center emails KUMC the flight itinerary Note: Arrival should be Thursday - Saturday prior to the program-start date JUNE 1 The Observers arrive in Kansas City JUNE 5The Observers have orientation with OIP and the China Team. JUNE 6The Observership begins.AUGUST 25Last day of the Observership at KUMC Program Duration: 3 monthsNumber of Participants Per Group: 6-7 observersNumber of Groups Hosted Annually: 3 groups

9. PROGRAM TEAM RESPONSIBILITIES: AT KUMCPROGRAM CURRICULUM:Curriculum OrientationTailored schedules and plans of activities are created for each physician, which includes:Clinical procedures observationAdministrative and management functionsAdministrative meetingsSeminarsLecturesDebriefings10-week seminar series led by Program DirectorOIP LOGISTICS AND SUPPORT:Housing (International House near campus)Onboarding Requirements:Check-in and documentation collection (i.e. passport, visa stamp, I-94, emergency contact information, proof of health insurance)Immunizations approval BadgesEmailHIPPA training complianceView only patient record accessCampus tourOrientation ProgramEnglish Pronunciation Workshops (once per week)OIP Cultural Programming:Culture HourClinical Culture and Diversity SeriesInternational Education Week EventsInternational Education Experience Poster PresentationsISI IRC Sponsored EventsConduct assessments

10. Building capacity: Building the pROGRAM of the Sino-US Advanced Healthcare Professional Exchange ProgramProgram Content: Seminar Series TopicsU.S. Health PolicyGlendon G. Cox, M.D., M.B.A., M.H.S.A.,Senior Associate Dean for Medical EducationAmerican Medical EducationGiulia Bonaminio, PhD, Research Professor/Associate Dean for Medical EducationGraduate Medical Education Lori L. Roop, M.B.A., Assistant Dean of Graduate Medical EducationLeadership Development Karen L. Miller, Ph.D., RN, FAAN, ProfessorHospital ManagementBob Page, President and Chief Executive Officer of The University of Kansas Health SystemTammy Peterman, Executive Vice President and Chief Operating Officer, and Chief Nursing Officer of The University of Kansas Health SystemHospital Materials Acquisition and ManagementTim Dwyer, MD, Assistant Professor, Pulmonary and Critical Care MedicineQuality Improvement and Patient Safety in the U.S. Since 2000Terry Rusconi, Vice President of Performance ImprovementPatient Safety- How Pharmacy Organization Works to Prevent Human ErrorsRick Couldry, Vice President of Clinical Professions and Pharmacy ServicesHospice and Palliative CareKarin Porter-Williamson, MD, Associate Professor, Division Director Palliative Care Administration of Clinical DepartmentsAdministration of Clinical DepartmentsAmy O’Brien-Ladner, MD, Internal Medicine

11. Building capacity: Building the pROGRAM of the Sino-US Advanced Healthcare Professional Exchange Program

12. Building capacity: Building the pROGRAM of the Sino-US Advanced Healthcare Professional Exchange Program

13. Building capacity:building outcomes in the sino-us advanced healthcare professional exchange programAs of April 2018, KUMC has hosted 8 groups for a total of 44 participants.22 of KUMC’s clinical departments have hosted the physicians and one nurse39 different hospitals from China have been representedFees collected have established the OIP Faculty and Resident Travel Fund DEPARTMENT NUMBER OF OBSERVERS HOSTEDAnesthesiology1Cardiovascular Diseases3Cardiothoracic Surgery2Endocrinology, Metabolism, and Genetics1Gastroenterology2General Surgery3Hematologic Malignancies and Cellular Therapeutics1Infectious Diseases1Nephrology2Neurology6Neurosurgery1Obstetrics and Gynecology3Ophthalmology2Orthopedic Surgery4Otorhinolaryngology 1Pulmonary and Critical Care Medicine2Radiation Oncology2Radiology3Physical Medicine and Rehabilitation1School of Nursing1Surgery and Orthopedic Trauma1Urology1

14. Building capacity: Building outcomes in the Sino-US Advanced Healthcare Professional Exchange Program

15. Building capacity: Building outcomes in the Sino-US Advanced Healthcare Professional Exchange Program BENEFITS For the Chinese observers:Insight into U.S. healthcare, patient care management, the role of nurses, team/interdisciplinary care model, and medical educationAmerican culture and connections for future collaborationsBENEFITS for KUMC staff and faculty:Learned from Chinese physicians about the Chinese culture and healthcare system through daily interactions and formal presentationsEstablished new relationships that led to other collaborations and exchangesClinical rotation opportunities for KUMC medical students in China Higher number of KUMC faculty attending and visiting Chinese colleagues at conferencesResearch collaborations among KUMC faculty members and previous physician participants in China

16. Building capacity: Building outcomes in the Sino-US Advanced Healthcare Professional Exchange Program Building our reputation

17. Building capacity: outcomes : cAVEATS AND LESSONS LEARNED FROM BUILDING the Sino-US Advanced Healthcare Professional Exchange Program CAVEATS AND LESSONS LEARNEDRegular communication with KUMC Partner in ChinaVerbiage- avoid describing program as “training”Incorporate deemed export complianceNo Patient CareCultural DifferencesThe timeline is different for China than at your home institution.Passport and Visa issuesIt is a huge initial investment by the medical center in money, people and resources.A program like this requires immense support from leadership, the departments and logistical management. If you plan to build a similar program, engage an expert advisor or consultant.

18. Building capacity: Building the futureof the Sino-US Advanced Healthcare Professional Exchange Program Capacity building in ChinaSupport other hospitals which have an interest in the establishment of similar programs with the HHRDCEstablish a formalized Mentoring Program Encourage “reverse Observerships” Assess implementation of initiatives and changes 6 months after return, one year, two years and five years post-KUMC Obsevership.Build capacity in Nursing and ResearchOffer this program to other global health partners – for example Ghana and Zambia

19. LOOKING AHEAD: CAPACITY BUILDING INTO NURSING AND RESEARCH

20. Questions

21. Thank you!