Data Report: 2016 Indiana Physician Assistant Licensure Survey

Identifying supply and distribution of the Physician Assistant (PA) workforce is crucial in understanding the capacity to meet health needs and improve overall population health of Indiana citizens. Data presented in this report provide a snapshot of key demographic and practice characteristics for Indiana’s PA workforce. The 2016 Indiana Physician Assistant Data Report presents information derived from data collected from the PA re-licensure survey administered by the Indiana Professional Licensing Agency (IPLA) during the biennial license renewal period. In 2016 1,346 PAs renewed their professional licenses. Of these, 806 reported having a verified Indiana practice address and are included in this report. The greatest number of PAs report practicing in Marion County and Allen County yet over one-third of Indiana counties (37.0%) do not have any reported PA full-time equivalents (FTE). As with other health workforce professions, the greatest need for PAs exists in rural, less populous counties; over three-quarters (79.4%) of those counties absent PA professionals are designated as rural. This report details important demographic and practice characteristics for the PA workforce, examining these data specifically in relation to PA supply and distribution. The 2016 Indiana Physician Assistant Data Report provides stakeholders with information needed to improve the quality of and accessibility to primary care for Indiana residents through policymaking, workforce development and resource allocation

Data Report: 2016 Indiana Oral Health Licensure Survey

Identifying supply and distribution of the professional oral health workforce is crucial in understanding the capacity to meet oral health needs and improve overall population health of Indiana citizens. Data presented in this report provide a snapshot of key demographic and practice characteristics for the oral health workforce. The 2016 Indiana Oral Health Licensure Survey Data Report presents key information derived from data collected from the dentist and dental hygienist re-licensure survey administered by the Indiana Professional Licensing Agency (IPLA) during the license renewal period. In 2016 3,862 dentists and 4,946 dental hygienists renewed their professional licenses. Of these, 2,259 dentists and 3,231 dental hygienists reported having an Indiana practice address and were included in this report. Marion County encompasses the largest reported oral health workforce full-time equivalents (FTEs): 229.3 FTE for dentists and 309.8 FTE for dental hygienists. Based on the samples in this report, the greatest need for oral health professionals is in rural, less populous counties; 12 counties (Brown, Crawford, Martin, Newton, Ohio, Pike, Randolph, Pulaski, Switzerland, Starke, Union, Warren) reported 1.0 FTE or less for dentists in general practice or dental hygienists. A great need exists for pediatric dentistry since 81 counties had 0.0 FTE for pediatric dentists. Access to oral health care services is compounded by the low proportion of dentists who accept Medicaid (49.0%) and the fact that over three-quarters (79.6%) do not offer a sliding-fee scale. This report details important demographic and practice characteristics for the oral health workforce and examines these data specifically for dentists and dental hygienists. The 2016 Indiana Oral Health Licensure Survey Data Report presents a snapshot of data on the dentist and dental hygienist professions to provide stakeholders with information needed to improve the quality and accessibility of oral health care for Indiana residents through policymaking, workforce development, and resource allocation

Data Report: 2016 Indiana Pharmacist Licensure Survey

Identifying supply and distribution of the pharmacist workforce is foundational to understanding Indiana’s capacity to strengthen overall population health. Data presented in this report provide a snapshot of key demographic and practice characteristics for Indiana’s pharmacist workforce. The 2016 Indiana Pharmacist Licensure Survey Data Report presents data collected from the pharmacist re-licensure survey administered by the Indiana Professional Licensing Agency (IPLA) during the biennial license renewal period. In 2016 there were 10,906 total pharmacist license renewals. Of these license renewals, 4,920 pharmacists were found to be actively working at an Indiana practice location. Criteria for inclusion are presented in the Methodology section of this report. Marion County has over four times (1,097) the quantity of reported pharmacist full-time equivalents (FTEs) as Lake County, the county with the next highest quantity of FTEs (273). Counties demonstrating the highest population-to-provider ratios (more than 5,000:1) were evenly split between those designated as urban and those designated as rural. Although this report does not describe trends, a 1997 standards change permitting only doctoral-level pharmacists to obtain licensing is reflected in the educational data presented within the current report. The proportion of pharmacists who reported having earned a bachelor’s degree (49.8%) as a qualifying professional entrance credential is nearly identical to the proportion who reported having earned a doctoral degree (49.4%) as the qualifying credential. This report provides pharmacist workforce demographic and practice characteristics as well as supply and distribution information. The 2016 Indiana Pharmacist Data Report provides stakeholders with salient information that will be useful in policymaking, workforce development, and resource allocation efforts to improve the quality of and accessibility to pharmaceutical services for Indiana residents

Understanding Traumatic Brain Injury in the Primary Care Setting

poster abstractBackground: TBI is being re-conceptualized as a chronic disease causative agent rather than as a single, acute event. This study examined how familiar family medicine physicians (PCPs) are with TBI and their level of confidence in treating TBI sequelae likely to be seen in primary care. We also examined PCP attitudes regarding care for post-acute mild TBI and moderate/severe TBI in primary care and how recently the respondent had cared for a mild TBI and/or moderate/severe TBI patient. Methods: The study featured a mixed methods study design. A survey was administered on paper and electronically. A semi-structured qualitative interview guide was developed based upon survey responses. Descriptive statistics were calculated. Results: Most respondents associated neurological symptoms/conditions as TBI sequelae: irritability, 100.0%, fatigue, 98.0%; insomnia, 88.2%, depression, 98.0%, headaches, 98.0%, anxiety, 80.4%. Two-thirds (66.7%) identified epilepsy as a condition associated with TBI. Just over one-half associated tinnitus (51.0%) or loss of libido (52.9%) with TBI while only one-third (33.3%) associated incontinence with TBI. Most physicians felt confident treating depression (84.0%), anxiety (82.4%), headache (80.4%) and insomnia (76.0%). Physicians felt less confident in treating fatigue (68.0%), irritability (68.0%), incontinence (51.2%) and loss of libido (50.0%). The least amount of confidence was claimed in treating epilepsy (37.5%) and tinnitus (36.4%). All respondents (100.0%) believed that a PCP can manage post-acute mild TBI (concussion) care while 52.0% agreed that a PCP can manage post-acute care for moderate/severe TBI. Only one respondent (2.0%) had never cared for a mild TBI patient. Most (70.6%) had cared for a moderate/severe TBI patient within the past two years while 5.9% had cared for one of these patients more than a year ago. Nearly twenty percent (19.7%) had never cared for a moderate/severe TBI patient and 3.9% were unsure if they had

Administrative Challenges to the Integration of Oral Health With Primary Care

Inadequate access to preventive oral health services contributes to oral health disparities and is a major public health concern in the United States. Federally Qualified Health Centers play a critical role in improving access to care for populations affected by oral health disparities but face a number of administrative challenges associated with implementation of oral health integration models. We conducted a SWOT (strengths, weaknesses, opportunities, and threats) analysis with health care executives to identify strengths, weaknesses, opportunities, and threats of successful oral health integration in Federally Qualified Health Centers. Four themes were identified: (1) culture of health care organizations; (2) operations and administration; (3) finance; and (4) workforce

Opioid Overdose Prevention in Family Medicine Clerkships: A CERA Study

BACKGROUND AND OBJECTIVES: The national opioid crisis requires medical education to develop a proactive response centering on prevention and treatment. Primary care providers (PCPs)—many of whom are family medicine physicians—commonly treat patients on opiates, and write nearly 50% of opioid prescriptions. Despite linkages between PCP opioid prescribing patterns and the associated potential for overdose, little is known about how family medicine clerkship students are trained to prevent opioid overdose, including training on the use of naloxone. This study describes the presence of opioid overdose education at the national level and barriers to inclusion. It also discusses implementation strategies along with instructional methodology and learner evaluation. METHODS: Data were collected as part of a cross-sectional survey administered electronically by the Council of Academic Family Medicine Educational Research Alliance to 139 family medicine clerkship directors. RESULTS: A total of 99 clerkship directors (71.2% response rate) responded to the survey. A large majority (86.4%) agreed that it is important to offer opioid overdose prevention education in the clerkship, yet only 25.8% include this topic. Of these, only 50.0% address naloxone use. The most common barriers to including opioid overdose prevention education were prioritization of educational topics (82.1%) followed by lack of available faculty with sufficient experience/expertise (67.7%). CONCLUSIONS: Findings point to a disparity between perceived importance of opioid overdose prevention education and inclusion of this topic in family medicine clerkship-level medical education. Innovative use of online education and partnering with community resources may address barriers related to curricular prioritization while supporting interprofessional education principles

The Bachman Sparrow (Peuc\ue6a \ue6stivalis backmanii) in the Vicinity of Cincinnati, Ohio

Volume: 21Start Page: 82End Page: 8

Florida Peat Deposits

Volume: 51Start Page: 316End Page: 31

Describing Emerging Adulthood in Individuals with Intellectual Disability Using Photo-Elicitation Methodology

Indiana University-Purdue University Indianapolis (IUPUI)For adults with intellectual disability life as an adult is more constrained, with fewer opportunities; the literature indicates that intellectual disability negatively impacts people across multiple life domains. Despite this adverse influence, it is largely unknown how those with intellectual disability describe their experiences with adulthood. The current study utilizes photo-elicitation interviewing methodology in an attempt to rectify this deficit. Photo-elicitation research methodology uses images, rather than text, to construct queries and prompt responses. This approach is generally undertaken in disability studies to accommodate participants’ verbal and cognitive challenges, to make abstract concepts concrete, to provide opportunity for meaningful participation, and to empower subjects within the research environment. In this study, photo-elicitation interviewing was employed with a sample of 11 young adults with intellectual disability to discover how adulthood might differ in comparison with typical peers. Participants shared their perceptions of adulthood and experiences related to family, learning/education; community/volunteering/spiritual or faith community/employment/vocation; housing/neighborhood; friends/supportive relationships/personal connections; hobbies/fun; personal health. Results replicate participants’ endorsement of the same broad criteria for adulthood attainment as typified by normative peers in the emerging adulthood literature: acceptance of responsibility for oneself; independent decision-making; financial independence. Salient emergent findings specific to the study population indicated that adulthood differs in comparison with typical peers in relation to (1), advocacy efforts to increase awareness and value of the disability experience; (2), the effect of the COVID-19 pandemic; (3), the need for continued access to support services. Access to services can only be achieved through increasing awareness of this need, recognizing the importance of this need, and prioritizing policy change to meet this need. Participants in this study have indicated that they are more than up to the task of increasing awareness through advocacy, yet it falls to social institutions such as education and government to recognize this need for ongoing support and to prioritize this need by implementing service provision policy change.2024-05-2