Agenda

Objectives:

1. Describe the benefits and challenges of working as a rural physician.
2. Discuss the challenges in recruiting for rural physicians.
3. Explore the hidden value of working in a rural community.

Objectives:

1. Review the resources that support physicians and their patients in rural communities in Mississippi.
2. Discuss the impact that these physicians have on patients and the local communities.
3. Explore how physicians can partner with the state in rural communities to provide services for patients.

Break and Networking

Impact of Rural Residency Programs in the State (State Resources)
Speaker: Richard Calderone, DO

Objectives:

1. Review graduate educational programs that support resident training in rural medicine in Mississippi.
2. Discuss the impact that these resident physicians in training have had on the local communities.
3. Explore how undergraduate educational programs can support graduate educational programs in rural communities.

Lunch and Networking

Beyond the Clinic: The Expansive Role of Rural Primary Care Physicians in Health Systems and Communities
Lily Fran Guastella, MD, Weston Eldridge, MD, Lucius Lampton, MD

Objectives:

1. Explore the roles that rural primary care physicians have in the management of individual patients and communities in which they live and serve.
2. Discuss the benefits and challenges of working in rural communities.
3. Define the system issues that impact provision of care in rural communities.

Skills Training

Arterial Line Placement

Objectives:

1. Identify appropriate indications and contraindications for arterial catheterization, recognizing the clinical scenarios where the procedure is necessary or inappropriate.
2. Differentiate among anatomical sites for arterial catheter insertion, understanding each location’s unique risks and benefits.
3. Implement standardized processes and best practices for arterial catheterization.
   1. Use ultrasound guidance
   2. Position patient
   3. Palpate the artery
   4. Puncture at an angle
   5. Advance needle slowly
4. 4. Understand the potential complications of catheter-related infections and distal blood flow compromise.

Lumbar Puncture

Objectives

1. Identify appropriate indications and contraindications for lumbar puncture.
2. Understand the importance of proper patient positioning and communication.
3. Understand the anatomy of the lumbar spine and proper needle insertion technique.
4. Recognizing risk for potential complications.
5. Demonstrating techniques used to prevent complications.
6. Recognize limitations and when to ask for help.

Central Venous Catheter Placement

1. Identify appropriate indications and relevant contraindications to performing a central venous catheter insertion (CVC).
2. Demonstrate proficiency in aseptic technique and infection prevention strategies.
3. Identify relevant knowledge vascular anatomy. Ex. Internal jugular (IJ), subclavian vein & subclavian artery.
4. Demonstrate proficient use of ultrasound to locate and puncture IJ (freehand and with needle guide).
5. Identify and manage complications such as catheter malposition, pneumothorax, bleeding or infection.