partner<\/a> for residency programs \u2014 plus the 麻豆原创 Health Faculty Physician Practice and numerous outpatient centers.<\/p>\nMost traditional academic centers provide training for residents at one main, larger facility where there\u2019s one program for each of its specialties. At 麻豆原创, most residents have options for which region of Florida they want to work in, and they often get a chance to train in various facilities nearby.<\/p>\n
\u201cOur patient mix is varied, depending on which hospital you\u2019re in,\u201d says Stephen Cico, 麻豆原创\u2019s associate dean for graduate medical education. \u201cWe have some that are more rural and some that are more urban. And since all of them are really [caring for] underserved populations, the residents get great exposure to a very broad breadth of patients and medical problems.\u201d \n <\/p>\n
Advocating for Better Addiction Treatment<\/h2>\n During the COVID-19 pandemic, there was a national surge in people with substance use disorders, a condition that healthcare professionals are more recently learning how to recognize and better treat. In 2020, the Florida Department of Health reported a 36% increase in fatal overdoses, marking the second-highest number of cases in the U.S. Numbers have continued to rise slightly in recent years, with nearly 7,800 deaths in 2023.<\/p>\n
In that same year, 48.5 million Americans ages 12 and older, or about 17% of the population, met the criteria for substance use disorders, according to the National Survey on Drug Use and Health. But only about one in four of them received treatment.<\/p>\n
Among those living with this condition are veterans, who experience higher rates of undiagnosed mental health issues, Henriquez notes. As many deal with these issues and the transition to civilian life, substance use disorders can develop out of coping methods.<\/p>\n
Education is slowly making progress on how to recognize the signs of substance use disorders and how to administer naloxone, a medication that can reverse narcotic overdoses. Since the height of the COVID-19 pandemic, there\u2019s been a 30% increase in naloxone use, according to the Florida Department of Health.<\/p>\n
\u201cThe patient population that suffers from addiction is also a population that has received minimal attention,\u201d Henriquez \nsays. \u201cFor so many years, people would just label them as \u2018addicts\u2019 or \u2018junkies.\u2019 And truly, as we\u2019re starting to learn more about the science and the neurological aspects of substance use disorders, you really see that a lot of these patients want to treat this disease.\u201d<\/p>\n
\u201cAs we\u2019re starting to learn more about the science and the neurological aspects of substance use disorders, you really see that a lot of these patients want to treat this disease.\u201d<\/p>\n\u2014 Richard Henriquez \u201912<\/strong>, internal medicine doctor at the Orlando VA<\/footer>\n<\/blockquote>\nWhen Henriquez joined 麻豆原创 as a faculty member in 2021, he immediately advocated for and led the development of addiction \nmedicine education. Current internal medicine residents learn about how to treat different addictions throughout their three-year training program \u2014 from appropriate terminology to the neuroscience of addiction to attending Alcoholics Anonymous meetings. This year, the Greater Orlando\/Osceola GME internal medicine residency program is incorporating a new addiction medicine rotation where residents work in detox centers.<\/p>\n
\u201cThis field has been underrecognized in the past, and teaching our residents how to actively and successfully treat this population is going to change the medicine landscape significantly,\u201d Henriquez says.<\/p>\n
He\u2019s also developed substance use disorder curriculum for VA centers across the state, and he\u2019s creating a national educational program for training internal medicine doctors in this field, too. Last year, about 3,000 people attended virtual sessions he led on the topic.<\/p>\n
\u201cThe veteran population has given so much for us, for our nation, that I feel it\u2019s my duty to help this patient population as best as I can,\u201d Henriquez says.<\/p>\n
Filling Gaps in Mental Health Care<\/h2>\n Forbes<\/em> ranks Florida as the No. 4 worst state for mental health care. And by 2035, the state is predicted to have a psychiatrist shortage of 1,230, according to a Florida Hospital Association-funded study. However, growing awareness for and decreasing stigmas around mental health are contributing to increasing interest in psychiatry careers, says Anuja Mehta, a 麻豆原创 College of Medicine associate professor and director of the GME residency program. Over the past five years, the National Resident Matching Program indicates 25% more medical students have matched into psychiatry programs.<\/p>\nSince 2018, residents in 麻豆原创\u2019s psychiatry program have made a difference in Central Florida through their rotations across hospitals and clinics. Two years after the Greater Orlando program launched, third-year residents began contributing to the local healthcare system in a larger way by working at a new HCA-affiliated outpatient clinic. It\u2019s known as the HCA Florida Behavioral Health Specialists – Moss Park, a center developed by and run entirely through the Greater Orlando GME psychiatry residency program.<\/p>\n
\u201cI think that\u2019s the single most thing that I\u2019m proud of,\u201d Mehta says. \u201cThis residency allowed me to start this clinic from [the] ground up, because if there was no residency, there wouldn\u2019t have been that impetus.\u201d<\/p>\n
\u201cWe are actually filling this need in Orange County and Osceola County because a lot of times, good psychiatrists, especially in Florida, don\u2019t accept insurance.”<\/p>\n\u2014 Anuja Mehta, director of the Greater Orlando GME physiatry residency program<\/footer>\n<\/blockquote>\nAt the clinic, residents work under two full-time psychiatrists and Mehta to provide psychotherapy and medication management to insured adults. Since the clinic opened in 2020, it\u2019s helped hundreds of individuals with mental illnesses.<\/p>\n
\u201cWe are actually filling this need in Orange County and Osceola County because a lot of times, good psychiatrists, especially in Florida, don\u2019t accept insurance. Patients have to pay out of pocket,\u201d Mehta says. \u201cAnd otherwise, in many of those cases, they would have to see providers who are not trained adequately to do complex medication management.\u201d<\/p>\n
One of the full-time psychiatrists at the clinic is Karla Flores-Perez, who completed the Greater Orlando GME residency in 2023. She\u2019s now helping educate current residents as a full-time supervising attending physician.<\/p>\n
The clinic\u2019s education includes training residents on administering long-acting injectables, which are used to treat psychosis, schizophrenia and sometimes bipolar disorder. Clinic leadership has also developed a psychotherapy-based series for those living with eating disorders.<\/p>\n
\u201cI became a psychiatrist to help people,\u201d says Flores-Perez, who earned her medical degree from San Juan Bautista School of Medicine in Puerto Rico. \u201cParticularly living in Orlando, being able to help the Hispanic population, personally, is very rewarding.\u201d<\/p>\n
Improving Healthcare Access<\/h2>\n As a native Spanish speaker, Flores-Perez often helps Hispanic patients seeking someone who can speak their language and understand their cultural background. Studies show that patients often have a more positive experience with healthcare professionals of a similar background. Florida has the third-largest Hispanic population in the U.S., and about 46% of Osceola County residents speak Spanish at home, according to the U.S. Census Bureau.<\/p>\n
While many hospitals have translators or sometimes use translation technologies, occasionally bi- and multilingual healthcare professionals step in to help when there is a long wait or if devices fail \u2014 which underscores the need for more doctors, training and resources to reduce language barriers. Jomaris Centeno Girona, an internal medicine doctor at the HCA Florida Osceola Hospital and another recent Greater Orlando\/Osceola GME residency graduate, says she\u2019s taken on that role many times throughout her healthcare career<\/a>.<\/p>\n\u201cThe impact of not understanding language can lead to [issues], from having the wrong medications prescribed to not understanding what they\u2019re in the hospital for,\u201d says Centeno Girona, a new faculty member in the Greater Orlando\/Osceola internal medicine residency and former chief resident.<\/p>\n
In one case she recalls, a Spanish-speaking patient was mistakenly thought to have dementia when, in fact, no one who spoke their language had interacted with them. In reality, the patient was alert, aware and able to provide information about their medical issue and history. They just spoke with slower speech.<\/p>\n
\u201cThe impact of not understanding language can lead to [issues], from having the wrong medications prescribed to not understanding what they\u2019re in the hospital for.\u201d<\/p>\n\u2014 Jomaris Centeno Girona, internal medicine doctor at the HCA Florida Osceola Hospital<\/footer>\n<\/blockquote>\nAbout half of adults with limited English proficiency say they encountered at least one language barrier in a healthcare setting in the past three years, according to KFF, a health research and policy nonprofit. For each of those instances, there\u2019s a chance major errors could be made, and patients may not feel comfortable asking questions about their health issues or the care they\u2019re receiving. Centeno Girona notes that it also introduces opportunities where biases may be presented, such as an assumption of a patient\u2019s insurance status.<\/p>\n
But finding resourceful solutions for patients who do lack insurance is an important skill for doctors \u2014 a skill that Centeno Girona says the GME program helped equip her with. In Osceola County, this is especially necessary as the region is designated as medically underserved by the U.S. Department of Health and Human Services. The partially rural region has continued to face issues with adequate access to healthcare since 1978. In 2022, Osceola County had over one-third more uninsured residents than the national average, according to data from the Florida Health Department and U.S. Census Bureau.<\/p>\n
Professionals across the GME program\u2019s internal medicine and psychiatry residencies in Greater Orlando\/Osceola note a lack of insurance as being nearly as big of an issue as the physician shortage. U.S. Census Bureau data indicates Florida has the fourth-highest rate of uninsured people across the nation. Even as more doctors are brought to Florida through residency and medical school programs, they won\u2019t be able to help patients without insurance.<\/p>\n
<\/p>\n
Keeping Physicians in Florida<\/h2>\n Ten years ago when the GME program launched its first residency, just 16 medical school graduates made up the internal medicine cohort. Today there are 827 graduates of the statewide GME program, which includes emergency medicine, family medicine, obstetrics and gynecology, psychiatry, rheumatology, surgery and more.<\/p>\n
\u201cWe\u2019ve added over 400 physicians to the workforce here in the state of Florida,\u201d says Cico, who began leading the 麻豆原创-HCA Florida Healthcare GME Consortium in 2022. \u201cWe\u2019ve really been transforming what have been traditionally community hospitals into teaching and academic hospitals.\u201d<\/p>\n
\u201c[Over the past 10 years], we\u2019ve added over 400 physicians to the workforce here in the state of Florida.\u201d <\/i><\/p>\n\u2014 Stephen Cico, 麻豆原创’s Associate Dean for Graduate Medical Education<\/footer>\n<\/blockquote>\nThe program is also contributing to Florida\u2019s physician workforce by helping retain doctors who are already practicing.<\/p>\n
\u201cI\u2019ve had community physicians who never had the opportunity to teach before [our programs] call me out of nowhere to say, \u2018My career has been rejuvenated because I just was taking care of patients and planning to retire. Now I have a different energy because I\u2019m educating [a new class of physicians],\u2019 \u201d Asmar says.<\/p>\n
The program has a history of turning its graduated residents into educators for the cohorts that follow in their footsteps, which Henriquez, Flores-Perez and Centeno Girona can all attest to.<\/p>\n
Among this group is a graduate whose professional career has mirrored the program\u2019s expansion. Mustafa Kinaan was a resident in the inaugural internal medicine residency program. He completed the GME program\u2019s endocrinology fellowship and then became a core faculty member. Now he\u2019s program director for the same fellowship he once trained in.<\/p>\n
\u201cWhen I started as a resident, we were the only people training in the hospital in Osceola,\u201d says Kinaan, who is also an endocrinologist at the HCA facility. \u201cTo see now multiple graduate medical education programs and over 180 residents and fellows running the medical services in our Greater Orlando\/Osceola and VA hospitals is very inspiring. It just speaks to all the progress and hard work that went into [growing these] residencies and fellowships.\u201d<\/p>\n
With nearly 18,000 new physicians needed by 2035, every doctor certainly counts. In the next three to four years, the GME program aims to add potentially 20 more offerings across the state, Cico says. Each program will enhance a network of essential and compassionate caregivers.<\/p>\n
\u201cWe try to not only give them skills to be good doctors, but we really model the honor and the privilege [it is] to be a physician, to work in a team setting and to understand that medicine is a team sport,\u201d Asmar says.<\/p>\n","protected":false},"featured_media":25308,"template":"","categories":[977],"tags":[654,1452],"class_list":["post-25206","story","type-story","status-publish","has-post-thumbnail","hentry","category-feature","tag-college-of-medicine","tag-ucf-alumni","issues-fall-2024"],"yoast_head":"\n
How 麻豆原创 is Solving Florida's Physician Shortage<\/title>\n \n \n \n \n \n \n \n \n \n \n \n \n\t \n\t \n\t \n \n \n \n \n \n \n\t \n