ACHA Clinical Medicine Section NEEDS ASSESSMENT 2017 Which best describes your primary role in college health/mental health? Administrator 6%
Other (please specify) 11% Advanced Practice Clinician 17% Health Educator 1%
Administrator 5 Physician Advanced Practice Clinician 14 65% Health Educator 1 Physician 55 Other (please specify) 9 How many years have you been professionally involved in college health?
< 1 YEAR 6
1-2 YEARS 6
3-5 YEARS 9
6-8 YEARS 13
9-10 YEARS 6
11-15 YEARS 17
>15 YEARS 27
OTHER (PLEASE SPECIFY) 0
0 5 10 15 20 25 30 Please select the three factors that do or would most influence your decision to attend the ACHA Annual Meeting.(Select no more than three choices) 0 10 20 30 40 50 60
EARNING CONTINUING EDUCATION CREDITS 57
LEARNING NEW PREVENTION PRACTICES, THEORIES, AND METHODOLOGIES 46
NETWORKING WITH FRIENDS/COLLEAGUES 35
IMPROVING PROFESSIONAL DEVELOPMENT SKILLS 30
THE LOCATION OF THE MEETING IS A DESIRABLE DESTINATION 22
HAVING THE FUNDING TO ATTEND 17
REINFORCING CURRENT METHODS/PRACTICES BEING USED 11
SERVING ON/PARTICIPATING IN ACHA AND/OR CM SECTION COMMITTEE(S) 9
THE LOCATION OF THE MEETING IS NEAR MY HOME 8
SHARING/PROMOTING MY OWN PROGRAMS OR PRACTICES 5
OTHER (PLEASE SPECIFY) 4 Which best describes your frequency of attendance at the ACHA Annual Meeting? 25
22 21 20 20
15 13
10 8
5
0 I have never attended I rarely attend I attend every couple of I attend nearly every year I attend yearly years If you never attend, please share share please attend, never you If New member Personal obligations TIME
Unaware Distance New employee Expense reason(s) your Which of the following specific topics do you want/need to learn more about at future ACHA Annual Meetings? (Select all that apply) Behavioral Health
INSOMNIA AND OTHER SLEEP DISORDERS 47
ANXIETY DISORDERS /DEPRESSION/OCD 38
ALCOHOL AND OTHER DRUGS MISUSE/ABUSE 33
SUICIDAL IDEATION/INTENT/PLAN, INCLUDING EMERGENCY 31 INTERVENTION (CRISIS MGMT.)
EATING DISORDERS INCLUDING CRITERIA FOR HOSPITALIZATION 30
SCHIZOPHRENIA/THOUGHT DISORDERS/BIPOLAR 30 DISORDER/PERSONALITY DISORDERS
ATTENTION DEFICIT DISORDER (ADD)/ATTENTION DEFICIT 28 HYPERACTIVITY DISORDER (ADHD)
LEARNING DISABILITIES 13
0 5 10 15 20 25 30 35 40 45 50 Cardiovascular
ARRHYTHMIAS (LONG AND SHORT QT, PRE EXCITATION SYNDROMES, 45 ‐ ‐ LYME DISEASE ASSOCIATED)
NEUROCARDIOGENIC SYNCOPE 40
PALPITATIONS 37
ACUTE CARDIOMYOPATHY / HOCUM / HYPERTROPHIC 32 CARDIOMYOPATHY
HEART MURMURS 23
HYPERTENSION 22
PERICARDITIS/PERICARDIAL EFFUSION 16
0 5 10 15 20 25 30 35 40 45 50 Dermatology (common skin complaints)
URTICARIA – ACUTE AND CHRONIC 39 SKIN INFESTATIONS (SCABIES/LICE/BED BUGS) 31 SKIN TRAUMA – LACERATIONS/REPAIR, ABRASIONS, WOUND MANAGEMENT 29 HAIR LOSS/ALOPECIA 26 NEVI EVALUATION/PIGMENTED LESIONS 26 ACNE 25 BURNS SUPERFICIAL, SUPERFICIAL AND DEEP PARTIAL ‐ THICKNESS, DEEP THICKNESS 23 INFLAMMATORY/SCARRING CONDITIONS (I.E. KELOID, DERMATOFIBROMA) 20 ECZEMA 18 ABSCESS – MRSA AND OTHER ETIOLOGIES 16 PITYRIASIS/TINEA (CORPORIS/CAPITIS/MANUM/CRURIS/VERSICOLOR) 13 HERPES SIMPLEX AND VARICELLA ZOSTER 12 FOLLICULITIS 11 PSORIASIS 10 CONTACT DERMATITIS ‐ IE POISON IVY 7
0 5 10 15 20 25 30 35 40 45 ENT
NECK MASSES 35
PAROTITIS, SIALOLITHIASIS 33
CERVICAL LYMPHADENOPATHY 29
HEARING LOSS, TINNITUS 25
SINUSITIS (ACUTE/CHRONIC) 25
PHARYNGITIS, TONSILLITIS, PERITONSILLAR ABSCESS, TONSILLOLITHS 23
NASAL FRACTURES 16
ALLERGIC RHINITIS 14
FACE/HEAD/SCALP TRAUMA 13
OTITIS MEDIA AND OTITIS EXTERNA 9
0 5 10 15 20 25 30 35 40 Endocrinology
THYROID ISSUES – (HASHIMOTO’S, GRAVE’S, HYPOTHYROIDISM, 57 NODULES)
REPRODUCTIVE ENDOCRINOLOGY – POLYCYSTIC OVARY SYNDROME, 56 ADULT‐ONSET CAH
DIABETES‐TYPE I AND II 39
OBESITY‐DIAGNOSIS AND TREATMENT 38
HYPERLIPIDEMIA‐SCREENING RECOMMENDATIONS, DIAGNOSIS AND 36 TREATMENT
OSTEOPOROSIS 7
0 10 20 30 40 50 60 Gastroenterology
CELIAC DISEASE/GLUTEN SENSITIVITY 44
INFLAMMATORY BOWEL DISEASE (IBD) CROHNS AND ULCERATIVE 34 COLITIS
IRRITABLE BOWEL SYNDROME (IBS) 32
HEPATITIS – (ACUTE, CHRONIC, SCREENING, PREVENTATIVE 29 STRATEGIES)
ACUTE ABDOMEN – (APPENDICITIS, SBO, CHOLECYSTITIS) 26
GASTRIC AND PEPTIC ULCER DISEASE H. PYLORI EVALUATION ‐ AND 20 TREATMENT
DIARRHEA, ACUTE AND CHRONIC 16
CONSTIPATION 14
GASTRO ESOPHAGEAL ‐ REFLUX DISEASE (GERD) 11
GASTROENTERITIS 10
0 5 10 15 20 25 30 35 40 45 50 General Medicine 50
45
43 40 40 40 35
30 32
25
20
15
10
5
0 NEAR SYNCOPE AND SYNCOPE DIZZINESS FATIQUE PREVENTIVE MEDICINE GYN
GENITAL DERMATOLOGY – (GENITAL WARTS, HERPES, MOLLUSCUM, VULVAR PAPILLOMATOSIS, LICHEN SIMPLEX CHRONICUS, VULVAR DERMATITIS,… 49 MENSTRUAL PROBLEMS – (AMENORRHEA, IRREGULAR MENSES, DYSMENORRHEA, MENORRHAGIA) 38
VULVAR DISORDERS – (VULVODYNIA/VESTIBULITIS) 36
PELVIC PAIN/PAIN WITH SEXUAL INTERCOURSE 30
BREAST CONCERNS – (BREAST MASSES, BREAST PAIN) 24
CONTRACEPTION – (BARRIER METHODS, HORMONE CONTAINING: ORAL, INJECTED, IMPLANT, DEVICES) 23
OVARIAN CYSTS - (TERATOMAS, TORSION) 15
VAGINITIS - (YEAST, BACTERIAL VAGINOSIS, TRICHOMONAS) 15
UTERINE CONCERNS – (FIBROIDS, ENDOMETRIOSIS) 12
CERVICAL CANCER SCREENING – (CURRENT GUIDELINES FOR PAP SCREENING) 9
PREGNANCY AND EARLY COMPLICATIONS – (ECTOPIC, FIRST TRIMESTER BLEEDING) 5
0 10 20 30 40 50 60 Hematology 60
50 50
40 38 38
30 33
20
10
0 VTE/PE AND OTHER HEMOGLOBINOPATHIES – THROMBOCYTOPENIAS (ITP) ANEMIA – (IRON DEFICIENCY, B12 HYPERCOAGULABLE STATES (RISK (THALASSEMIAS, SICKLE CELL DEFICIENCY) FACTORS, LAB EVAL, ‐ DIAGNOSIS, DISEASE) MANAGEMENT, ANTI- COAGULATION) Infectious Disease
BRONCHITIS/ ATYPICAL PNEUMONIA/PNEUMONIA 33 LYME DISEASE 33 TB/ LTBI AND TTBI (PPD, QFT) 32 ANIMAL BITES AND COMPLICATIONS 28 HIV INFECTION 25 MUMPS, MEASLES 22 ANTIMICROBIAL STEWARDSHIP 21 HPV INFECTIONS 21 MENINGITIS 21 CELLULITIS – (STAPH, MRSA AND OTHERS) 19 PERTUSSIS 17 PHARYNGITIS (STREP, VIRAL, LEMIERRES) 17 URINARY TRACT INFECTIONS – (ACUTE CYSTITIS, RECURRENT UTI, … 17 INFECTIOUS MONO (SORE THROAT) 15 HERPES SIMPLEX INFECTIONS 14 UPPER RESPIRATORY INFECTIONS 12 SHINGLES/ZOSTER 9
0 5 10 15 20 25 30 35 Men’s Health 50
45 44 40
35 35 30 30 29 25 27
20
15
10
5
0 GENITAL DERMATOLOGY – SCROTAL ISSUES – URETHRITIS, EPIDIDYMITIS ERECTILE DYSFUNCTION TESTICULAR PAIN (PEARLY PENILE PAPULES, (HYDROCELE, VARICOCELE, (TORSION, MASSES) FORDYCE SPOTS, GENITAL HERNIAS) WARTS, HERPES, MOLLUSCUM) Neurology 70
60 60
50
40
30 33 31
20 22 22
10
0 HEADACHES – (MIGRAINE, NERVE SYNDROMES – BELL’S PALSY GUILLAIN-BARRÉ SEIZURE DISORDER TENSION, CLUSTER, (ULNAR NEUROPATHY, SYNDROME EXERTIONAL) RADIAL (SATURDAY NIGHT PALSY), CARPAL TUNNEL, CUBITAL TUNNEL) Oncology
ON GOING PRIMARY ‐ CARE FOR CANCER SURVIVORS 40
LEUKEMIA/LYMPHOMA 31
THYROID CANCER 22
TESTICULAR CANCER 20
BREAST CANCER – (SCREENING GUIDELINES) 16
COLORECTAL CANCER – (SCREENING GUIDELINES) 13
0 5 10 15 20 25 30 35 40 45 50 Ophthalmology 50
45 45 40
35 35 30
25 26
20
15
10
5
0 ACUTE “RED EYE” – (CONJUNCTIVITIS, LID PROBLEMS – (HORDEOLUM, CONTACT LENS ISSUES CORNEAL ABRASION/ULCERATION, IRITIS, BLEPHARITIS, SEBORRHEIC DERMATITIS, ETC) UVEITIS, ETC) Pulmonary 50
45
40 40 35
32 30 31
25
20
15 16 16
10
5
0 COUGH (ACUTE AND PULMONARY EMBOLISM ASTHMA/REACTIVE PNEUMONIA/BRONCHIAL PNEUMOTHORAX CHRONIC) AIRWAY INFECTIONS Rheumatology
SJOGRENS SYNDROME 20
REITER’S SYNDROME 22
RHEUMATOID ARTHRITIS 22
SARCOIDOSIS 26
POST ‐INFECTIOUS ARTHROPATHIES 35
SYSTEMIC LUPUS ERYTHEMATOSUS 37
SKIN MANIFESTATIONS OF RHEUMATOLOGIC PROBLEMS 49
0 5 10 15 20 25 30 35 40 45 50 Risk Management 50
45
40
35 35 35 30
25
20
15
10
5
0 ADMINISTRATIVE ISSUES MALPRACTICE ISSUES Sexual Health 50
45
40
35
30 31 29 25 26
20
15
10
5
0 GENDER IDENTITY ISSUES SEXUALLY TRANSMITTED INFECTIONS – COMING OUT/LGBTQ ISSUES (SCREENING, DIAGNOSIS, TREATMENT, PREVENTION) Sports Medicine/Orthopedics
CONCUSSION – (EVALUATION, MANAGEMENT, RETURN TO PLAY GUIDELINES; POST-CONCUSSION SYNDROME) 48 PERFORMANCE ENHANCING SUPPLEMENTS 37 SHOULDER – (ROTATOR CUFF, A‐C JOINT SPRAIN, CLAVICLE FRACTURE, DISLOCATION, BURSITIS, BICEPS TENDONITIS/TENDON TEAR, BANKART LESION, IMPINGEMENT SYNDROME, ETC) 36 OVERUSE INJURIES 30 PRE PARTICIPATION PHYSICAL REQUIREMENTS AND CLEARANCE GUIDELINES – ‐ (NCAA GUIDELINES, SICKLE CELL TESTING/EDUCATION AND DRUG/MEDICATION USE RESTRICTIONS) 30 KNEE – (SPRAINS, MENISCUS INJURIES, LIGAMENT (MCL, LCL, ACL, PCL) INJURIES, PATELLOFEMORAL SYNDROME, BAKER’S CYST, BURSITIS, PATELLA DISLOCATION/TENDONITIS) 29 BACK – (LUMBOSACRAL SPRAIN/STRAIN: ACUTE/CHRONIC/RECURRENT, SPONDYLOLISTHESIS, SPONDYLOLYSIS, COCCYX INJURY/FACTURE, ACUTE ARTHRITIS, DISC PROBLEMS) 28 ANKLE: SPRAINS, FRACTURE (LE INJURIES/PAIN) 22
FOOT (SPRAINS, FRACTURES, PLANTAR FASCIITIS, METATARSALGIA, MORTON’S NEUROMA, ETC) 22 HAND/WRIST – (FINGER JOINT /TENDON/LIGAMENT INJURIES, BLUNT TRAUMA/SUBUNGUAL HEMATOMA; WRIST SPRAINS CARPAL TUNNEL) 22 COMPARTMENT SYNDROME 20
LOWER EXTREMITY PAIN/INJURIES – (SHIN SPLINTS, STRESS FRACTURES) 16
NECK – (CERVICAL SPRAIN/STRAINS) 15
HIP – (SPRAIN, BURSITIS) 12
0 10 20 30 40 50 60 Travel Medicine
POST‐TRAVEL ILLNESSES – (MALARIA, TB, SCHISTOSOMIASIS, DENGUE 50 FEVER, ZIKA)
PRE TRAVEL COUNSELING ‐ AND EDUCATION 28
PROPHYLACTIC MEDICATIONS 25
TRAVELERS’ DIARRHEA 23
VACCINATIONS 18
PRE‐TRAVEL COUNSELING AND EDUCATION 15
0 10 20 30 40 50 60 Please provide suggestions of skills/topics which you would like to see offered in this workshop format during future Annual Meetings:
Sleep disorders Ultrasound use Electronic charting best practices International student health Communication skills
Musculoskeletal examSTI treatment refreshers
SuturingHolistic care Insurance billing Transgender care More workshops What is the one thing that the Program Planning Committee could do to improve future ACHA Annual Meetings?
Case presentations Evidence-based presentations Timing of Clinical medicine topics Clinical Relevance Specialists Funding Increase Clinical topics Variety Which ways of networking with clinical medicine colleagues would most interest you? (Select no more than three choices) 0 5 10 15 20 25 30 35 40 45
PARTICIPATE IN WEBINAR/OTHER ONLINE FORUM ADDRESSING A SPECIFIC TOPIC AND WHERE MEMBERS CAN POST QUESTIONS/ANSWERS. 42
HAVING MORE OPPORTUNITIES TO ENGAGE IN DISCUSSIONS DURING THE ANNUAL MEETING (E.G., FOCUS/DISCUSSION GROUPS, SOCIALS). 33
PARTICIPATE IN WEBINARS/OTHER ONLINE FORUM WITH SAME SMALL GROUP OF PEOPLE WHO CREATE A SCHEDULE OF TOPICS OF MUTUAL INTEREST. 29
PARTICIPATING IN CONFERENCE CALLS BASED ON A SPECIFIC TOPIC/ISSUE. 26
HAVING A "SUPPORT" GROUP OF 4-6 OTHER COLLEAGUES WHO INTERACT BY PHONE OR EMAIL THROUGHOUT THE YEAR. 14
PARTICIPATING IN CONFERENCE CALLS WITH THE SAME SMALL GROUP OF PEOPLE WHO CREATE A SCHEDULE OF PERTINENT ISSUES/TOPICS FOR THE CALLS THROUGHOUT THE YEAR. 12
ESTABLISHING A MENTOR/MENTEE RELATIONSHIP WITH ANOTHER SECTION MEMBER. 7
OTHER (PLEASE SPECIFY) 1 What are some new or "hot" health topics, situations, or trends on your campus?
Lactation rooms Disability accommodations Conjunctivitis Assault Suicide Meningitis PrEp New HIV dx Trans Health care Transgender care Sleep Mumps Stress Lyme disease Mental Health Travel Telemedicine What is the one thing that the Clinical Medicine Section leadership can do for you in the upcoming year?
Advocate for integration of mental health and medical health. AMA accredited CME for physicians Offer pre-session or sessions on POC skills such as POC ultrasound, skin biopsy, joint injections Continue the good work! help to prepare members of the section to take on clinical leadership roles within student health centers
Figure out how to best promote the clinical providers at our health centers as excellent providers. There is still such a perception that college health does tylenol and bandaids. We get the best praise and positive feedback from graduate students that utilize us and parents that take the time to communicate with us when their child is sick.
Where are the measures / outcomes proving integrating medical and mental health services provides better care ( not just a pt satisfaction measure), improves retention, increases academic success, etc. Something! Guidelines and protocols new to routine problems
Support in identifying "best practices" in college health and support us as we in the initiative to adopt these best practices so we can improve the quality of health care delivered revive the Clinical Medicine listserv What is the one thing that the Clinical Medicine Section leadership can do for you in the upcoming year?
for me personally-- free or substantially discounted meeting registration cost for people who do large amounts of volunteer work for the organization
For clinical medicine section--acha endorsing/applying professional standards for clinicians in college health
Sponsoring some good webinars
Be more open to involving all members of the section a year before the next meeting. not sure.
would like to have a forum where Medical Directors can communicate with each other to ask questions or share policies, etc.
Online clinical resources, similar to "Up To Date" for college health topics keep members updated throughout the year on topics that will be presented at the ACHA meeting