NVCNapa Valley College MESA/STEM and

Kaiser Permanente Partnership on the

Medical Scholars Program

Presentation to the NVC Board of Trustees

August 8, 2019

Outline

Introducing the Teams and the Program

• Napa Valley College MESA/STEM

• Kaiser Permanente, Northern California

• History of the Program

Pre-Medical Educational Path and MSP Structure

• Pre-Medical Educational Pipeline

• Stigma of Community College

• Kaiser’s Leadership Forum Structure

• Kaiser’s Role in the Program

NVC MESA Role and Student Success Stories

• MESA and Counseling’s Role in the Program

• Stories of Success

• Dreamers of Community Change – our Pre-Med Club

Napa Valley College MESA Kaiser Permanente Northern California

Medical Scholars Program

Presenters:

Luis Alcazar

Associate Dean, MESA/STEM Program Services

Juleon W Rabanni DrPH, MPH

Group Leader Consultant

Biostatistical Consulting Unit

Kaiser Permanente Northern Division of Research

Patricia Posada

Counselor, MESA/STEM Program Services

DOCC (Dreamers of Community Change club) Co-Faculty Advisor

Rene Rubio

Student Services Specialist, MESA/STEM Program Services

NVC Medical Scholars Program Participants:

Selene Solorio, Alexis Delgadillo

NVC MESA/STEM Team

Patricia Posada

Counselor, MESA/STEM Program Services

DOCC Faculty Advisor

Rene Rubio

Student Services Specialist, MESA/STEM Program Services

Claudia Ramirez

Administrative Assistant, MESA/STEM Program Services

Luis Alcazar Associate Dean, MESA/STEM Program Services

Kaiser Permanente TeamRuben Gonzalez MD

Chief of Health Education and Diversity, Napa and Vallejo

Core Faculty, Napa-Solano Family Medicine Residency Program

Assistant Medical Director, Medical Assistant Program

Kaiser Permanente School of Allied Health

Tessa Stecker MD

Program Director

Kaiser Permanente Northern California Community Medicine Fellowship Program

Juleon W Rabanni DrPH, MPH

Group Leader Consultant

Biostatistical Consulting UnitKaiser Permanente Northern Division of Research

Katherine Dang, M.S., M.A.S.

Research Project Manager

Department of Graduate Medical Education

History of the Program

The NVC/KPNC MESA Medical Scholars Program (MSP) is a comprehensive partnership between the Napa Valley College MESA program and Kaiser Permanente Northern California (KPNC).

Timeline:

Spring 2015 – Prompted by Dr. Gonzalez’ interest in working with a local community collegein developing a program aimed at closing the gap for under-represented students pursuing acareer in medicine.

Fall 2015 – Seven Napa Valley College MESA/STEM Students participated in the first pilot externship with Kaiser. This led to the development of what is now the Leadership Forum portion of the Medical Scholar Program.

Fall 2015 thru Spring 2019 – The pilot Medical Scholar Program served a total of 4 cohorts (39 students).

Spring 2019 – NVC MESA and Kaiser Permanente Northern California drafted an MOU, which was finalized and then approved by the NVC Board of Trustees.

Fall 2019 – The one year externship developed into a three-year Medical Scholars Program. The 10 NVC MESA students in the second year of the program will partake in the Leadership Forum and receive a combined $10,000 stipend from Kaiser.

Barriers to Entering Health Professions

Grumbach K, Coffman J, Munoz C, Rosenoff E, Gandara P, Sepulveda E. Strategies for improving the diversity of the health professions. San Francisco/Davis, CA: Center for California Health Workforce Studies/Education Policy Center, University of California, 2003.

Premedical Educational Pipeline

Stigma of Community College

• After controlling for academic metrics, 31% of students who started at a

community college prior to transferring to a four-year University were accepted

to medical school compared to 50% of students who started at a four-year

University.

• Sagui proposed possible reasons:

• Limited premedical opportunities at non-research institutions:

Community college students are less likely to have research and

extracurricular experiences that admissions committees favor.

• Socioeconomic status related challenges.

• Perception that Community College students are not as academically

prepared.

A. Saguil and A.L. Kellerman, The Community College Pathway to Medical School:

A Road Less Traveled, Academic Medicine, Vol. 89, No. 12 / December 2014,

Addressing the Problem:

A Tailored Approach is Needed

Problem:

Racial/ethnic minorities are under-represented in medical schools

• Primary Program Goal:

• To increase the number of students from underserved and minority

backgrounds who successfully matriculate into a STEM major at a

four-year university

• Target Population:

Students who currently attend a community college that serves a large

proportion of racial/ethnic minorities

• Theoretical Goal:

• An increase in racial/ethnic minorities in STEM majors will prepare a

larger proportion of these under-represented populations for medical school

admissions

Leadership Forum Structure

Leadership and Personal Development Training

Careers in Medicine and Research Panel Discussions

Community Engagement Training

Community Projects

Leadership Forum

Goal: To develop pre-medical community college students into leaders with the

skills and experience needed to successfully matriculate into medical school,

while also serving the community.

Role of Kaiser with MSP Scholars

Inspire

Mentoring

Personal Development

Lead

Career Development

Medical school application

process

Train

Health Promotion

Community based research

techniques

Engage

Opportunities to volunteer in the

community

Free Clinics

CAREERS IN MEDICINE PANEL

1

Kaisers’ Role in Evaluating the Effectiveness of MSP

• The Graduate Medical Education (GME) Research Project Manager

will train the CM & GH Fellow in program evaluation and analysis

• The CM & GH Fellow will track the success of the program

• Survey the trainees on their community project activities

• Create a report of objectives met and missed

• Suggest improvements for the next year to be passed on to the next fellow

• Present findings to local fellowship program before the end of their

fellowship (Early Summer)

MSP Student

MESA Advisement and STEM Counseling

Community Engagement

Dreamers of Community

Change (DOCC)

EngagementUtilizing all NVC/KP Campus

Resources

Leadership, Peer to Peer Mentoring,

Relationship w/KP and SME

Faculty

Effective soft skills and

resources for support/success

MESA and Counseling’s Role for a Successful Outcome of MSP

The successful outcome of the KP

Medical Scholars Program is based

on the utilization of resources among

KP Faculty, SME Faculty and the

MESA Team.

The MSP Student will develop

leadership, self-confidence, self-

efficacy, transfer readiness to engage

in opportunities related to pre-health

careers.

The single most important feature of

a successful program is for students

to have a close and caring

relationship with a mentor/

counselor/coordinator that monitors

the students’ progress.

Eligibility and Engagement Process1st Year MSP Track – Eligibility and Engagement: • Complete a MESA Application w/a comprehensive pre-health educational plan

(Must meet MESA Eligibility)• Complete a Medical Scholars Application • Attend mandatory STEM and MSP Orientation• Active student member of the MESA and Dreamers of Community Change Club

(DOCC) in good standing• Meet with a STEM Counselor twice per semester and a comprehensive student

educational plan related to a pre-health career for a transfer program• Completion of Counseling 97 (STEM Inventory)

2nd Year MSP – KP Leadership Forum:Admission Requirements: 3.0+ GPA • Enrollment of 2nd year of Math, Chemistry, Biology• Research experiences with KP• Mentorship and Networking opportunities• DOCC Member/Leadership• Selected students participate in KP Leadership Forum for one full academic year• Students work closely with KP Fellow, Physicians, KPMSP Coordinator/Researcher • KP Stipend

3rd Year MSP: Peer to Peer Mentoring and Transfer Eligible with 3.2+ GPA• TAG• Pre-health Summer Internship (CHEER, Prep Medico, Touro University and others)• Apply to UC, CSU and Private institution• Utilizing all the resources provided through MESA and MSP• Self-confidence • DOCC Member/Leadership

Stories of Success

Alexis Delgadillo

BS Cognitive Science, University of California, Davis

NVC MESA, DOCC and KPMSP Alumnus

Testimonial:

I am a First generation college student and the youngest of three siblings raised by

Mexican immigrants. I began pursuing my career of medicine after my daughter

was born. I was 20-years-old and knew I had one of two options: use my brain or

my body. I now find myself less than one year from submitting my medical school

application and achieving my dream.

Through MESA and KPMSP I was able to network and find mentors to coach

me through application, obtain valuable Letters of Recommendations and

research experiences– learned how to collectively work together to accomplish a

meaningful project.

I consider myself a much more competitive and well rounded student. MESA and

KP were the first resources that placed me on my path toward achieving my

academic goal. Prior to MESA and KPMSP I didn't have guidance, direction or a

clear vision of who I could become or what I could achieve. Since then, I have had

high academic success and want to pass on the knowledge and resources that were

given to me through MSP and the MESA Program.

I’m currently studying for the MCAT to apply for medical school.

Former member of DOCC Premed Club,

DeepTok Peer to Peer Mentor and

participated in the UC Davis, PREP

Medico and Touro University (research

labs).

Stories of Success

Selene Solorio-GonzalezNVC MESA, DOCC and KPMSP

Testimonial: MESA and Kaiser Permanente Medical Scholars Program (KPMSP) has helped me in many ways, such as becoming a better leader, working with the community, improving communication skills with my peers, and allowing to network, network and do more networking! Last semester, our MSP Leadership Focus Group worked with the homeless community to find more effective ways to improve the well being of the homeless community.

My experience so far has been eye-opening, seeing health care in practice and interacting with M.D.s has made me want to continue my medical journey. I’m the current DOCC Dreamers Of Community Change (DOCC) Premed Club President. DOCC helps build leadership skills, networking opportunities, community engagement, and for scholarship opportunities. This club was created to help pre-med and pre-health students continue their career goal through a community of support.

I’m in my second year at NVC, transfer plans for fall 2021 and pursuing a double major in Biology and Spanish.

Upon graduation, I will apply to medical school.

Selene is the DOCC President 2018-present and participated in the KPMSP Leadership Forum 2018-2019.

Mission:

The goal of DOCC is to help beginning

medical students gain a perspective about

the healthcare field. DOCC will provide YOU

a friendly study environment, field trips to

valuable health conferences, provide

information to worthwhile internship

opportunities, and have the opportunity to

make long-lasting friendships. DOCC will

help you become the best medical student

you can become.

Engage with M.D., medical students,

medical representatives, and fellow peers

who can share their path on how they are

preparing or have become apart of the

medical field. Join DOCC and see how you

can GIVE YOUR CAREER A HEAD START.

DOCC Pre-Med Club Members

Stanford University Pre-Med Conference