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Rosemary Simone talks with Karen Brewster on April 2, 2006 in Bethel, Alaska about...
1) Her background and how she got involved in the Community Health Aide Program.
Saratoga Springs, New York\ Alaska -- coming to\ Hudson Valley Albany Medical Center\ program -- Physician Associate\ Alaska -- visit\ visit -- date of\ Norton Sound Health Corporation\ Ursinger, Sherry\ Health Aide Program -- head of\ program -- lack of openings\ Albany Memorial Hospital -- work\ call -- long distance\ job -- offer\ job -- curriculum coordinator\ Nome, Alaska\ program -- director\ training -- health aide\ job -- responsibilities\ clinics -- staffing\ personnel -- issues\ clinics -- supplies\ mediation\ facilitation\ staff -- medical\ departments -- needs\ health aides -- schedule\ Women in Cirsis (WIC)\ Infant Learning Program\ Academic Review Committee (ARC)\ curriculum -- statewide\ training -- centers\ training -- modules\ job title -- Community Health Practitioner\ training -- units\ training -- content\ curriculum -- uniformity\ health aides -- needs\ needs -- family\ needs -- time\ retention\ recruitment\ health aides -- support of\ crisis\ needs -- academic\ CHAP directors -- committee\ training -- evolution of\ curriculum -- development of\ CHAP -- directors\ directors -- regional\ Norton Sound\ Yukon Kuskokwim\ North Slope\ Interior\ Sitka|
2) The needs and demands that shaped the formation of different aspects of the Community Health Aide Program.
organization -- startup\ executive directors\ state\ needs\ talking\ sharing\ success\ survival\ decisions\ Health Aide Program\ strategies\ needs\ cooperation\ retention\ health aides -- dedication\ women\ elders\ Ashenfelter, Willa\ pay\ work\ support\ dedication\ Aukognak, Irene -- licensed practical nurse (LPN)\ husband\ marriage\ job\ philosophy\ community -- dedication\ youth -- attitude\ job -- stepping-stone\ family -- needs\ health aides -- retention\ training -- expense\ Curda, Linda\ Heart, Torie\ paper\ funding -- cost per health aide\ teachers -- salary\ equipment\ travel\ salaries\ villages\ health aides -- number of\ schedule -- vacation\ work -- coverage\ sickness\ schedule -- on-call\ emergencies\ impact -- family\ impact -- psychological\ patients -- care of\ patients -- friends\ patients -- family\ work -- hardship\ patient -- abusive\ abuse -- impact of\ retention\ Norton Sound Health Corporation\ health aides -- itinerant\ success -- minimal\ Yukon Kuskokwim Health Corporation\ itinerant -- stress on\ work -- demands\ itinerant -- overwhelming\ itinerant -- travel\ home-base -- lack of\ balance -- family\ work|
3) Ways that the administration of the Community Health Aide Program have tried to make the job more attractive and less stressful.
job -- health aide\ recruitment\ pay -- increase\ benefits\ training\ impact\ state -- evolution\ villages -- jobs\ teachers\ teacher aides\ stores\ competition\ lifestyle\ vacation\ fishing\ health aides\ improvement\ villages -- size of\ health aides -- number of\ coverage\ sickness\ child birth\ health aides -- qualities\ intelligence\ exams\ caring\ people\ dedication\ equilibrium\ family\ job\ demands -- difficulty\ provisions\ job -- time off\ subsistence\ training -- classes\ training -- clinical\ break\ learning -- group\ job -- pay scale\ Norton Sound Health Corporation\ mid-levels -- placement\ villages\ hubs\ health aides -- isolation\ Nome\ weather -- storm\ help\ airplane\ distance -- roads\ mid-level -- physician assistant\ mid-level -- nurse practitioner\ training -- amount of|
4) The duties of health aides and trying to moderate their workload in order to provide quality health care throughout the villages.
Nome\ Unalakleet \ physician assistants -- placement of\ Norton Sound Health Corporation\ Yukon-Kuskokwim Health Corporation -- sub-regional clinics\ Sitka -- clinics\ mid-levels\ Tanana Chiefs Conference -- sub-regional clinics\ North Slope\ mid-levels -- race of\ health aides -- further training\ physician assistant\ licensed practical nurse\ Medex program\ mid-levels -- origin of\ villages\ community -- relationships\ village -- appreciation\ training -- advanced\ Seattle\ program -- physician assistant\ program -- duration\ physician assistant -- training\ training -- duration\ training -- evolution\ experiment\ Vietnam war\ medics\ requirements -- bachelor's degree\ health aides -- intelligence\ health aides -- opportunities\ situation -- difficulty\ education -- distance\ Curda, Linda\ program -- cancer\ discipline\ telephone\ Norton Sound Health Corporation -- Community Health Aide Program\ mediation\ integration\ corporation\ hospital\ health aides -- interaction with\ village -- travel\ health care\ patients -- scheduling\ patients -- check- in\ help\ work load -- additional\ orientation\ village -- expectations\ attitude -- realistic\ health aides -- responsibilities\ job\ families\ guests -- importance\ service\ welcome\ vice president -- joke\ negotiations\ health aides -- protection\ mediation\ job -- limits\ job -- clinician\ medical records\ laboratory\ physical therapy\ pharmacy -- maintenance\ home visits\ visitors\ hospital\ sub-regional clinic|
5) Cultural concerns in the Community Health Aide Program.
doctors -- integration\ training -- orientation\ health aides\ appreciation\ radio traffic\ advice\ direction\ emergencies\ understanding\ skills\ talents\ training -- levels\ support\ doctors -- training\ bush\ ivory tower\ focus -- people\ idealists\ abilities -- appreciation\ Bethel -- move to\ Norton Sound Health Corporation -- director\ move -- reasons for\ people -- contact with\ clinic -- non-tribal\ Bethel Family Clinic -- executive director\ clinician\ medical director -- hiring\ Nome\ Imperial Valley, California\ clinic -- community\ temperature -- extremes\ cultures -- transition\ Niland (?)\ Salton Sea\ community -- ethnicity\ Hispanic\ region -- The Slabs\ World War II\ Quonset huts -- slabs\ Vietnam -- veterans\ homeless\ community -- mixture\ motivations\ marriage\ Alaska -- missing\ O'Neil, Karen\ job -- offer\ job -- director\ Unalakleet -- physician assistant|
6) The future of the health aide program.
health aide program -- future\ retention -- issues\ job -- evolution\ people -- local\ training\ mid-level practitioners\ time line\ needs -- private lives\ knowledge\ expertise\ bush -- proximity\ travel -- efficiency\ Savoonga\ airplane\ Medevac\ flight -- duration\ airplanes -- types\ changes\ expectations\ health aides -- capabilities\ health aide -- evolution\ sophistication\ knowledge\ training\ medicine\ frontier\ villages -- future\ world -- change\ factors -- economics\ youth -- retention\ culture\ health care -- availability\ clinic\ idealists\ problems\ training -- costs of\ benefits\ candidates -- pool\ needs -- support\ health aides -- voice\ Native corporations\ Alaska Native Health Board\ communication|
7) Support for health aides in crisis and trauma situations.
support\ difficulties -- psychological\ CHAP director\ employee assistance program -- call-in\ Norton Sound Health Corporation -- coordinator instructors\ director\ availability\ talk\ crisis -- death\ crisis intervention team -- deployment\ provider -- mental health\ provider -- emergency medical services\ administration -- representative\ provider -- behavioral health\ health aide department\ health aides -- relief\ trauma -- recovery\ problem -- personal\ vice-president -- travel\ health care -- providers\ health -- issues\ stress\ statistics -- health reports\ trauma -- numbers of\ suicide -- numbers of\ Alaska -- rank\ patient -- care\ patient -- family\ patient -- friends\ emotions -- post-ponement of|
8) How the community health aide program has served as a role model or template in other countries.
Community Health Aide Program -- unique\ role model\ Micronesia\ group -- visit\ health aide program -- template\ factors -- differences\ airplanes\ boats\ similarities\ nations -- Africa\ nations -- Near East\ villages -- remote\ Curda, Linda\ manual -- orders\ manual -- “CHAM”\ programs -- implementation\ program -- influence\ life -- enrichment\ people\ courage\ dedication\ health aides -- qualities of\ acceptance\ faults\ Aukongak, Irene\ Ashenfelter, Willa\ Buck, Rita|
9) Lessons she learned as a director and why she feels blessed to have come to rural Alaska as part of the community health aide program.
work -- director\ lessons\ health aide -- work\ work -- attendance\ work -- absence\ domestic violence\ judgement\ point of view\ facts\ meetings -- statewide\ Community Health Aide -- directors\ job -- turnover\ directors -- background\ medical\ administrative\ career -- choice of\ college -- grade point average\ medical schools -- application\ rejection\ American Medical Association (AMA) -- publication\ medical schools -- list\ minorities -- acceptance\ program -- physician assistant\ parents -- background\ mother -- registered nurse\ father -- funeral director\ ambulance\ birthdate\ siblings\ brother -- engineer\ Alaska -- rural\ Nome\ stoplights -- lack of\ beach -- fire\ permit\ freedom\ responsibility\ government -- role of\ care\ control\ inquiries -- destination\ activity\ search\ community\ health aide program -- involvement with\ Curda, Linda\ Johnson, Walter| |