se ee mw ee minute news— vol.2 m0320 0 °° _ September 28, 1970, | at AN OVERVIEW OF DIETETICS ACTIVITIES IN RMP. eee Tes “was an interesting highlight of the Conference held September 15, I6 and I7 to help dietitians in leadership positions become better informed about RMP, Sponsored by the L, A. District of the California Dietetic Association under the leadership of Jessie C. Obert, Ph.D., R.D., Chairman of the Committee for RMP, the triple meetings attracted a lively group of participants interested in explori ng ways in which dietitians can help the purpose of RMP. . Miss Julia J. Kula, MPH, RD, Allied Health Spectalist with the Continuing Education and Training Branch of DRMP noted that initial emphasis in RMP planning responded to the training needs of physicians, later for nurses, and, more gradually, for the other allied health disciplines. Miss Kula observed that projects involving dietitians and nutritionists are now gaining more visibility i in RMP through activities conducted under planning or developmental grants and funded projects. In each of the programs de~ scribed below, Miss Kula said, representatives of the RMP's .and the dietetic profes- sions, working together, identifi ed not only what needed to be done in the area of nutrition, but also showed how it could best be accomplished within the framework ~_F RMP: California RMP = A training project on Comprehensive Care of. Patients with Hyper. fension is being carried out by Area I = San Francisco,’ A multi-professional staff ( physician, nurse, public health nurse, nutritionist, social worker, biostatistician, and others) give weekly demonstration clinics with associated seminars in hospitals. o ‘Meekly inpatient:rounds are being held in four hospitals and at least two > large multi- ~ professional workshops have been held. © S ee “Albany RMP = One project ‘involves the use 6 of 2-way radio. conferences i in 43 hos- pitals, located in the 24 counties of the Region. A consulting Group: (members from= the State Bureau of Nutrition, | dietitians involved in’ administration in large hospitals, clinical and therapeutic dietetics, an instructor of nutrition in.a school of nursing, — representatives from the School of Home Economics of a state university and from two district dietetic associations) is conducting programs, ’ planning Projects, and document- ing the training needs for the dietetic professions. ae “ - “eonfinved nat pose) "Services, a booklet o1 on ‘Management of Diabetes for physicians and medical student booklet entitled "Diet and Kidney Disease”. and a selection of stamp-size food, ille ‘trations in color to. illustrate meal planning for. diabetic patients having limited reading ' ability or loss of visual acuity. ca “ for family meals and commercial. food products. 2 Continuing Care Unit for convalescence and extended care of patients, with chronic ““iIhess and disabilities. The Unit is staffed by an interdisciplinary. team, of which ~ Intermountain RMP. (Utah). ~ Tworway. radio programs are ‘plenned by di dietitians fo “once a month broadcasts to 60 outlying hospitals. Another contribution is an illus , ‘ trated pocketbook entitled "Food and You=-Nutrition i in Diabetes” developed through _ Cooperative . efforts. ‘of dietitians ‘experienced i in the diet. ‘counselling of diabetic-youth 5 and. their families and, intended, 5.0. ref srence int h p tient! s home. Kansas RMP. _ ... working with representatives of the s state dietetic Gnd hospital ass ja- tions; has developed: an educational. program for’ food service personnel i in the western portion of the state where there is a drastic shortage of all health personnel and ver ” few registered dietitians. A second project sponsored ¢ a two-week institute in applied therapeutic nutrition, with emphasis on physiological, biochemical ‘and sociological aspects of food. for. normal and modi fi ed diets duri ng systematic ma ‘function. North Carolina RMP.- | has de veloped, through diabetic. consultation and education Oregon RMP =A: cooperative venture by physicians, nurses, dietitians and professi C nal - educators frém local ‘hospitals, health’ department, ‘and medical societies offers. an “edu- cational program to extend nutrition services to the petiphery | areas of the larger com- munities. Included are diabetic meal plans, exchange lists, ‘food | preparation. methods Connecticut RMP -. have developed and are contributing to the operation ‘of a special the dietitian is an ‘important mémbet,” ‘actively participating in nutritional care of “the patients, unit rounds, case “gonferences and dietary counselling. : The Unit involves a major community, hospital i in ‘cOopétative arrangements: with local extended. care fo cilities, ‘nursing homes and public health nursing agencies. . eer By re creation, , etc. AREA V_ REGIONAL ‘MEDICAL PROGRAMS mee fo. CALENDAR: September, October 1970. ‘Categorical Heart ao Committee 0 55 hood ka See LA 7 International, Hotel, spy Fo. Yy 9:30 a.m. ~ 12: 30 pem ~ Organization « and Altport N Marina Hotel, i _ Procedures: | 4 Tuesday, Sept. 29. “Area v Advisory eee 7:30'- 9:00 p.m. ieee RMP Conference Room * Conference Committee . aan | Tinto Oct. 1 SCRE : Staff Consultants - 2. , 5p ps m. «Hilton Inn Friday, ‘Oct. 2 MEA | Committee Chairmen ph ae “Council of Free Cling. ‘Staff Meeting — AREA ADVISORY GROUP. MEETINGS: ~ COMMITTEE CHAIRMEN? S, ‘MEETINGS: REGIONAL: CONFERENCE i ASILOMAR , The Area V Ad Hoc Committee’ on Allied AREA V SOCIAL WORKERS “alth. held its 2nd meeting Sept. 2... / sve to her vital role in nursing and allied ~~-health-and to complement her chairman- ship of the Health Manpower Committee — - of Comprehensive Health Planning, Mrs. ~ Lola Marshall has been asked to chair this committee... Dan Grindell, tin Luther King, Jr, Hospital has also been invited to join the group in their deliberations. Staffer Dorothy E. Anderson ‘reports that the plan of action beginning to emerge centers around a plan for an inter-professional council to define various professional needs and goals:, and to develop programs for al- lied health personnel and technicians. Among the suggestions being considered is that of a computerized registry of needs of health professionals, by loca- |. ; tion, both for the present and projected for five years; seminars in which phy- | sicians and allied health people might discuss new roles, how current roles «.. can be extended, .and preparations for change, the utilization of community — health people, a career ladder con- cept of health consorti um in coopera- ‘ton with j junior and senior colleges, universities and the community. At-. tending the.meeting were Bertell WwW... Ferguson, DDS, Mr. Edgar. Rodriguez, Robert Je ‘Schroeder, DVM,’ Clyde E. 5 Meadors ACSW and d Wen. A. Ken MeClain, Program Director of LA ae County. Heart Association will repre~ ~ sent that. ‘organization ¢ on the Cardiac” ~ Coordinating Committee, replacing” Lee Horney | now on. Area IV staff. Coor- dinator, Allied Health Professions, Mar- Markey . 7 : a _ able medical and health’ care ‘servi ~ that: assistance be offered to ELA \ “They o urged, in connection vith th E Demonstration of Health Care for Se ior Citizens, a specification that th social worker be bilingual and pre ~ ably a Mexican American and/or. knowledgeable about ELA and tha bilingual social workers with a BA and. experience be eligible for appointment Finally, they recommend support of __ proposal for the funding of a field _unit of graduate students from USC School of Social Work. Specia phasis was placed on the need ong opportunities: for Mexican Ar : a 7 te o® “A ; AREA v / ADVISORY GROUP ae hos approved for submission at the: : 7 review of CCRMP the proposal | Fae Teaching Program." A second f pi ccorplorieed eco oalyals for New developments and priorities on the “national level which have potential signifi- © bo _ cance for continuing education & training » was the subject of discussion for an Ad (oc Advisory. Group on. Continuing Fdoca- ve _ tion convened in Washington Sept. [by = Cecelia ‘Conrath, Chief Continuing Edu-. ot cation & Training Branch, RMP. Dr. Don- oa ald W. Petit, Area V Coordinator, was member of the group which was chaired by for Study of Medical Education, U of Ill. Medical Center.) Other members were Miss - Margaret Arnstein, (Dean of Yale School of Nursing) Anne Pascasio, PhD (Dean, School of Health Related Professions, U of Pitts- burgh) J. Warren Perry, PhD, (Dean School . of Health Related Professions, U of NY at Buffalo,) Donald H. Williams, MD, (Dir- 4 ector, Div. of Continuing Education in the - Health Sciences, U of British Columbia, Canada) Myron E, Wegman, MD (Dean, | School of Public Health (U of Michigan) and S Wm. $. Vaun,; MD (Director of Medical Education, Monmouth Medical Center, Long Branch, New Jersey. ys A (Dr. Petit reports that Dr. Harold Margulies a a _ that this treatment restores patient _ better function than existing ECF. reha care. If this is proved, funds will : . sought to support this sree. Al “(Acting Director of RMP) was present for. most ofthe day and set the stage for dis~.: ‘cussion with the expressed. hope that from this meeting there might emerge some idea _~of the policies and skills in ‘continuing edu- _ sation necessary. to meet. RMP objectives. ~ He: ‘saw. "RMP as an ‘institutional device to. effect a change in the system of care in ‘ferms ‘of utilization of manpower, access, etc. A formal report of the general discussions which “centered on continuing education of the health team as a team, ‘inter-relationships “between the allied professions, Inter-.” _ Regional activities,’ ‘etc. has been promise ‘and will be reported i in a later i issue. _ STROKE ACTIVITIES « w.6.0..- in Area Vill (Irvine) and Area ae compared “Aug. 27 at a meeting o V Staff. with Dr. Burt Tesman, Chai “and Mrs. ‘Lila Maples, Nurse Coo “nator, of the Area VIII Stroke Com ~ Also: present were representatives fr oS ~ programs--Dr. Singelyn and Mrs. ~ Gale (Presbyterian Inter-Commun — ’ - . Miller (Director of the Cent po _ Pte George UM er (Director of the Cen et, pital, Whittier) and Joan. Mitchell. Area VIII program involves the uti ing as originally perceived, with: about also planning a mobile unit whi. be staffed with multidiscipline pe ~-nel who will treat all stroke Medi patients in certain ECF's. five Hime hospitals in which Area V has pilot Community Hospital of San Gabriel tion of trained teams--a physician, . nurse, _and physical therapist--from each hospi- - tal, ‘An indication of the effort requi ired to "sell" this concept is evident from Dr. Tesman's statement that, after about a year's operation, of the 5 hospitals _ participating, only one team is function- six almost ready to start. Area VII week.for 90 days. It is hoped to VW minute news Published by CALIFORNIA REGIONAL MEDICAL PROGRAMS AREA V UNIVERSITY OF SOUTHERN CALIFORNIA SCHOOL OF MEDICINE AREA OFFICE 1 West Bay State Street Alhambra, Calif, 91801 Telephone (213) 576-1626 Editor — Elsie McGuff Area V Staft Donald W. Petit, M.D. William A. Markey, M.S. Russell D. Tyler, M.D. Frank F. Aguilera, M.P.A. Dorothy E. Anderson, M.P.H. Kay D. Fuller, R.N. Leon C. Hauck, M.P.H. John $. Lloyd, Ph.D. Elsie M. McGuff Clyde E. Madden, A.C.S.W. Toni Moors, B.A. Robert E. Randie, M.D. Vivien E. Warr, RN. Area Coordinator Deputy Coordinator = - Operations Division Community Programs Community Programs Nursing Health Data A. Evaluation Communications Social Work Community Programs Continuing Education Coronary Care Programs Conunittee Chairmen Area Advisory Group Cancer Chronic Disease Cardiac Continuing Education Hospital Administrators Library Services Nursing Stroke Systems & Computers Social Workers Chester A. Rude Lewis W. Guiss, M.D. -. Russell D. Tyler, M.D. George C. Griffith, M.D. Phil R. Manning, M.D. Henry B. Dunlap, M.P.H. John M. Connor, M.A. = Fotine O'Connor, R.N. Robert H. Pudenz, M.D. Lee D. Cady, M.D. Bernice W. Harper, A.C.S.W.