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Spring 2012
 

Nurse Managed Health Center provides service while also educating students


The Nurse Managed Health Center (NMHC) at the University of Delaware was launched in August 2010 to provide health care for UD employees on campus, but the center is also providing a valuable interprofessional education opportunity for UD students.

During January 2012, the NMHC conducted physical exams and fitness testing for the 45 officers in the UD police force, with graduate students from three academic units in the College of Health Sciences participating in all aspects of the screenings under the direction of NMHC director and nurse practitioner Allen Prettyman.

Nurse Managed Health Center
Alex DelCollo, a student in the health promotion master's program, checks an officer's pulse before conducting fitness tests. [Photo by Kathy Atkinson]

Through the program, graduate students in kinesiology and applied physiology performed treadmill exercise stress tests; students in the graduate nurse practitioner program performed physical exams and assisted with stress testing; and graduate students in health promotion, working through UD's Employee Wellness Program, gained experience with biometric measurements and health education. In addition, undergraduates in medical technology collected blood samples, performed routine urinalysis, and processed and prepared laboratory samples.

Programs enriched by hands-on clinical experience

"Interprofessional education has been endorsed by the Institute of Medicine as a mechanism to improve the overall quality of health care," said College of Health Sciences Dean Kathleen Matt. "The project with UD Public Safety is a great example of an academically enriching interdisciplinary program for our students, that also provides a medical screening service for an important segment of the University community."

Bethany Hertzog and Kayla Andrews, students in UD's clinical exercise physiology master's program, assisted with exercise stress testing for the officers.

"This program is enabling them to see in real time some of the things they're learning about in class," said Associate Professor Shelley Provost-Craig. "In some instances, they're observing symptoms that they might otherwise only read about in a book, and they're learning what they should do in these cases. It's also a nice experience for them to interface with students in other health care disciplines."

Nurse practitioner student Amanda Galloway works in the medical intensive care unit at Christiana Care, where she sees only very sick patients. "Here, I'm working with people who are mostly healthy," she said. "The experience I'm gaining in performing routine physicals is good practice for what I'll be doing when I graduate."

According to Kathy Corbitt, director of UD's Employee Wellness Program, the current program builds on an existing physical assessment protocol that her office had been conducting for the UD Police over the past four years.

"Through our new partnership with the College of Health Sciences, we were able to expand the existing protocol and provide the officers with a very comprehensive physical to include labwork and stress testing, among other things," she said.

"Our portion of the appointment assesses their individual fitness level in the areas of muscular strength, endurance, flexibility and body composition. Together, the entire experience provides them with a better understanding of both their individual fitness level and their overall health. Our staff and students take time during the appointment to discuss their current fitness regimen and set goals to prepare them for their annual fitness test in the spring."

Benefits to the UD community

For the UD police officers, the program enabled all of the required annual health services to be provided under one roof in one coordinated appointment. "By its very nature, police work can have a profound effect on an officer's health," said Chief Patrick Ogden, director of Public Safety at UD. "Officers encounter many challenges to their health that include shift work, physically demanding tasks, exposure to the outdoor elements, and the responsibility of making life-and-death decisions at any moment of their tour of duty, all while maintaining their own safety."

"A large part of an officer staying safe is by being healthy and staying physically fit," he added. "This annual assessment allows officers to maintain a level of health and physical fitness that will help them make it home safely to their families and loved ones at the end of each tour of duty."

By Diane Kukich

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