Latest / Becker’s Healthcare Podcast / Richard Evans, MD, FACS, of Westchester Medical Center Health Network’s Western Region and Assistant Professor at New York Medical College
Transcript
- 0:00This is Laura Dierda with the Becker's Healthcare
- 0:02podcast.
- 0:03I'm thrilled today to be joined by doctor
- 0:05Richard Evans, who's a physician at Westchester Medical
- 0:07Center Health Network Western Region, as well as
- 0:10assistant professor at New York Medical College. Doctor
- 0:13Evans, it's a pleasure to have you on
- 0:14the podcast today.
- 0:15Oh, thank you. This is so exciting, and
- 0:17I appreciate you having me.
- 0:19Absolutely. I'm excited to have our conversation today.
- 0:21I know we're gonna be talking a lot
- 0:23about the mini medical college, that you're working
- 0:25on and and some of the cool things
- 0:26that you're doing there in order to bring
- 0:28high school students into the medical field and
- 0:31profession. But before we do that, can you
- 0:33tell us a little bit more about yourself
- 0:34and your background?
- 0:36Sure. As you stated, I am a urologist.
- 0:38I am an assistant professor of urology with
- 0:40New York Medical College
- 0:42and a hospital administrator with Westchester Medical Center
- 0:45Health System,
- 0:47with multiple roles, including director of the Midi
- 0:50Medical College,
- 0:51administrative director of robotic surgery,
- 0:54and the director of the Bublitz Medicine Surgery
- 0:57Program.
- 0:58I'm also the cofounder of the Family First
- 1:01application,
- 1:03the provided to family communication software solution for
- 1:06hospital systems.
- 1:08You know, my two roles as a practicing
- 1:11clinician and hospital administrator give me a unique
- 1:14vantage point
- 1:16to see both the workflow
- 1:17and the work flaws in care delivery.
- 1:20More importantly, they allow me to translate those
- 1:23insights into practical,
- 1:25actionable
- 1:26solutions.
- 1:27So what became clear is that many of
- 1:29these challenges, especially workforce shortages,
- 1:33cannot be solved inside the hospital alone.
- 1:36And that realization is one of several driving
- 1:39forces
- 1:40in order to create the Mini Medical College,
- 1:43building a pipeline
- 1:45by reaching students earlier and inspiring them to
- 1:48pursue careers in health care.
- 1:52That's amazing to hear. And, you know, such
- 1:53a critical time right now, and I know
- 1:55so many,
- 1:56hospitals and systems
- 1:58in health centers across the country are,
- 2:01really experiencing
- 2:02shortages
- 2:03of clinicians as well as staff across the
- 2:05board. And so being able to bring more
- 2:07people into health care is so, so important.
- 2:09Can you tell us about the Mini Medical
- 2:11College? How did you build the program, and
- 2:13and what are,
- 2:15some of the ins and outs of it?
- 2:17So the Mini Medical College is a program
- 2:20that essentially brings
- 2:22medical school to the high school students.
- 2:25It's a series of 30 presentations
- 2:28which include
- 2:30presentation lectures, but also a lot of hands
- 2:32on training
- 2:33to the students.
- 2:34And it works to
- 2:36engage them
- 2:38interactively
- 2:39and to learn about the medical field.
- 2:42And it started off with really one school
- 2:45in one county in New York
- 2:47and without advertising,
- 2:49it's just really by word-of-mouth from school to
- 2:51school, parents to parents and other students and
- 2:53then,
- 2:54newspaper articles, television
- 2:57stories. Now it's built up into
- 3:00two states, New York and New Jersey,
- 3:0210 high schools,
- 3:03and it's
- 3:05really growing quite rapidly through
- 3:07the word-of-mouth
- 3:09pipeline.
- 3:12Wow. That's amazing to hear. And, you know,
- 3:14incredible growth,
- 3:16since you you launched the program. I'm curious,
- 3:18when you look at the presentations and lectures
- 3:20as well as the, hands on training that
- 3:22they're able to do, could you tell us
- 3:24a little bit more about that?
- 3:25How do you put that together, and what
- 3:27do you cover in these types of programs?
- 3:30Yeah. So
- 3:31essentially, I've been doing this now since 2017,
- 3:34and I've learned a lot about student interaction
- 3:37and what today's student needs.
- 3:39And a lot of it is a reflection
- 3:42of the cell phone
- 3:43background.
- 3:44The students are used to changes and going
- 3:47from one scene to another scene quickly. They
- 3:50need to be engaged.
- 3:51So when I first started off doing just
- 3:53presentations, I noticed it really wasn't enough to
- 3:56engage them.
- 3:57So I brought in a lot of hands
- 3:59on training that totally has hit a home
- 4:02run. So some of the things are I
- 4:04teach them how to suture,
- 4:06how to tie surgeon's knots.
- 4:08I bring in endoscopes
- 4:10and I have multiple stations where I teach
- 4:12them how to perform a cystoscopy,
- 4:14ureteroscopy.
- 4:16And we have baskets and they actually remove
- 4:18stones and marbles
- 4:20from these models that I have developed.
- 4:24And they have so much fun at it
- 4:26that they forget that they're actually learning.
- 4:29And what I do is I'll have one
- 4:30surgeon, one co surgeon
- 4:32and so that it's nice to see the
- 4:34students talking to each other because in school,
- 4:37teachers will tell you students just do not
- 4:39talk to each other.
- 4:40But by making one surgeon a co surgeon,
- 4:43they're actually talking to each other. They're planning,
- 4:45hey, can do you think that stone will
- 4:47fit in the basket? I don't know. And
- 4:49they and they plan together. And when and
- 4:51they celebrate together when they do get the
- 4:53stone out. And I let them keep the
- 4:55stones.
- 4:56It may seem like a small memento, but
- 4:58students have come up to me a year
- 5:00or two later saying, you know, I still
- 5:01have that in my drawer. And I look
- 5:02at it,
- 5:03and it's a a big source
- 5:06of enthusiasm and accomplishment for me. So while
- 5:09we may consider these little things, they consider
- 5:11it really major milestones.
- 5:14That's so cool to hear, and I love
- 5:16how you have adapted the program as time
- 5:19goes on based on what the students' needs
- 5:21and really meeting them in a place where
- 5:23they can have fun and enjoy that learning
- 5:24process and develop that passion for health care
- 5:27that I know is so important.
- 5:29I'm curious, you know, could you tell us
- 5:31a little bit more about the results from
- 5:34the program? What have you seen,
- 5:36not only anecdotally, but anything you can share
- 5:39about the students who then go on to,
- 5:41medical school, and how are you continuing to
- 5:44scale this program across different regions?
- 5:47Well, that's you brought up a lot of
- 5:48good points. And
- 5:50the
- 5:51it's nice to see that many of the
- 5:52students
- 5:54are not interested in becoming a physician or
- 5:56nurse. And the point of the Midi Medical
- 5:58College is not just about an MD or
- 6:00RN degree.
- 6:02They have no knowledge what is a respiratory
- 6:04therapist, what is a physical therapist, what's a
- 6:06phlebotomist.
- 6:07So I bring all of these to the
- 6:09class and I bring them up repeatedly and
- 6:12it really piques their interest about what these
- 6:15specialties are.
- 6:16And so I do have students who get
- 6:18in touch with me, email, and they'll let
- 6:21me know, hey,
- 6:22I went into this field, but I never
- 6:24would have thought about healthcare. I just thought
- 6:26you had to be a doctor or a
- 6:28nurse.
- 6:29So
- 6:30if we don't at least expose the students
- 6:32to all the options that await them in
- 6:34the health care field,
- 6:36how can we expect them to go into
- 6:38a graduate program or to a college program
- 6:42knowing what they want to do if we
- 6:43don't bring it to them in high school?
- 6:45And a lot of this I like, and,
- 6:47actually, this is March Madness.
- 6:48So March Madness has done this quite well
- 6:51for many years, and I think we need
- 6:52to learn from them where the colleges go
- 6:55into the high schools. They look at what
- 6:57what students have potential or have interest in
- 7:00playing basketball, and they cultivate them. They bring
- 7:03them up through the ranks and
- 7:05that's how they get talent. Well, this is
- 7:07something we haven't been doing in medicine, but
- 7:09we really should be doing more on a
- 7:11larger scale
- 7:12and learn from the success of college basketball.
- 7:17Absolutely. That makes so much sense. You know,
- 7:19it's such a a timely analogy when you
- 7:21think about how much talent then comes through
- 7:23the college teams and, you know, it's been
- 7:25just so cool to to watch and see
- 7:27every year. And from the healthcare perspective, when
- 7:29you're going into these schools and,
- 7:32you know, sharing this knowledge in programs,
- 7:36you know, is is it something that you're
- 7:38doing weekly,
- 7:39daily? How does that kind of the cadence
- 7:41of that work? And then, you know, secondly,
- 7:45how do you get the resources to put
- 7:46all this together and and then be able
- 7:48to devote that to,
- 7:50you know, working with the students?
- 7:53So as far as going to this this
- 7:55is a this is a unique program in
- 7:57that I go into the schools and I'm
- 7:59in I'm in the school classroom and it's
- 8:02incorporated into the school's curriculum.
- 8:04So what that does, it takes away any
- 8:07application process. It also takes away from any
- 8:09preselection
- 8:10basis.
- 8:11So any of the students that are in
- 8:13the classroom that never even thought about healthcare
- 8:16and if you don't think about healthcare, how
- 8:17do you know about filling out an application?
- 8:20Why would I apply to a program if
- 8:22I don't know what I want?
- 8:24So the beauty behind it is that I
- 8:26take it to them, to any student who's
- 8:28interested, and so that's why sometimes I'll do
- 8:30multiple teachers
- 8:32and classrooms in one school so that they
- 8:34all can be exposed to it.
- 8:36It allows them to, again, open up their
- 8:38horizons
- 8:41to think about fields that ordinarily they never
- 8:44would have.
- 8:45So for the most part, for the majority
- 8:47of the startup time up until,
- 8:49recently, I've I've been self funded. I've been
- 8:51doing everything myself.
- 8:53But recently now I've merged
- 8:56with Westchester Medical Center where they see the
- 8:59importance of this and they see the results
- 9:01of what's happening. So now we are pulling
- 9:04resources and they
- 9:06have become a full team member for me,
- 9:08so that is going to allow me to
- 9:10take the program
- 9:11to the next level.
- 9:14I have a lot of plans of bringing
- 9:15in artificial intelligence, more hands on training, teaching
- 9:19them how to do laparoscopy,
- 9:20robotic surgery. And this is where I feel
- 9:23our partnership will be quite productive and fruitful
- 9:26together.
- 9:28I love that. Wow. Really bringing that into
- 9:31the current modern day with the new technology
- 9:33and inability to
- 9:34scale smartly.
- 9:36Where do you see the program growing and
- 9:38heading over the next couple years?
- 9:40So I've I've been contacted by hospital associations
- 9:44throughout the country.
- 9:45In fact, I'm I am presenting I was
- 9:47asked to present the program at the VISTA
- 9:49twenty twenty six meeting in Minneapolis.
- 9:52Once the systems hear about it and I'm
- 9:54getting all the contact or the interest,
- 9:57I see this program being scaled nationally, one
- 10:00region at a time,
- 10:02because there's very little cost behind it. It's
- 10:05just a matter of having motivated
- 10:08professors, physicians, nurses who want to partake in
- 10:12in teaching,
- 10:13and then we take it right to the
- 10:15schools where you don't have to build new
- 10:16schools. You don't have to build classrooms. We're
- 10:18doing everything on the school grounds.
- 10:20So I think it's very scalable and at
- 10:22at a very relatively conservative budget, which makes
- 10:26it ripe for scaling nationwide.
- 10:31Absolutely. That makes a lot of sense. And,
- 10:33you know, it's really cool and exciting to
- 10:35see some of those opportunities come to fruition.
- 10:38Before we wrap up here, I wanted to
- 10:40ask you about some of the things you've
- 10:41learned over the years and, you know, what
- 10:44other health systems should know about building similar
- 10:46programs or or striking out and trying to,
- 10:49get into the high schools. You know, love
- 10:51to just gather your thoughts on and any
- 10:54experience that you'd be able to share, and
- 10:56advice that you have for leaders who are
- 10:58trying to do something similar.
- 11:00So I've learned that we need, at least
- 11:03I need constant feedback from the students and
- 11:05from the teachers.
- 11:06I learn so much by talking to the
- 11:09teachers
- 11:10about the classrooms, what the changes they have
- 11:12seen. Because if I just go in with
- 11:15a plan of my own in a silo,
- 11:17it's not going to work. I need to
- 11:19get the experience and the guidance from teachers
- 11:22and also I ask that the teachers send
- 11:24out surveys after each class.
- 11:26I encourage the students, it's always anonymous,
- 11:28so that when I get the feedback from
- 11:30the students, they have some very positive encouraging
- 11:34remarks and building points, and I will always
- 11:38look to change my presentation.
- 11:40So the presentation that is perhaps in my
- 11:42curriculum now, it will look very different in
- 11:45six months. I don't look to be still.
- 11:47I have to keep up and change with
- 11:50the students' interest
- 11:51and also current events.
- 11:53When there's a new story that's on, I
- 11:55convert that
- 11:57into my presentation as fast as possible because
- 12:00that's what the students hear. When they're going
- 12:01through and scrolling through their phones and they
- 12:03pick up on the news,
- 12:05it's best for them to be able to
- 12:07for me to correlate it to something in
- 12:09medicine so that they have it's more tangible
- 12:12for them to understand.
- 12:13So I think it's very important to
- 12:17remain
- 12:18like a rolling stone, always changing, going with
- 12:20the flow, and not to have a set
- 12:22lecture that you say, alright. I'm gonna put
- 12:24that away, and I'm gonna use it over
- 12:25and over because that won't work with the
- 12:27students.
- 12:29I love that. Doctor Evans, thank you so
- 12:31much for joining us on the podcast today.
- 12:32This has been such a a great and
- 12:34fun conversation.
- 12:35I'm curious,
- 12:37is there a website that others can visit,
- 12:39in order to obtain more information about the
- 12:41Mini Medical College?
- 12:42Oh, sure.
- 12:43The website is www.minimedicalcollege.com.
- 12:50And if hopefully, it'll help everyone,
- 12:53build that pipeline to the workforce, which I
- 12:56think is crucial.
- 12:57And one thing, if I can add, I've
- 12:59recently been talking to local colleges that have
- 13:01healthcare programs,
- 13:02and I think it's important that we, I
- 13:04can bring them into the loop so that
- 13:06you have the hospital institution, you have the
- 13:09high schools and you have college healthcare programs
- 13:12that we can all work together. The colleges
- 13:14need the students,
- 13:15The hospitals need future pipeline workers so we
- 13:18can all work together to make this work.
- 13:21Doctor Evans, thank you so much again. The
- 13:24website again is www.minimedicalcollege.com.
- 13:27Visit it to learn more, and I I
- 13:29know you're always open to connecting with, other
- 13:31leaders who are wanna talk through this. So,
- 13:34doctor Evans, thank you so much for your
- 13:35time today, and we'll look forward to working
- 13:37with you again soon.
- 13:39Thank you so much for your time, and
- 13:40I really appreciate everything.