Physician Workforce Studies

Name in Full: Robert Charles Bowman, M.D.

Addresses:

University of Nebraska Department of Family Medicine      3333 S. 114^th St.

983075 Nebraska Medical Center                                     Omaha, NE 68144

Omaha, NE 68198-3075                                                   (402) 697-9557

(402) 559-8873 fax 559-8118

rbowman@unmc.edu                          

Web site http://www.ruralmedicaleducation.org

Place of Birth: Texas City, Texas

Texas City High School, Salutatorian, Texas City, TX 1969-1972

Lamar University, B.S. in Chemistry, Cum Laude, Beaumont, TX 1972-1976

Baylor College of Medicine, M.D. Degree, Houston, TX 1976-1980

McLennan County Family Practice Residency, Waco, TX 1980-1983

Research and Teaching Fellowship in Family Medicine, Waco, TX 1988-1989

Masters in Public Health graduate courses 1989-1992

Primary Care Health Policy Fellowship, Public Health Service May 1992

Directed Minifellowship in Rural Family Medicine at East Tennessee State 1990-1992

Education for Ministry Graduate (Lay ministry course) 1983 - 1987

Academic Appointments:

Associate Professor in the UNMC Department of Family Medicine 1992 – present

Appointment in Preventive and Societal Medicine Department

Assistant Professor in the ETSU Department of Family Medicine 1989-1992

Assistant Professor in the Baylor Department of Family Medicine 1987-1989

Instructor for the Department of Community Medicine 1987-1989

Assistant Clinical Professor, Bartlesville Family Practice Residency 1983-1986

Diplomate, American Board of Family Practice September 1983 - 2011

Certificate of Added Qualifications in Geriatrics September 1997 - 1999

Texas State Board of Medical Examiners F6467 August 24, 1980 - August 31, 1992

Oklahoma State Board of Medical Examiners 14485 September 1983 - September 1988

Tennessee Board of Medical Examiners 019490 February 1989 - December 1992

Virginia Board of Medical Examiners 46009 March 1991 - April 1994

Nebraska Board of Medical Examiners 19021 January 1993 - present

Contract for $17,000 from the Federal Office of Rural Health Policy in 2005 to involve studies of birth origin, family medicine choice, and rural workforce.

Agency for Health Care Policy and Research - Project director for the Rural Managed Care Center Project, a 5 year demonstration project involving the facilitation of managed care in rural communities in Nebraska and Iowa, awarded to the Center for Rural Research in the Department of Preventive and Societal Medicine and funded for $1.2 million dollars for 1994 - 1999, involving .15 to .4 FTE, assisted in writing the grant and in community activities

Health Care Financing Administration - Project director of this 3 year project to study referral decisions in rural physicians, awarded to the Center for Rural Research in the Department of Preventive and Societal Medicine and funded for $124,000 for 1995 - 1997, involving .05 to .10 FTE. Assisted in writing the grant and in community activities

National Health Service Corps Fellowship grant - Co-author and director of Community Connections, the Nebraska version of the SEARCH program, awarded to the UNMC Department of Family Medicine and funded for $130,000 - 155,000 annually from 1993 - present, involving .05 to .15 FTE. Trained students and coordinated community activities.

Bureau of Health Professions Division of Medicine Faculty Development Grant, Co-Author and Director of the Program, worked with Gary Burkett, research director, to obtain the grant to develop a Minifellowship in Rural Family Medicine at East Tennessee State Department of Family Medicine, approved and funded for $300,000 for 1990 - 1993, .25 FTE. The minifellowship has continued on an informal basis since this time in workshops and presentations and rural medical education efforts on a national level..

• Rural practitioner, established the Family Medical Clinic of Nowata, OK 1983 - 1987

• Rural Locum Tenens 1992

• Consultant for state primary care workforce efforts in New Mexico and Virginia 2007

• Consultant and Plenary Speaker for the Old Premeds Association June 2006

• Consultant for Lake Erie College of Osteopathic Medicine Accelerated Track, initiated 2006

• Visiting speaker for the Student National Medical Association Regional meeting in Omaha

• Consultation to Trover in Madisonville KY July 27 - 29, 2005 and Grand Rounds on Moving to a Complete Physician Distribution Package

• Nebraska Behavioral Health Reform Project Academic Support Work Group Participant 2004 -5

• Commencement Speaker for Minot Family Medicine Residency June 2005

• National Rural Health Association Rural Workforce Task Force 2005 - 2006

• Chair of Society of Teachers of Family Medicine Group on Admissions 2004 - 2007

• Chair of Society of Teachers of Family Medicine Group on Rural Health 1992 - 2005

• Co-Chair of the Rural Medical Educator Group of the National Rural Health Association 1999 – 2003

• Associate Editor, North American Region, for International Electronic Journal of Rural Health, Rural and Remote Health, December 2000 to present, Acting Editor for some articles

• Multiple Journals Reviewed: Journal of Rural Health, Rural and Remote Health, Family Medicine, Annals of Family Medicine

• Consultant to Florida State Medical School regarding Rural Medical Education, October 2000

• Interim Chairman of the Rural Medical Educators Special Interest Group of the National Rural Health Association September 2000 - 2001

• Interim Director National Association of Rural Medical Educators, February to September 2000

• Consultant to the University of Texas Medical Branch rural programs, December 1999

• Consultant to the University of Minnesota, specifically an external reviewer for the Rural Physician Associate Program, September 1998.

• Consultant for the Wisconsin Rural Training Track programs, April 1998.

• Co-author of Federal Office of Rural Health Policy publication regarding Barriers to Rural Graduate Medical Education Programs, October 1997. Barry Saver at the University of Washington was the principle investigator.

• National resource since 1992 to prepare and distribute information to all family practice residencies, departments, organizations, and student interest groups regarding including information that can assist students with choosing rural programs, national newsletter, and list serve.

• Visiting professor to the University of Kansas, the University of Iowa (Jan. 1998), Kirksville College of Osteopathic Medicine, and Marshall University. Consulted to evaluate the rural graduate rotations at the Oklahoma State College of Osteopathic Medicine 1996.

• Consulted regarding the following family medicine residencies to help them develop rural programs: Tallahassee FL, Terre Haute IN, East Carolina, Michigan State, North Colorado, Alaska, University of TN at Memphis, Memorial Southwest in Houston, Univ. of Oklahoma, UTMB Galveston, Michigan State

• Expert Witness regarding national antitrust case involving the treatment of rural practitioners and other topics in rural health from 1994 - 1997

• Elected to Rural Health Policy Board for the National Rural Health Association 1991 - 1992

• Consultant and site evaluator for the Health Resources and Services Administration Interdisciplinary Training Grant 1990 - 1991.

• Received a Clinic Superperformer Award 2007, nominated by other Clinic Personnel

• Successfully Nominated UNMC Department of Family Medicine for Program of the Year Award from the National Rural Health Association, the Department received the award for 2001

• Award for Highest Achievement given by the Public Health Service  for direction of UNMC’s version of the National Health Service Corps SEARCH Program titled the Community Connections Fellowship Program 1995

• Outstanding Faculty Member in the Johnson City Family Medicine Residency Program 1992

• Public Health Service Health Policy Fellowship 1992, nominated successfully by the National Rural Health Association

• Board Member of the Texas Rural Health Association 1987 - 1990

• First elected Delegate from the newly created Young Physicians Section to the American Medical Association House of Delegates, served from 1987 - 1989

• Outstanding Kiwanian of the Year in for Nowata Kiwanis 1986

• Ehlers Award for Outstanding Surgery Student at Baylor College of Medicine 1979

Memberships in Professional Societies:

• American Academy of Family Physicians 1980 - present

• Society of Teachers of Family Medicine 1983 - present

• National Rural Health Association 1986 - present

• Christian Medical and Dental Association 1987 - present

• American Public Health Association 1989 - 1992

• Nebraska Academy of Family Physicians 1992 - present

• Nebraska Rural Health Association 1993 – present

• Rural Medical Educators 2000 - present

• National Association of Advisors of Health Professionals 2002 - present

• Behavioral Health Workforce Subcommittee for the State of Nebraska 2004-5

• Nebraska Health Reform Group participant

• Recruitment and Retention Committee of the state health department 1995 - 1999

• University of Nebraska Medical Center Rural Task Force 1993 - 1995

• Member Institute of Agriculture & Natural Resources Health Policy group 1995 - 01

• Chairman’s Advisory Group at UNMC Dept Family Medicine 1993 - 2004

• Admissions Committee at James H. Quillen College of Medicine 1991-1992

• Advisor (through phone and web and list serves nationwide) to college health advisors, rural students in high school and college interested in medicine and their parents, medical students and residents interested in rural practice, and rural physicians and communities

• Arranged dozens of projects in inner city and rural locations involving medical students working with community contacts through the SEARCH National Health Service Corps program and Senior COPC elective 1997 - 2001

• Medical Missionary to Haiti February 2000

• Director of the annual Rural Recruitment Fair involving over 20 rural communities, primary care residents, and medical, physician assistant and nurse practitioner students 1993 - 2001, including materials and web site listings

• Outreach visits to rural communities and colleges and high schools regarding community projects, rural medical education, managed care, recruitment, and increasing the probability of rural student admissions to professional school  1991 - present, also seminars with reservation students from middle school to college

• "Career in Medicine" talks to over 100 rural high school students yearly attending the Career Fair at Chadron State College and also at UNMC Rural Health Career Fair, information also goes regularly to all college health career advisors through their list serve 1997 - present

• Co-Sponsor of Student Association for Rural Health at UNMC work with UNMC students with efforts to assist rural high school students interested in rural health careers

• Christian Medical and Dental Society Faculty sponsor at Nebraska and ETSU 1987 - 1997

• Habitat for Humanity participant 1996, 1998

• Rural Health Education talks to local extension groups and also to the

• Invited Speaker for Annual Farm Bureau Conference in Phoenix, Arizona 1991

• Co-Founder of Nowata Community Services Organization 1986 - 1987

• Authored 2 rural health resolutions regarding One Zone Medicare reimbursement and equity for rural physicians and hospitals, passed by the Oklahoma Legislature 1986

• Weekly Health Columns for the Nowata Daily Star Newspaper 1984 - 1987

• Bowman, RC  Continuing Medical Education as a Map to Guide Rural Physicians, Rural and Remote Health, 2007 7(2) 775

• Bowman, RC New Models or Remodeling Students or Both? Rural and Remote Health, 2007 7(1) 722

• Bowman R. How Good Is Good Enough? Virtual Mentor. 2005; 7(7).
  Available at: HTTP://www.ama-assn.org/ama/pub/category/15218.html.

• Bowman RC, Crouse BJ Community-Driven Medical Education: The Rural Component, Journal of Rural Health, Summer 2003 http://www.nrharural.org/JRH/JRH19-3/rurh-19-03-214.pdf

• Stageman JH, Bowman RC, Harrison JD. An accelerated rural training program. J Am Board Fam Pract. 2003 Mar-Apr;16(2):124-30.

• Phillips DM, Henning G, Bowman RC, Wheat JR. Agromedicine program development: a commentary and book review. Journal of Rural Health, 2002 Winter; 18(1):15-17.

• Bowman, RC  Impact of Medical Students on Rural Preceptors Its Time for Better Evidence, Rural and Remote Health  1(1) 199.

• Bowman RC, Penrod J. Family practice residencies and the graduation of rural family physicians. Family Medicine 1998, 30(4):288-92. Fam Med Res Prog and Graduation of Rural Family Physicians 1997

• Saver B, Bowman RC, Hart G, Barriers to rural graduate medical education, Report of the Office of Rural Health Policy to Congress, 1998

• Bowman RC, Crabtree BF, Petzel J, Hadley T. Meeting the challenges of workload and building a practice: the perspectives of ten rural physicians, Journal of Rural Health 1997:1;71-77.

• Bowman RC. Continuing family medicine’s unique contribution to rural health care. American Family Physician Medicine and Society Feature Editorial, American Family Physician 1996;54:471-483.

• Bowman RC. Careers in Rural Health. Journal of the Student National Medical Association, Summer 1993.

• Bowman RC. Tennessee Academic Initiatives. Academic Medicine 1989:65;12 suppl:S 75.

• Miller L, Bowman R, Bakht F. Sparing effect of sulindac on lithium levels, F. The Journal of Family Practice 1989:28;5; 592-593.

• Miller L, Bowman R. Selected effect of diclofenac in treatment of osteoarthritis versus dysmenorrhea. Journal of Clinical Pharmacology 1990; 30:378-379.

• Miller L, Bowman R, Mann D, Tripathy A, Fluoxetine-induced serum sickness-like reaction, Journal of Psychiatry 1989;146:12.

• Age and FP Physicians

• Birth Origins and FP Choice

• Physician Workforce Studies

• Patterns of Rural Workforce

• Asians in Education and Medical Education

• Admissions Ratios and US Medical Students

• Accelerated Family Medicine Training Programs

• Changing Rural Background and impact on Medical Education

• Bowman FP Grad Studies 2004

• FP Graduates 1997 - 2003 Summary Tables

• Family Medicine Physician Distribution - Recent Graduates 1997 - 2003

• Why a Preceptorship Is Better  – review of rural preceptorships and studies documenting the value

• Rural Faculty Development through a Minifellowship in Rural Family Medicine

• Practice Mobility in a Cohort of Primary Care Physicians

• Rural Medical Education Chapter for Association for Hospital Medical Education Guide to Medical Education in the Teaching Hospital 2006

• Pancreatitis and Pancreatic Cancer, Family Medicine 1994, Robert Taylor, Editor.

• Physician Distribution By Concentrations" Primary Care Methods and Statistical Research Meeting  San Antonio, November 2007

• "Deal or No Deal: Primary Care" New Mexico Primary Care Provider Development and Training Summit, Silver City NM, November 2007 Keynote Speaker

• "Shaping a Nation with Selections: Society of Teachers of Family Medicine Annual Predoctoral Conference, Memphis TN, Seminar, Robert Bowman, Matt Hunsaker, John Brandon, and Katherine Margo

• "Advantages of Older Graduates, "Old Premeds Plenary, Washington DC June 2006,

• "Rural Logistic Regression" Association of American Medical Colleges Annual Workforce Conference, Rockville MD, May 2007.

• "Research By the Ages," Society of Teachers of Family Medicine Annual Spring Conference in San Francisco, April 2006

• "Birth Origins and Careers," Society of Teachers of Family Medicine Annual Spring Conference in San Francisco, April 2006

• "Age and Career Choice," Society of Teachers of Family Medicine Annual Spring Conference in San Francisco, April 2006

• "Rethinking Priorities: What will it take to produce a physician workforce for the underserved?," with Joshua Freeman, Janice Benson, Robert Ferrer, Society of Teachers of Family Medicine Annual Spring Conference in San Francisco, April 2006

• All Programs Meeting of the Federal Office of Rural Health Policy at the Grand Hyatt, "Changing Admissions, Changing Workforce" Washington DC September 2005

• Federal Office of Rural Health Policy "Changing Rural Physician Workforce: Reimbursement, Admissions, and Training Issues" with Bruce Behringer, Conference Call Presentation January 31, 2005

• Virginia Rural Health Association Presentation and Keynote "Changing Medical School Admissions" and "Virginia Rural Communities Can Recruit and Retain Physicians" November 17 -19 2004

• Federal Office of Rural Health Policy "Birth Origins and Rural Workforce" March 2004

• "Preparing Providers for Frontier Practice" Speaker for workshop at National Rural Health Association Annual Meeting, Salt Lake City May 2003

• "Restoration: the Role of Rural Family Doctors", invited presentation to the annual meeting of the Canadian Family Physicians at the Rural Medical Educators Day, Keynote speaker, Montreal, November 2002   Restoration of Communities, Nations, People: Role of Rural Family Docs

• "Community-Driven Medical Education" presentation at Rural Medical Educators national meeting May 15, 2002 in Kansas City at the National Rural Health Association Conference

• "Rural Faculty and Rural Faculty Development" invited presentation at the Rural Graduate Medical Education Conference in San Antonio, February 2000, also on planning committee for conference  Minifellowship updates

• "Rural Family Practice" invited presentation, Annual Meeting of the American Academy of Family Physicians in New Orleans, October 1996.

• "Preparing for Rural Family Practice" coordinator and speaker at invited workshop, National Congress of Family Practice Residents and Students in Kansas City each year from 1988 - 2000.

• "More Rural Doctors Through Partnerships Between Rural and Academic Communities" invited presentation, National Academy for State Health Policy meeting in Portland, OR, August 6, 1995.   More Rural Docs By Impacting at Multiple Points

• "The Rural Physician Life Cycle from Training to Retention" keynote presentation, Issues in Rural Medicine Conference sponsored by the University of Kansas School of Medicine-Wichita, October 20-21, 1994.

• "Building a Practice in Small Rural Health Systems" peer-reviewed presentation at the North American Primary Care Research Group (NAPCRG) meeting in Toronto, October 1994. 

• "A Qualitative Study of Recruitment and Retention in Rural Nebraska Physicians" peer-reviewed presentation at the North American Primary Care Research Group in San Diego, November 1993.

• "Rural Theme Day" and "The Role of Rural Faculty" coordinated and developed the Rural Theme Day of the STFM Group on Rural Health and presented at the STFM Annual Meeting in San Diego, May 1993.

• "Training the Trainers" developed, coordinated, and presented this pre-conference workshop at the Residency Assistance Program (RAP), Kansas City, 1993.

• "Rural Rotations and Training Tracks" and "Financing Rural Training Programs" Coordinator and speaker at the Residency Assistance Program (RAP), Kansas City, 1993.

• "Role of Medical Schools in Producing Rural Physicians" invited speaker at the National Rural Health Association Conference in Seattle, WA, May 1991.

• "Rural Theme Day" presenter and co-developer, Society of Teachers of Family Medicine Annual Spring Conference in Philadelphia, PA, May 1991.

• "Experiencing Interdisciplinary Training in Rural Tennessee", co-presenter, Health Resources & Service Administration Interdisciplinary meeting, Chicago, March 1991.

• "A Comprehensive Rural Medical Training Program" presenter, Health Resources and Services Administration - National Rural Health Association Manpower Committee meeting in Bethesda, MD, November 1990.

• "Developing a Curriculum for Training Community-Responsive Physicians" peer reviewed presenter, American Medical Student Association Conference, Washington, D.C., March 1990.

• AAMC Physician Workforce Conference May 6-7, 2005 Washington DC, presenting poster

• STFM Annual New Orleans May 2005 Presenting breakfast seminar and poster

• Steering and planning committee, Rural Medical Education Conference in Dallas May 2001, Kansas City May 2002, Salt Lake City May 2003

• Steering and planning committee for Rural Graduate Education Conference, San Antonio February 2000. Gave presentation and was elected Interim President of Organization.

• Invited participant to Shifting Paradigms in the 1990's: Planning for Access to Primary Health Care Service "The Role of Academic Medicine", Region IV PHS, Atlanta, Feb. 1992

• Invited participant to "Linking Medical Education and Training to Rural America: Obstacles and Opportunities" sponsored by the Senate Special Committee on Aging, Washington, D.C., July 1991. Testimony and materials published on pages 42-44 and 149-166 of the compendium.

• Invited participant to Association of American Medical Colleges Invitational Symposia: Rural America, a Challenge for Medical Education, San Antonio, TX, February 1990, information about rural programs of East Tennessee State University published in the resulting Academic Medicine Compendium

Regional Meetings, Speaker and Consultant

• Participant Western Kentucky Enrichment Program, Madisonville Kentucky July 2005

• Commencement speaker Minot North Dakota June 29, 2005

• Central Association of Advisors of Health Professions Meeting, speaker Physicians and Poverty Location Choice, April 2005

• Virginia Rural Health Association Keynote Speaker November 2004

• Phi Theta Kappa regional meeting, keynote speaker, Chadron NE July 2003

• "Community-Driven Medical Education" invited presentation at Heartland Conference in Topeka, KS June 2002 

• World of Rural Medical Education web site http://www.ruralmedicaleducation.org . It contains over 3000 files and over 13000 hyperlinks to helpful material pertaining to the preparation and training of more and better rural physicians, better distribution of education and medical education, better admissions and selections

• Preparing for Rural Family Practice, video and materials to assist students or groups interested in careers in rural health. Includes Slaying the Dragons, taped video of Bob Boyer, MD of his talk at UNMC to the Student Association for Rural Health 1997. Streaming video available.

• Advisor for two award winning network television documentaries on rural doctors - KTRK-TV (Houston, TX, "Country Doctors," 1988; WCYB-TV (Bristol, TN), "Prescription for Change," 1991

• Managed Care Workbook 1997 - reference materials for rural physicians, together with Keith Mueller, Ph.D.

• Community Connections Training Workbook 1995 SEARCH Table of Contents - an essential item for students preparing to assist communities with rural community projects, distributed to communities, physicians, and students from 1995 - 1997

• Rural Faculty Development Workbooks - provided CME and faculty development materials to up to 100 people a year at sessions involving Ambulatory Issues in Rural Health, Rural Hospitals & Rural Communities, Interdisciplinary & Rural Programs, Rural Precepting and Rural Facilities, and similar topics at sessions held at national meetings since 199

• ICE Small Group Facilitator for M-1, M-2 medical students 1994 - present

• Faculty for one session of Masters in Public Health Course supervised by Keith Mueller Ph.D.

• PRIME 1995 and 1996, training of simulated patients, and evaluation

• Lied Leadership presenter in 1995 and 1996

• Regular presenter to Rural Health Opportunities Program students and faculty and college recruitment fairs

• Community Oriented Primary Care presentation given as part of Underserved Populations course at the College of Nursing, 1995 - 1999

• Telemedicine presentation annually to students at Chadron regarding rural health

• Rural health presentations to physician assistant students 1995 - 1998

• Community Connections National Health Service Corps Program 1994 - 2001. This involves monthly meetings, several weeks of preparation and site visits, and then a week of actual training of students followed by evaluation visits with students and communities. The director supervises a coordinator and faculty from three different schools at UNMC and also Creighton Medical School.

• The director received the Public Health Service Award for Excellence in the mission of the National Health Service Corps in 1995.  Nebraska SEARCH

• Senior Medical Student Basic Science Elective in Community Oriented Primary Care 1995-2002 requiring about 40 hours per year for 2 - 4 students

• Summer research students 1990 - 1997

• Practice management/Grands Rounds presentations for Family Medicine Residents 1993 - present

• Teaching advising residents at One World Community Health Center 2003 - present

• Teaching and advising of residents 1992 - present

• Supervision of Obstetrical Deliveries of Residents 1992 - present

• Career Facilitation Team Teaching Day August 1996 - initiated a day of training seminars involving all family practice residents for 3 concurrent half day sessions.

• Rural Career presentations annually at orientation of residents, 1995 - 1997

• Attending on the in-patient service 1993-1996, 2 - 3 months a year, some duties continue

• Review videotapes of residents

• Numerous rural site visits to residents and preceptors to improve rural medical education 1992 - present

• Recruitment talks to residents and faculty at UNMC, Lincoln, Clarkson, and Creighton 1992 - present

• Coordinated recruitment dinners for residents at UNMC and ETSU 1990 - present

• Minifellowship in Rural Family Medicine/Center for Rural Faculty Development - This is the only resource in the nation for faculty and institutions that are developing rural medical education programs. Minifellowship updates Minifellows receive faculty development, continuing education, and career assistance. 1990 – 1995 with up to 5 minifellows per year, continuing education to the graduates and others since this time, over 200 contacts. Graduates of the minifellowship have won educator of the year awards, have developed several rural programs, have set up rural centers with grants totaling millions each year, and are chairs of rural health in academic centers.

Works at East Tennessee State

www.ruralmedicaleduction.org