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Jean C. Wiese, Ph.D.
(University of North Carolina-Chapel Hill, 1971)
107 Medical Behavioral Science Building
Dr. Wiese's research is in raising the awareness of health professionals to the wide spectrum of varied but logical human behavior; thereby, making these professionals keenly appreciative of cultural differences. She believes that the Department of Behavioral Science's required program makes the difference between a thoroughly trained and technically competent, professional, and a professional of equal technical skills but who is also finely attuned to the psychosocial experience of his/her patients. The result is a consummate medical professional in whom the individual needs of his/her patients will resonate.
All of Dr. Wiese’s activities in 2012 were directly related to the Department’s teaching mission. Outside Behavioral Science, she continues to serve as faculty sponsor for the UK chapter of the Student American Medical Association. She also continues to serve on graduate student doctoral committees. One of her students successfully defended last spring. Another will defend this spring. She also serves as an outside reader on a dissertation defense. Within the department, the majority of her effort is with Introduction to the Medical Profession (ICM). On the research front, John Wilson, Ph.D., and she presented “Matched Clinical Placements as Life laboratory to Teach Communication Skills, Sociocultural concepts, and Interprofessional Issues to Preclinical Medical Students” as a Best Practices in Medical Education paper at the annual Southern Group on Educational Affairs (SGEA) meeting, April 19-21, 2012, in Lexington, KY. She has been working with John Wilson, Ph.D., to assemble a data base of material from the ICM course to be used for description/assessment of its effectiveness. They are currently revising a manuscript using data from the SEC with physical therapists. She is also starting to interview nurses, who have had SCE students with them, about these experiences. Her biggest effort for ICM has been with the Selected Clinical Experience (SCE) sites. She sees as her greatest ICM accomplishment this year her enlisting the participation of Dr. Boutros (Peter) Sawaya as a mentor to students in a Selective Clinical Experience (SCE), Kidney Treatment and Replacement. Dr. Sawaya is a consummate clinician and clinical instructor. He has graciously extended to students access to all of the UK nephrology clinics both on-site and out in the state. The first student participated in this process in December. Dr. Wiese expects feedback momentarily. The loss a year ago of access for students to the Bluegrass Community Health Center forced her to identify and woo another clinical site where interpreters are used. She approached Dr. Susan Robbins for access to her UK Family Care Center. She graciously agreed to take ICM students. Now after one season as an SCE, the UK Family Care Center has exceeded her wildest expectations as a clinical site. This clinic has a patient population varied along both cultural and economic lines. There is a significant Latino segment many of whom have Limited English Proficiency (LEP). This gives students an opportunity to work with LEP patients, either utilizing the student’s own bilingualism or communicating through an interpreter. There is a team of dedicated, certified medical Spanish interpreters whose organization, skills and sensitivity to patients model for students consummate cross-cultural medicine. She worked with Mary Kay Fedorchuk, MSW, the director of both Hospice of the Bluegrass and Palliative Care, to restructure students’ access to palliative care cases. Ms. Fedorchuk reorganized the experience to give the students exposure to patients/families outside the hospital. Right after the Winter break she and Mrs. Armstrong – another MSW - have an orientation meeting with all the first-year students who will be coming through this site. The rest of the semester the students individually accompany a medical social worker or chaplain or nurse on 3 home visits. Students thereby see a wide variety of palliative care situations and experience first-hand the impact prolonged anguish on the patients/families – outside of the often hectic and crowded inpatient setting. This arrangement also affords students experience with another effective interprofessional team. For the first time last year, students had the opportunity to follow a sign language interpreter working in the medical setting, Mrs. Tina Savelyev, RID and CT, one of the handful of certified Sign Language Interpreters in central KY. The deaf/hearing impaired community is an essential segment of Central KY patient population about which our students formerly have had no instruction/exposure, and for whom communication is fraught with countless hidden obstacles. Dr. Wiese is pleased to announce that this year Mrs. Savelyev has expanded the opportunity for students by enlisting the cooperation of several more sign language interpreters who are now servicing UK clinics. Dr. Wiese continues negotiation with the Mennonite community of Mercer County, KY, to gain access for students to the midwives who service this community. It is tedious because there are so few natural intersections of daily lives. She is, however, still pursuing the project. Last year she negotiated with Dr. Richard Dartt, MD – Family Practice - of Harrodsburg to become an LCE mentor as well as taking SCE students. She is thrilled to say that his dual activities with students were a huge success and he plans to continue in both capacities this year. Also within the Department is her participation in the committee remodeling BSC 331, Behavioral factors in Health and Disease, for presentation to undergraduates in January of 2014.
Wiese, H.J.C., & Gallagher, E.B. (1997). Health behavioral research and medical training and practice: A social context. In D.S. gochman (Ed.), Handbook of Health Behavior Research IV: Relevance for Professionals and Issues for the Future. New York, Plenum, 53-74.
Wiese, H.J.C. (1992). The cutting edge: Behavioral sciences in the University of Kentucky College of Pharmacy (Invited Commentary). Journal of Clinical Pharmacy and Therapeutics, 17, 259-262.
Wiese, H.J.C., Wilson, J.F., Jones, R.A., & Nieses, M. (1992). Obesity stigma reduction in medical students. International Journal of Obesity, 16, 859-868.
Wiese, H.J.C., (author and editor) (1992). Obesity. One program of a series called, Education for Health Professionals, funded in part by NIH Division of National Heart, Lung and Blood Institute. University of Kentucky College of Medicine, Department of Television, Lexington, KY.
Wiese, H.J., Torbeck, L., & Matheny, S. Integration into curriculum of a skilles-based module on interpreter use with patients of limited English proficiency. Medical Education. May 2004. IN PRESS.
Goodrum, S., Wiese, H.J. Urban and Rural Differences in the Relationship between Substance Use and Violence. International Journal of Offender Therapy and Comparative Criminology. IN PRESS.
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