Category: Health/Medical

Report: Visalia’s Kaweah Delta hospital generates $1 billion a year locally

Central Valley Business Times

March 12, 2020

• Supports nearly 7,400 jobs directly or indirectly
• “How Kaweah Delta supports Tulare County’s economy”

Kaweah Delta medical center in Visalia does more than provide healthcare services to the region and the Central Valley — it also infuses nearly $1 billion into the local economy each year, according to a new study.

Kaweah Delta makes an estimated $973 million annual economic impact and accounts for $550.4 million or 3.2 percent of Tulare County’s economy, says an economic impact analysis commissioned by the Tulare County Economic Development Corporation and prepared by Impact DataSource of Austin, Texas.

“Many people think that, traditionally, a hospital exists to care for a community and while there are many examples of that, this study paints the bigger picture of how Kaweah Delta supports Tulare County’s economy,” says Paul Saldana, president and chief executive officer of
Tulare County Economic Development Corporation.

The study says Kaweah Delta:
• Has a workforce that makes an estimated $444 million in compensation, of which $364 million goes back into the region through its spending.
• Has 5,000 employees but creates an additional 2,382 local jobs through its employees’ spending and activity.
• Provides an average salary of $68,323 to employees, which is significantly higher than the average annual wage of $39,000 in Tulare County.
• When it recruits one new primary care physician to the area, it generates an economic impact of $2.9 million in annual economic output, 17 jobs, and $1.2 million in compensation paid. In 2019, Kaweah Delta recruited 40 new physicians of various specialties to the area.
• Supports $550.4 million in value added, which benefits nearly all local industries.

“Kaweah Delta is one of the largest employers in the county. Its workforce includes everything from doctors to nurses to people who cook and clean rooms. They are well-paid, and their paychecks help support our local economy,” says Mr. Saldana.

The study sponsored by the Sequoia Regional Economic Development Foundation and Kaweah Delta Health Care District, analyzed the total annual economic impact of the healthcare district.

Download the full report here:
www.SequoiaEconomicSummit.com

Taft College receives $156,000 gift from Chevron to expand Allied Health and Sciences Lab

Taft College logo (use this one)

Chevron will present a $156,000 check to Taft College to help fund the development of the Allied Health and Sciences Lab, specifically by providing medical equipment for expansion of its anatomy and physiology curriculum.

The ceremony will take place at 10:30 a.m. Feb. 5 in the Taft Chevron Innovation Lab. Lunch will be served immediately following in the Cougar Room on campus.

This donation will strengthen Taft College’s collaboration with Kern County schools by expanding classes for science, technology, engineering and mathematics careers.

“For years we have had a waiting list for certain science courses, which meant students had to delay finishing their coursework,” said Taft College Superintendent and President Debra Daniels in a news release. “Through Chevron’s generous donation we were able to double our science course offerings in anatomy and physiology, which will enable more students to get to their education goal.”

Chevron has partnered with Taft College for more than a decade, donating in excess of $1.5 million to support Taft College students through internships and connecting employees with students to discuss the industry.

Newsom budget includes $15 million for UC Merced, Valley medical education

BY ABBIE LAUTEN-SCRIVNER

JANUARY 18, 2020 06:00 AM

A building lighting ceremony was held to celebrate the completion of the first phase of the University of California, Merced 2020 Project on Thursday, Aug. 16, 2018. 

The Central Valley’s physician deficiency may get a needed boost from the proposed 2020-21 California budget.

Gov. Gavin Newsom’s suggested budget offers $15 million in ongoing funding to expand medical education at UC San Francisco School of Medicine Fresno Branch Campus in collaboration with UC Merced.

“With the unwavering leadership of Assemblymember Adam Gray and his colleagues in our legislative delegation, UC Merced and UCSF Fresno have fierce advocates working with us to improve access to health care in our region,” said Cori Lucero, UC Merced’s executive director of governmental and community relations, in an emailed statement.

As part of the state’s general fund, the investments would improve access to healthcare in California’s most underserved regions, according to the Governor’s Budget Summary.

“The Central Valley continues to have some of the lowest numbers of doctors per capita in the state, and the need will only increase as existing physicians retire,” said Assemblymember Adam Gray, D-Merced, in a news release.

The proposal kicks off months of negotiations between Newsom’s office and the Legislature. UC Merced will work with Gray and Newsom as the budget process unfolds into spring, Lucero said.

The University of California is requesting $433 million in ongoing funding and $475 million in one-time funding for the 2020-21 budget, according to a budget request approved by UC regents in November. With Newsom’s proposed budget release, Lucero said there may be modifications.

A revised state budget will be released in May. Newsom and lawmakers have until June 15 to pass it ahead of the new fiscal year’s start on July 1.

“This investment will allow more students to train to become doctors right here in the Valley, and it will directly increase access to care in our community – one of my top priorities during my time in the Legislature,” Gray said in the release.

GRAY, UNIVERSITY LEADERS PUSH FOR UC MERCED MEDICAL SCHOOL

Gray currently has two pending bills in the Legislature related to Valley health. One seeks to extend clinic hours, while the other proposes building a medical school at UC Merced.

A UC Merced medical school has been contemplated for many years. The university was approved to start plans in 2008, but stalled.

Momentum may be building again. In October Gray convened the San Joaquin Valley Coalition for Medical Education in Modesto to discuss the possibility. Executives from UC Merced and UCSF Fresno, staff members of California Sens. Dianne Feinstein and Kamala Harris, as well as other politicians and medical community members met to hash out what the plan would realistically take.

Interim Chancellor Nathan Brostrom said in a December interview with the Sun-Star that medical education will be the university’s highest priority within the next decade.

“The long-term hope is that UC Merced would be able to take on those foundation courses that are currently being delivered by the UCSF main campus,” Lucero said.

Expansion of UCSF Fresno and UC Merced programs would cost between $20 million to $25 million. Local residency programs would need to be expanded to keep the growing number of graduates in the Valley.

UC Merced would also have to go through an accreditation process for the medical curriculum, in addition to hiring more staff, Lucero said. All is contingent upon availability of funding resources

https://www.mercedsunstar.com/news/local/article239253088.html

Valley Children’s Earns 2019 Leapfrog Top Children’s Hospital Award For Outstanding Quality And Safety

12.17.2019
Valley Children’s Earns 2019 Leapfrog Top Children’s Hospital Award for Outstanding Quality and Safety

(Madera, California) –Valley Children’s was named a Top Children’s Hospital in the nation by The Leapfrog Group for its excellence in patient safety and quality of care. The Top Children’s Hospital award is one of the most competitive honors American hospitals can receive and Valley Children’s is one out of only 10 children’s hospitals in the country that achieved this honor.

“Every family who entrusts Valley Children’s to care for their children expects the safest, highest quality care. And we have set the expectation for ourselves to deliver the nation’s best, safest and highest quality care right here in the Central Valley,” says Valley Children’s President and CEO Todd Suntrapak. “This award is a testament to the capabilities, dedication and commitment of our entire staff – and is yet another reason why Valley Children’s is the best place for children’s healthcare in the region.”

To qualify for the Top Hospital distinction, hospitals must rank at the top among peers in the 2019 Leapfrog Hospital Survey, which assesses hospital performance on the highest known standards for quality and patient safety.

“Quality and patient safety is at the heart everything we do and I am proud of the superior results of Valley Children’s,” says Dr. David Christensen, Valley Children’s senior vice president of medical affairs and chief physician executive. “It requires the commitment of every single clinical and non-clinical member of our team to deliver this level of care to children in the Central Valley.”

Performance measures — based on rigorous standards across many areas of hospital care – are considered in establishing the qualifications for the award, including pediatric care, infection rates, practices for safer surgery and the hospital’s capacity to prevent medication errors. With scores in the top 6% across the nation for Top Children’s Hospitals, Valley Children’s exceptional performance on these quality and patient safety metrics is clearly recognized by this achievement.

“We are pleased to recognize Valley Children’s as a 2019 Leapfrog Top Children’s Hospital,” says Leah Binder, president and CEO of The Leapfrog Group. “This demonstrates extraordinary dedication to children in the Central Valley. We congratulate the board, staff and clinicians whose efforts made this honor possible and know they share pride in this achievement.”

The Valley Children’s Quality and Patient Safety team will travel to Washington D.C. to receive this award at an event hosted by The Leapfrog Group this evening.

 

FRESNO COUNTY ECONOMIC FORECAST: INTERNATIONAL INTEREST COMES ROLLING IN

Construction activity in Fresno keeps coming, including this three-story office building under construction near Palm and Herndon avenues. Photo by Edward Smith.

Published On December 4, 2019 – 1:33 PM
Written By 

EDITOR’S NOTE: This is one of four economic forecasts The Business Journal does every year for each of the four counties in our coverage area.

This seems to be a prime time for the world to kick the tires on Fresno County.

Interest from companies from far-flung countries including China and Japan has kept economic development officials busy, and even corporate America is taking a closer look at locating in Fresno County on the heels of Amazon and Ulta’s investment in e-commerce distribution centers.

At the same time, Fresno County’s agricultural sector continues to reassert itself as a force to be reckoned with. In fact, based off 2018 crop statistics, Fresno County once again became the top agricultural county in California and the U.S. — a position it hasn’t held since 2013.

Economic development and job creation are job one for Fresno County Economic Development Corp. Will Oliver, director of business services for the Fresno County EDC, noted that 2019 “was filled with much activity, interest and momentum.”

Fresno County welcomed new out-of-state e-commerce operations who either located facilities here or contracted with local third-party logistics partners, Oliver said.

Oliver noted considerable interest in the small cities of Fresno County. One example is Initiative Foods, which is one of the nation’s largest baby food manufacturers, and a major international exporter. It recently completed a 30,000 square foot addition at its Sanger manufacturing plant. Another city, Reedley, is using available resources to lure an advanced food manufacturer.

The region’s designation as a federal Opportunity Zone has done much to jumpstart some of that interest, Oliver noted. The geographical designation provides incentives in the form of reduced capital gains taxes on investments for capital projects.

Fresno County is preparing to kick Opportunity Zone marketing of the region into high gear.

“Much groundwork has been laid to support Opportunity Zone investments by preparing projects and developing a digital prospectus to market the region’s assets, which will be live in 2020,” Oliver said.

Kingsburg recently made big news with T-Mobile’s announcement that it planned to locate a call center there that would create 1,000 jobs, which would be a major jolt to the local economy. That project is contingent on the telecommunication company’s successful merger with Sprint.

Fresno had a bit of a coming-out party earlier this month as host of the California Economic Summit, which included announcements of millions of dollars in investment into the Central Valley. It provided some much-needed momentum heading into the New Year, Oliver noted.

“2020 will certainly be focused on recruiting and expanding high-growth, traded sector companies and industries, such as in health care, agricultural technology and manufacturing,” Oliver said.

On the international front, while much of the economic development work is understandably behind the scenes and not for public consumption, word has trickled down that a Japanese company called Manda Fermentation Co. is on the verge of locating operations in Fresno County. Other Asian countries are looking at the county, undoubtedly drawn to it as a center for international agriculture.

On the agricultural front, Jan. 31, 2020, is a pivotal deadline as the state’s water managers — large and small — must provide plans for how they will manage groundwater usage under the state’s Sustainable Groundwater Management Act.

Ryan Jacobsen, CEO/executive director of the Fresno County Farm Bureau, said the sustainability plans will take 20 years to implement, with progress reports required every five years. But just getting to this stage has taken a lot of time, not to mention paperwork, as each plan is “hundreds, if not thousands of pages long,” he said.

Jacobsen said a number of factors — ongoing trade negotiations with China, new federal scientific guidelines on the pumping of water from the delta and engaged leadership on the local, state and federal level — give him reason for optimism.

Trade friction with China has been especially worrisome.

“The trade issue is front and center,” he said. “I’m optimistic that we can come to an agreement with China. I’ve been an eternal optimist.”

https://thebusinessjournal.com/fresno-county-economic-forecast-international-interest-comes-rolling-in/

New Director of Medical Education Ready to Unleash Valley’s Untapped Potential

December 2, 2019
Dr. Thelma Hurd joins UC Merced as the Director of Medical Education after years working as a clinician, public health researcher and translational scientist.
Dr. Thelma Hurd joins UC Merced as the Director of Medical Education after working as a clinician, public health researcher and translational scientist.

Dr. Thelma Hurd’s journey in medicine has taken her from New Jersey to Nigeria, with stops in Texas and Buffalo. Along the way, she gathered experience as a clinician, public health researcher and translational scientist.

Her proficiency in these crucial areas has led Hurd to UC Merced, where she became the university’s director of medical education last month.

“It was an opportunity to be part of a new initiative that really resonates with my passion, which is to improve healthcare in rural, high-needs communities and underserved communities,” Hurd said. “The fact that UC Merced is a young university means there is tremendous opportunity to both join ongoing and create new innovative initiatives, and that was incredibly appealing to me.”

After finishing medical school at the University of Medicine and Dentistry of New Jersey — now the Rutgers School of Biomedical and Health Sciences — Hurd had a desire to be an academic surgical oncologist, allowing her to combine clinical and research approaches to her methods of treatment. Hurd worked in gastrointestinal oncology at the University of Texas Southwestern Medical Center in Dallas before transitioning to breast cancer at the Breast Surgery Department at Roswell Park Comprehensive Cancer Center in Buffalo, N.Y.

She said her interest in examining health at a population perspective came from an encounter with a family at Roswell Park with whom she discussed treatment options.

Despite giving the family materials to review about the treatment in preparation for the treatment discussion, Hurd said the family told her, in unison, “whatever you say to do is just fine.” It was in that moment she realized there was a need to address community knowledge and advocacy.

If there was a need to solidify this new outlook on health, Hurd found it in Nigeria. As a member of the Center for Research on Minority Health team at MD Anderson that worked with the Nigerian government to develop a comprehensive cancer control, she began to consider how to deliver care in low- to moderate-resource environments.

“Need, disparities, inequity and rural healthcare issues and challenges don’t have geographic borders. They affect both high and low resource countries,” Hurd said. “If we can develop systems to address healthcare challenges in rural and less-resourced communities, it will be a critical step in bringing healthcare equity to the U.S.”

The experience in Nigeria also opened Hurd’s eyes to how to perceive healthcare crises in rural and high-needs communities that are often tagged as “medical deserts.”

“Nigeria taught me to stop looking at how empty the glass is and to start looking at how full the bottom portion of the glass is, and that is how I look at the San Joaquin Valley,” Hurd said. “I’m not looking at what it doesn’t have, I’m looking at everything it has that hasn’t been tapped or leveraged. You have community cohesiveness — people actually care about one another here and want to improve community health. People interact at a very different level than you see in highly urbanized areas and the Valley has resources. When you have those elements, you can pretty much do anything.”

“Need, disparities, inequity and rural healthcare issues and challenges don’t have geographic borders. They affect both high and low resource countries. If we can develop systems to address healthcare challenges in rural and less-resourced communities, it will be a critical step in bringing healthcare equity to the U.S.”

Thelma Hurd
Director of Medical Education, UC Merced

For the past four years, Hurd has served on the Cutler-Orosi Joint Unified School District’s Health Science Academy Executive Board and worked with teachers as they tailored their curricula to best serve their students’ science education needs. The Tulare County school district is home to a medical education pilot program for UC Merced, and the opportunity to work with the future leaders in medicine in the San Joaquin Valley showed Hurd that addressing the medical disadvantages of the region can be found within.

“There is a tremendous amount of untapped intellectual capital within our students and they simply need to be in an environment that will help them to develop it,” Hurd said. “Our job as medical educators is to provide the educational and experiential opportunities so that they are able to go further than they’ve ever dreamed possible and go beyond what they perceive as limits.”

She said while medical education is thought of as just preparing students for medical school, it plays a major role in producing vital medical professionals in nursing, dentistry and allied health, as well.

“Medical education at UC Merced provides the opportunity to work with people here to not only build a healthcare workforce but to build a workforce that can integrate rural and urban approaches to addressing health and disease,” Hurd said. “Those students who are now in high school or are undergraduates are the future of healthcare and of health in this country.”

UC Merced Executive Vice Chancellor and Provost Gregg Camfield said bringing in Hurd — who is a nine-time recipient of the Best Doctors in America designation — is critical to continuing to build the foundation of medical education at UC Merced and in the Valley, one of the most medically underserved areas in the nation.

“She brings a wealth of experience and impressive skills to this very important position on our campus,” Camfield said. “From leading our efforts to further develop programs and initiatives in medical education to continuing her research in health disparities, Dr. Hurd will bring great value to the campus and the community. I very much look forward to working with her.”

Hurd said she is a strong believer in taking time to get to know the community and is looking forward to tapping into the potential of San Joaquin Valley students.

“There are a lot of innovative thinkers here and the university is a crucible for innovative thought. It draws people who think and dwell outside of the box,” Hurd said. “The UC Merced family is one team and together with our communities as full partners, we will be able to change the face of health care and improve population health.”

https://news.ucmerced.edu/news/2019/new-medical-director-ready-unleash-valley%E2%80%99s-untapped-potential

Signed State Budget Delivers Millions for the Valley

Friday, June 28, 2019

Funding included for Career Technical Education, Safe Drinking Water, and Valley Fever

SACRAMENTO – Today, Assemblymember Rudy Salas (D-Bakersfield) issued the following statement regarding Governor Newsom’s signing of the 2019-2020 state budget:

“Governor Newsom’s first state budget reinforces California’s commitment to supporting working families, small businesses, students, seniors and veterans.  This budget builds record reserves for a rainy day and pays off debt while doing more to shore up working families and tackle challenges of affordability and quality of life,” said Assemblymember Salas.  “This budget invests in the Central Valley by addressing the healthcare workforce shortage, allocating $2 million to support valley fever research and providing millions to address safe and affordable drinking water.  The budget also includes funding to help train, grow, and support our workforce and students by expanding workforce development and youth leadership programs.”

State Budget Includes:

  • $2 million to the Valley Fever Institute at Kern Medical Center to support valley fever research
  • $12.5 million General Fund one-time for safe drinking water in the Central Valley, including $2.5 million to bring communities like Arvin into compliance with safe drinking water standards
  • $705,000 for three Independent Living Centers (ILC), including ILC of Kern County
  • $40,000 for the California Central Valley Economic Development Corporation
  • $1.1 million for planning of Bakersfield College Delano Center: Learning Resource Center Multi-Purpose Building
  • $1.6 million for planning of West Hills College Lemoore Instructional Center Phase 1
  • $12 million over three years for the Youth and Family Civic Engagement Initiative

 

The main budget bill – AB 74 – can be found here.

Valley Fever Funding

“We are grateful to Assemblymember Rudy Salas for authoring this legislation and bringing critical funding to Kern County – where it is needed the most.  As Medical Director for the Valley Fever Institute at Kern Medical, I am honored to lead our clinical team as we continue our mission to increase education and awareness for the public, patients and health care providers; provide the best patient care available and promote research that includes epidemiology, clinical drug development, prevention, immunology and immunizations.  The $2 million in funding will directly help the patients we care for every day at the Valley Fever Institute.” – Royce Johnson, M.D., Medical Director of the Kern Medical Valley Fever Institute and Chief of Infectious Diseases at Kern Medical

“Every day at the Valley Fever Institute we care for patients fighting Valley Fever.  The $2 million will benefit countless people in Kern County and beyond.  We are grateful to our dedicated legislators for supporting this critical funding and working with us to ensure the health of our community.” – Russell V. Judd, CEO, Kern Medical

 

Dolores Huerta and Martin Luther King Jr. Freedom Center’s Youth and Family Civic Engagement Initiative (YFCEI)

“We are grateful that the legislature and the Governor have made it possible to expand the Dolores Huerta Foundation and Martin Luther King Jr. Freedom Center’s Youth and Family Civic Engagement Initiative (YFCEI) to reach more underserved youth throughout California, with a focus on youth engagement, youth empowerment and leadership development utilizing the philosophies of non-violence advocates.  The leadership training that the youth receive will be magnified tenfold as the youth take the lessons learned to address and resolve the many issues that they are confronted with in their respective communities.” – Dolores Huerta

This funding supports the YFCEI’s efforts to serve young people in 12 counties throughout California over the next three years.

 

Independent Living Centers of Kern County

“We want to express our gratitude and dedication to Assemblymember Salas and his staff for the work they have done to maintain equal base rate funding of all Independent Living Centers in CA.  These continued funds come directly to Kern County and stay in Kern County to support the needs of all people with disabilities.” – Jimmie Soto, Executive Director of the Independent Living Center of Kern County

 

California Central Valley Economic Development Corporation

“The California Central Valley Economic Development Corporation is excited about this unique investment to further business development in the Central Valley.  We greatly appreciate Assemblyman Salas championing this effort, and look forward to the development of new and expanding businesses as a result of this program.” – Lance Lippincott, CEO and President of Kings County Economic Development Corporation

We anticipate additional funding for the Central Valley as the Governor signs the remaining budget trailer bills.

https://a32.asmdc.org/press-releases/20190628-signed-state-budget-delivers-millions-valley

CSUB receives $2.8 million grant to address valley’s health care shortage

The Family Nurse Practitioner Program at Cal State Bakersfield has received a $2.8 million grant to increase health care providers in underserved and rural parts of the Central Valley.

The four-year, federal grant was awarded to the college’s Transforming the Workforce: From Educate to Service project, which is led by Department of Nursing professors Heidi He, Maria Rubolino, Annie Huynh and Lorelei Punsalan.

“I do think that nurse practitioners can fill that gap to improve primary care and improve public health,” she said.

The project hopes to increase the number of nurse practitioners who will provide primary care in rural and underserved areas in the Central Valley. He said it is difficult to attract well-trained and qualified nurse practitioners to the area, and Kern County ranks among the top regions in the state that have a shortage of primary care providers.

The county also has some of the highest rates of chlamydia infection, diabetes, heart disease and chronic respiratory disease mortality, according to He.

With the grant, CSUB will partner with Clinica Sierra Vista to provide students real-life medical experiences while they’re still in school. Students must have at least 600 clinical hours, and through the partnership, He hopes students will want to continue to work in a medically underserved area and those medical professionals will want to take in more students.

In addition, the funding will support the integration of telehealth into the nurse practitioner curriculum. Telehealth helps people in rural areas access health services and information electronically.

“If they’re looking for specialty care and they don’t have that in the particular area they live in, we can utilize telehealth consultations,” He said. “That’s the future of health care. We want to start those trainings for our students so they’re ready.”

CSUB’s Family Nurse Practitioner Program is accepting 19 students this fall. This year, the program will begin annual admissions, versus the biannual admissions it has had since 2014, helping it double its enrollment.

Since relaunching the Family Nurse Practitioner Program in 2014, it has graduated two cohorts, totaling 31 family nurse practitioners, according to a news release. Nearly all its recent graduates have remained in the community, and 87 percent of 2018 graduates are working in federally designated medically underserved areas.

“With this funding, we have the ability and expertise and resources to really elevate the program to the next level so we can be the leader in education and health care in the region,” He said.

Students enrolled in the program must already be a graduate of an accredited baccalaureate nursing program, have a 3.0 GPA, hold an active, unrestricted California registered nursing license and have two years of registered nursing experience.

https://www.bakersfield.com/news/csub-receives-million-grant-to-address-valley-s-health-care/article_b4ad8b12-a989-11e9-a482-c7271e6f63c3.html

Plans to create medical school in Valley takes shape

Friday, June 7, 2019 6:29PM

FRESNO, Calif. (KFSN) — Creating a medical school in the Valley brought dozens of leaders to UCSF Fresno.

“The San Joaquin Valley has roughly 150 doctors per 100,000 residents. In contrast, San Francisco has 411 per 100,000 residents. You can see the dramatic difference that exists. This is one of the most underserved medical regions in the country,” said Assemblymember Adam Gray.

Gray helped lead the first San Joaquin Valley Coalition for Medical Education. He’s currently working on AB 1606 to help fund the school by not allowing people to write off their gambling losses on their taxes and using that fund.

The school would likely need $500 million to get started.

At Friday’s meeting leaders spoke about combining facilities and programs to jumpstart the school.

UCSF Fresno and UC Merced would combine forces to educate students.

“Getting a medical school started is extremely complicated there are a lot of regulatory barriers, political challenges and funding challenges. We’re excited to be partnering with UCSF, the Fresno office on a path to solving those problems,” said Gregg Camfield, UC Merced Executive Vice Chancellor.

UC Merced is working to create programs for the next generation.

“You name it, every kind of health professional is needed in the Valley and we’re committed to helping to produce that workforce,” said Camfield.

More than 300 doctors are currently training in the Valley through UCSF Fresno.

“Helping to develop students from the region who come from in those underrepresented areas in medicine will allow us to put people out into the community to provide care” Michael Peterson, UCSF Fresno Associate Dean.

Keeping the community healthy with a strong workforce of health professionals

“Lawmakers, University officials and leaders hope to the ideas from this meeting and to build more partnerships and find more funding. The San Joaquin Calley Coalition for medical education plans to meet later this year.