Bryna Diane Koch

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Courses

Scholarly Contributions

Journals/Publications

• Koch, B., Arora, M., Rooney, B., Thompson, A., Scott, B., Gomez, D., Galindo, M., Ward, K., Wightman, P., & Derksen, D. (2024). Promoting Equitable Access to COVID-19 Vaccinations in Rural and Underserved Arizona: Experiences From Three County Health Departments. American Journal of Public Health, 114. doi:10.2105/ajph.2024.307714
• Brady, B. R., Carter, H., Derksen, D. J., Gulick, D. L., & Koch, B. (2023).

  A Study of Arizona Physician Relocation Patterns by Rurality and Primary Care Status

  . Family Medicine, 55(1), 20-26. doi:10.22454/fammed.55.619324
• Brady, B. R., Gildersleeve, R., Koch, B. D., Campos-Outcalt, D. E., & Derksen, D. J. (2021). Federally Qualified Health Centers Can Expand Rural Access to Buprenorphine for Opioid Use Disorder in Arizona. Health Services Insights.
• Min Simpkins, A. A., Koch, B. D., Spear-Ellinwood, K. C., & St. John, P. (2019). A developmental assessment of clinical reasoning in preclinical medical education.. Medical Education Online.
• St. John, P., Spear-Ellinwood, K. C., Koch, B. D., & Min Simpkins, A. A. (2019). A developmental assessment of clinical reasoning in preclinical medical education.. Medical Education Online.
• Adhikari, S., Parikh, T., Czuzak, M., Koch, B. D., Bui, N., Wildner, C., Leko, E., Gordon, P., Gura, M., & Ellis, S. (2017). Novel Use of Ultrasound to Teach Reproductive System Physical Examination Skills and Pelvic Anatomy. Journal of Ultrasound in Medicine. doi:10.1002/jum.14408
• Adhikari, S., Czuzak, M., Ellis, S. C., Gordon, P., Gura, M., Koch, B., Leko, E., Parikh, T., Rappaport, W. D., & Wildner, C. (2016).

  96 Novel Use of Ultrasound to Teach Reproductive Physical Examination Skills and Pelvic Anatomy

  . Annals of Emergency Medicine, 68(4), S39. doi:10.1016/j.annemergmed.2016.08.107
• Pritchard, G., Stoneking, L. R., Koch, B. D., McAtee, R., Grall, K., Min, A., Prior, J., Farrell, I. J., Mcnulty, H. G., Stolz, U., Waterbrook, A. L., & Lane, A. D. (2016). Development of a novel sports medicine rotation for emergency medicine residents.. Advances in Medical Education and Practice.
• Waterbrook, A. L., Pritchard, T. G., Lane, A. D., Stoneking, L. R., Koch, B. D., McAtee, R., Grall, K. H., Min, A. A., Prior, J., Farrell, I. J., McNulty, H. G., & Stolz, U. (2016). Development of a novel sports medicine rotation for emergency medicine residents. Advances in medical education and practice, 7, 249-55. doi:https://doi.org/10.2147/AMEP.S92428
  More info

  Musculoskeletal complaints are the most common reason for patients to visit a physician, yet competency in musculoskeletal medicine is invariably reported as a deficiency in medical education in the USA. Sports medicine clinical rotations improve both medical students' and residents' musculoskeletal knowledge. Despite the importance of this knowledge, a standardized sports medicine curriculum in emergency medicine (EM) does not exist. Hence, we developed a novel sports medicine rotation for EM residents to improve their musculoskeletal educational experience and to improve their knowledge in musculoskeletal medicine by teaching the evaluation and management of many common musculoskeletal disorders and injuries that are encountered in the emergency department. The University of Arizona has two distinct EM residency programs, South Campus (SC) and University Campus (UC). The UC curriculum includes a traditional 4-week orthopedic rotation, which consistently rated poorly on evaluations by residents. Therefore, with the initiation of a new EM residency at SC, we replaced the standard orthopedic rotation with a novel sports medicine rotation for EM interns. This rotation includes attendance at sports medicine clinics with primary care and orthopedic sports medicine physicians, involvement in sport event coverage, assigned reading materials, didactic experiences, and an on-call schedule to assist with reductions in the emergency department. We analyzed postrotation surveys completed by residents, postrotation evaluations of the residents completed by primary care sports medicine faculty and orthopedic chief residents, as well as the total number of dislocation reductions performed by each graduating resident at both programs over the last 5 years. While all residents in both programs exceeded the ten dislocation reductions required for graduation, residents on the sports medicine rotation had a statistically significant higher rate of satisfaction of their educational experience when compared to the traditional orthopedics rotation. All SC residents successfully completed their sports medicine rotation, had completed postrotation evaluations by attending physicians, and had no duty hour violations while on sports medicine. In our experience, a sports medicine rotation is an effective alternative to the traditional orthopedics rotation for EM residents.

Presentations

• Koch, B. D. (2024). Addressing Arizona's Health Workforce Needs - Issues and Solutions. Arizona Rural Health and Public Policy ForumArizona Center For Rural Health.
• Koch, B. D. (2023, September). Using Data to Inform Health Workforce Development. 2023 Arizona Workforce Recruitment and Retention Conference "Educate, Hire & EngageArizona Alliance for Community Health Centers.
• Koch, B. D., & Arora, M. (2023, February). Workforce Capacity: Scaling up for the Next Fight in Arizona. Arizona Public Health Association Spring Meeting 2023Arizona Public Health Association.
• Koch, B. D. (2022).

  The impact of health policy expansions and exclusions on farmworkers’ health insurance coverage.

  . APHA 2022.
• Koch, B. D., Derksen, D., Brady, B., & Gulick, D. (2022, April). Arizona Physician Relocation Patterns Differ by Rurality and Primary Care Status.. 2022 AAMC Health Workforce Research Conference: A Virtual MeetingAssociation of American Medical Colleges.
• Koch, B. D., Derksen, D., Carter, H., & Johnson, M. (2019, May). Working with the State Legislature: Lessons from Arizona's Effort to Create a State Health Workforce Data System.. 2019 AAMC Health Workforce Research ConferenceAssociation of American Medical Colleges.
• Tucker, K., Sanchez, B., Lopez, D. P., Ahumada, J., Lebensohn, P., Koch, B. D., Kiser, L. H., Ingram, M., Guernsey De Zapien, J. E., Landau, A., & Hall-Lipsy, E. A. (2020, October). Academic-community partnerships to empower students to address the migrant crisis. APHA 2020: Annual Meeting and Expo. Virtual.
• Tucker, K., Sanchez, B., Lopez, d., Ahumada, j., Lebensohn, P., Landau, A., Koch, B. D., Kiser, L. H., Ingram, M., Guernsey De Zapien, J. E., & Hall-Lipsy, E. A. (2020, March). Developing and implementing an interprofessional training program in the midst of a border crisis: Milagros. Teaching Prevention 2020. San Antonio, TX: Association for Prevention Teaching and Research.
• Koch, B. D., & Gjersvig, A. (2017, July). AHCCCS and Marketplace Changes for Fall 2017. Rural Health Conference. Flagstaff, AZ: Arizona Center for Rural Health.
• Koch, B. D., & Peters, J. S. (2017, July). Data for Social Change and Health Equity. Rural Health Conference 2017. Flagstaff, Arizona: Arizona Center for Rural Health.
• Koch, B. D., Poskus, D., Dutcher, C., & Waer, A. (2015, April). Responding to an LCME recommendation: start-up of an institution-wide professionalism quality improvement program. WGEA 2015. San Diego, CA.
• Koch, B. D. (2014, November). Professionalism in Medical School: Using an Evaluability Assessment and Developmental Evaluation to Plan and Build Capacity. The Generalists in Medical Education Annual Conference 2014. Chicago, IL.

Poster Presentations

• Koch, B. D., & Arora, M. (2022).

  Lessons learned as we emerge from the pandemic.

  . APHA 2022.
• Koch, B. D., & Derksen, D. (2018, April). Taking the First Steps. Building a State Level Health Workforce Data System in Arizona.. 2018 AAMC Health Workforce Research ConferenceAssociation of American Medical Colleges.
• Koch, B. D., Spear Ellinwood, K., St. John, P., Ellis, S., Gordon, H., & Min, A. (2016, April). Implementing a Clinical Reasoning Student Assessment Tool based on a “Milestones” Model.. WGEA Annual Conference 2016. Tucson, AZ: AAMC.

Others

• Koch, B. D., & Ringhand, J. (2024, April). Health Professions Pathway Programs: A Literature Review. .
• Koch, B. D., Ringhand, J., Angel, O., Derksen, D. J., & Peters, J. (2024, July). Strategies to Reduce Barriers for Underserved Students in Health Professions Program..
• Arora, M., Peters, J. S., Rooney, B. C., & Koch, B. D. (2023, August). Public Health System Capacity in Arizona: Learning from the COVID-19 Pandemic Response. Arizona Center for Rural Health. https://crh.arizona.edu/public-health-system-capacity-arizona-learning-covid-19-pandemic-response
• Arora, M., Rooney, B. C., & Koch, B. D. (2023, September). Arizona Public Health Workforce: Recruitment and Retention. Arizona Center for Rural Health. https://crh.arizona.edu/arizona-public-health-workforce-recruitment-and-retention
• Koch, B. D., Barraza, L. F., Derksen, D. J., & Garn, A. (2023, May). Graduate Medical Education (GME) in Arizona Policy Brief.. Arizona Center for Rural Health..
• Koch, B. D., Derksen, D. J., & Garn, A. (2023, March). Timeline: Developing Arizona Healthcare Workforce Minimum Data Set (MDS).. Arizona Center for Rural Health..
• Koch, B. D., Derksen, D. J., Drake, C., & Coates, S. (2023, June). U.S. Census Updates: Arizona's Rural Population.. Arizona Center for Rural Health..
• Koch, B. D., Derksen, D. J., Garn, A., & Drake, C. (2023, May). Quantifying Arizona’s Primary Care Shortage Using Health Professional Shortage Area (HPSA) Data.. Arizona Center for Rural Health..
• Koch, B. D., Derksen, D. J., Garn, A., & Drake, C. (2023, September). Quantifying Arizona’s Mental Health Workforce Shortage Using Health Professional Shortage Area (HPSA) Data.. Arizona Center for Rural Health..
• Koch, B. D., Derksen, D. J., Drake, C., & Coates, S. (2022, April). Arizona Health Workforce Profile: Direct Care Workers.. Arizona Center for Rural Health..
• Koch, B. D., Derksen, D. J., Drake, C., & Coates, S. (2022, September). Arizona Health Workforce Profile: Physician Specialty.. Arizona Center for Rural Health..
• Koch, B. D., Derksen, D. J., Drake, C., & Coates, S. (2021, April). The Arizona Critical Care Workforce Brief.. Arizona Center for Rural Health..
• Koch, B. D., Derksen, D. J., Drake, C., & Coates, S. (2021, July). Arizona Health Workforce Profile: Occupational Therapists.. Arizona Center for Rural Health..
• Koch, B. D., Derksen, D. J., Drake, C., & Coates, S. (2021, September). Arizona Health Workforce Profile: Physical Therapists.. Arizona Center for Rural Health..
• Koch, B. D. (2017, December). Creating an Arizona Health Workforce Data System. NA.
  More info

  The product is background, information, and additional resources regarding the possible development of an Arizona Health Workforce Data System provided to an ad-hoc committee of the state legislature health committee.
• Koch, B. D. (2017, February). Arizona County Health Insurance Coverage Profiles. Arizona Center for Rural Health Website. http://crh.arizona.edu/publications/crh-report/countyprofiles
  More info

  Collected and analyzed health insurance coverage data by county for 2013 to 2016.