Bryna Diane Koch
- Assistant Research Professor, Public Health
- (520) 626-6253
- Roy P. Drachman Hall, Rm. 200
- Tucson, AZ 85721
- brynak@arizona.edu
Biography
Bryna Koch, DrPH - is an assistant research professor in public health policy and management at the University of Arizona, Mel and Enid Zuckerman College of Public Health. Her research interests include understanding the impacts of health policy on health insurance coverage, utilization, and outcomes for underserved and vulnerable populations. Ms. Koch also leads the health workforce data collection, reporting, and analysis team at the Arizona Center for Rural Health. Ms. Koch participates in several statewide coalitions on health insurance coverage and is a member of the Arizona Public Health Association and the American Public Health Association.
Ms. Koch also supports multiple programs at the Arizona Center for Rural Health including and the State Office of Rural Health and Advancing Health Equity and Addressing Disparities program. Her efforts for these programs focus on planning, data collection, analysis, and reporting to build program capacity; assisting in quality improvement; meeting internal and federal reporting requirements; and responding to policy questions.
Ms. Koch teaches PHPM 574 Public Health Policy and Management, one of the core courses required for the MPH degree. She also co-teaches two service-learning community-based courses; the family and child health in urban settings course and the MILAGRO Collaborative: Addressing Migration in the Arizona-Mexico Borderlands service-learning course, an inter-professional and inter-university course. She provides mentorship for students who are interested in multiple areas of health policy and the intersections between health policy and immigration policy.
Degrees
- DrPH Public Health Policy and Management
- University of Arizona, Tuson, Arizona
- POLICY AND POWER IN PUBLIC HEALTH: THE IMPACT OF POLICY EXPANSIONS AND EXCLUSIONS ON FARMWORKERS’ HEALTH INSURANCE COVERAGE.
Work Experience
- Mel and Enid Zuckerman College of Public Health (2022 - Ongoing)
- Arizona Center for Rural Health (2016 - 2022)
Interests
No activities entered.
Courses
2023-24 Courses
-
Public Hlth Policy+Mgmnt
PHPM 574 (Fall 2023)
2022-23 Courses
-
Master's Report
PHPM 909 (Summer I 2023) -
Master's Report
PHPM 909 (Spring 2023) -
Mch Pgms/Urban Settings
HPS 597A (Spring 2023) -
Topics in HSD
HSD 596 (Spring 2023) -
Public Hlth Policy+Mgmnt
PHPM 574 (Fall 2022) -
Special Topics Public Health
HPS 495 (Fall 2022) -
Special Topics Public Health
HPS 595 (Fall 2022)
2021-22 Courses
-
Mch Pgms/Urban Settings
HPS 597A (Spring 2022)
Scholarly Contributions
Journals/Publications
- 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.
- 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
- 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.S92428More infoMusculoskeletal 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. (2022).
The impact of health policy expansions and exclusions on farmworkers’ health insurance coverage.
. APHA 2022. - 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. - Gordon, P. R., Parikh, T. M., Adhikari, S. R., Czuzak, M. H., Koch, B. D., Gura, M., Ellis, S. C., Adamas-Rappaport, W., Leko, E. O., & Wildner, C. M. (2017, April). "Novel Use of Ultrasound to Aid in Medical Student Reproductive Physical Examination Skills and Pelvic Anatomy". AMES Medical Education Research Day. University of Arizona College of Medicine: AMES.
- Parikh, T. M., Adhikari, S. R., Czuzak, M. H., Koch, B. D., Gura, M., Ellis, S. C., Gordon, P. R., Adamas-Rappaport, W., Leko, E. O., & Wildner, C. M. (2017, June). "Novel Use of Ultrasound to Aid in Medical Student Reproductive Physical Examination Skills and Pelvic Anatomy". Association of Standardized Patient Education. Alexandria, Virginia.
- 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. (2017, December). Creating an Arizona Health Workforce Data System. NA.More infoThe 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/countyprofilesMore infoCollected and analyzed health insurance coverage data by county for 2013 to 2016.
