Bryna Diane Koch
- Coordinator, Special Projects
Bryna Koch, MPH – is a doctoral student in public health policy and management at the University of Arizona, Mel and Enid Zuckerman College of Public Health. Her research interests center on the impacts and outcomes of health policy on health insurance coverage, utilization, and outcomes for underserved and vulnerable populations.
Since 2016, Ms. Koch has worked full-time at the Arizona Center for Rural Health (AzCRH). Before the AzCRH, she was the Director of Evaluation and Assessment at the University of Arizona – Tucson, College of Medicine.
At AzCRH, Ms. Koch supports the Arizona Rural Hospital Medicare Flexibility, the First Responders Naloxone Training and Distribution, and the State Office of Rural Health programs. Her efforts on 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. She is also the co-manager for an Arizona Health Education Center funded project to develope a statewide health workforce data system.
Ms. Koch has 12 years of experience in program and policy evaluation. She has worked in partnership with community-based programs, non-profit organizations, and governmental agencies. She has managed national evaluation capacity-building efforts for the U.S. Department of Agriculture using online data gathering and training tools. Her other evaluation experience includes providing evaluation services for juvenile restorative justice, substance abuse treatment and prevention, entrance into post-secondary education for at-risk youth, and positive youth development programs.
- DrPH Public Health Policy and Management
- University of Arizona, Tucson, Arizona
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- 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.
- 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.
- 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.
- 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.