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Serving Through Telemedicine


Dr. George Rounds knew that Jaimie Smith, not her real name, age 12, needed special help. A primary care physician, Dr. Rounds said that his young patient displayed bizarre behavior at home and acted out in school.  Her birth mother had been diagnosed as a schizophrenic, and Jaimie now was in the care of an adoptive parent.  Dr. Rounds decided to act quickly. But his clinic, the Northland Medical Center in Bigfork, MN, pop. 469, did not have a specialist and Rounds knew that an appointment with one, ‘sometime in the future’ and a series of all-day round trips to the closest major city, Duluth, for mental health consults was not serving Jaimie well.

So Duluth came to Dr. George Rounds and to Jaimie.

Through the immediacy of video teleconferencing, Gary Davis, Ph.D. a licensed psychologist at the University of Minnesota Medical School, Duluth campus, talked to Jaimie, diagnosed her problems and developed a treatment plan. Today Jaimie is back in school and, as Dr. Rounds said, “is doing dramatically well with relationships.”  

Dr. Davis on video(Davis, on the television, demonstrates a video mental health consult with Tracy Kemp from the Department of Behavioral Sciences.)

With more than 30 years of experience, Dr. Davis heads the Department of Behavioral Sciences at the Medical School, Duluth, is the Associate Director of the school’s Center for Rural Mental Health Studies (CRMHS) and is presently serving as the Interim Senior Associate Dean of the Medical School – Duluth Campus.  Psychologists in the Center are developing new treatment strategies for rural communities. Rather than simply creating an "urban" care system in rural Minnesota, they are shaping a system of mental health care that fits the rural setting culturally, financially and geographically.

Dr. Davis was honored as a ‘Rural Health Hero’ for supporting people like Jaimie and primary care physicians such as Dr. Rounds.  The award was announced at the 2006 Minnesota Rural Health Conference, co-sponsored by the Minnesota Department of Health - Office of Rural Health & Primary Care, the Minnesota Rural Health Association and the Rural Health Resource Center.

Dr. Davis championed the telemental health service in 2002 when he purchased interactive video equipment for the Northland Medical Center and began providing telemental health services.  Using a shared care model of service delivery, Davis provides referring physicians with his phoned-in recommendations within hours of seeing the patient and written recommendations within 48 hours. Dr. Davis and his colleagues at the Medical School, Duluth campus, have treated more than 70 patients from rural areas using virtual communication via video conferencing.  

By year’s end, the CRMHS hopes to double the number of clinics served with virtual mental health consults.   Today it supports 3 clinics and 8 primary care physicians, like Drs. George Rounds in Bigfork and Harold Johnston, M.D. Cook, MN, population 622.  “Dr. Davis has been very helpful in allowing our psychiatric patients to remain close to home and be treated in their home community,” commented Dr. Johnston, primary care physician in Cook’s Scenic Rivers Health Services.  “This is a great convenience to our patients and often helps prevent delays that would result from having to travel out of the area.”   Davis and his team also serve patients in Littlefork Medical Center, Littlefork, MN, and they are working with clinics in Paynesville, Mora and Ely to open virtual clinics in those communities.

In her remarks about the Rural Health Hero award, Minnesota Commissioner of Health, Diane Mandernach called Davis “a tireless champion for using telemental health to meet patient needs."

Reflecting on that remark, Davis redirected the praise.

“To me the real world heroes are the rural doctors I work with who are out there working without the support that cities offer.  This is probably the most gratifying work I’ve done in my career.”


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