ABSTRACT
Efforts to support recruitment and retention of rural providers have sometimes included local postgraduate training. An innovative approach that includes training fellows entirely in a rural area with most of the costs supported locally was found to be cost-effective and to produce the expected positive effects. Training goals and objectives were accomplished in the areas of rural health and advanced maternity care, and the community gained an experienced provider as well as a new continuing education activity. This model may be applicable to many rural sites that have adequate clinical volume, experienced and motivated local faculty, and connection to a supportive regional medical center.
Subject(s)
Fellowships and Scholarships , Maternal Health Services , Rural Health Services , Curriculum , Education, Medical, Graduate , Fellowships and Scholarships/economics , Humans , Medically Underserved Area , Professional Practice Location , Rural Health , TexasABSTRACT
The proton NMR spectrum of an aqueous solution of 6-methoxyerythromycin A (2) has been assigned and nuclear Overhauser effects have been obtained from a series of NOESY spectra. Carbon-13 antisymetric spin-lattice relaxation times have been measured for the methylene and methine carbons. The NMR data show that 2 is present exclusively in the keto form and has a conformation very similar to that reported for erythromycin A (1) in the solid and solution phases.
