Each residency must have a structured curriculum in community medicine, including didactic and some experiential components.  The curriculum should include:

 

Structured Curriculum in community medicine including didactic and experiential components:

 

• Factors associated with differential health status among subpopulations, including racial, geographic, or socioeconomic health disparities, and the role of family physicians in reducing such gaps

• Assessment of risks for abuse, neglect, and family and community violence

• Reportable communicable disease

• Population epidemiology, and the interpretation of public health statistical information

• Environmental illness and injury

• School health

• Disease prevention through immunization strategies

• Disaster responsiveness

• Community-based disease screening, prevention and health promotion

 

 

Required resident participation in clinical experiences in community medicine:

 

• Experience in using community resources appropriately for individual patients who have unmet medical or social support needs

• Structured interaction with the public health system

• Occupational medicine including disability determination, employee health and job-related illness and injury

• Experience in community health assessment

• Community-based health education of children and adults

 

A process to evaluate the curriculum and to document resident skill attainment

Didactic component:

• Multi-disciplinary health disparities workshop

• Multi-disciplinary community resources workshop

• Development of domestic and community violence didactics

• Development of standardized epidemiology curriculum to include research methods and evaluation of the medical and public health literature

• Development of sessions addressing data resources available for community health assessments and public health statistical information

     http://www.cdc.gov/nchs/health_data_for_all_ages.htm

     http://factfinder.census.gov/home/saff/main.html?_lang=en

     http://www.cdc.gov/brfss/

     http://www.fedstats.gov/

     http://phillyneighborhoods.org/

     http://www.dsf.health.state.pa.us/health/site/default.asp

     http://cml.upenn.edu/nbase/

     http://www.phila.gov/health/

     http://westphillydata.library.upenn.edu/

     http://www.cdc.gov/nchs/

     http://www.thefoodtrust.org/pdf/supermar.pdf

• Resident debriefing sessions following completion of practice-specific health ecology worksheets

• Development of Community Based Participatory Research content

• Development of a disability determination session

• Develop set of core readings for discussion

• Quarterly resident debriefing sessions addressing longitudinal community medicine experiences

• Quarterly resident debriefing sessions addressing home visit experiences

• Grant-writing and paper-writing sessions

 

Experiential component:

• Longitudinal component of the Drew Health Collaborative will be reframed in terms of a residency-wide intervention in order to improve sense of coherence and continuity as opposed to individual residency class projects

• Negotiate higher-level interaction with Bridging the Gap Program (BTG) with consideration of resident mentoring of BTG students and resident development of Sayre-based site for BTG student/resident projects

• Home visit program coordinated with Family Medicine attendings, nursing, social work and pharmacy staff

• Exposure to diabetes group visits

• Tracking of resident patient demographics neighborhoods - associated health ecology worksheet for neighborhoods dominating clinical practice

• Development of experiential component paralleled with didactics with the intent of reinforcing didactic content

     Disability assessments at occupational health

     School and pre-participation physicals

     Community-based domestic violence advocacy programs

     Continued structured interaction with the public health system

     Continued structured interaction with Wissahickon Hospice Program

     Faith-based organizations

• Individual resident community medicine projects focused on Drew or Sayre-based initiatives

• Individual meetings with Director of Community Programs during Community Medicine blocks and as needed

 

 

Evaluation component:

• Develop assessment tool for the assessment of resident's community medicine knowledge, attitudes, beliefs, and behaviors - See appendix

• Measurement and evaluation of associations between resident exposure to community medicine curriculum and community medicine/educational outcomes

 

 

Strategic Planning:

• Assess other local area opportunities for community medicine interventions

     Local high-rises with older adults

     Other school-based programs

• Develop funding and sustainability model for community medicine programs

     Foundation funding

     NIH funding

     Business support from within community

• Develop collaborations with other academic and community-based health systems

• Academic productivity regarding community medicine programs

     Manuscript production

     Salary and overhead support from grant production

     Tracking resident education outcomes

12/1/2005 Drew Health Collaborative Peter Cronholm, MD MSCE

peter.cronholm@uphs.upenn.edu

01/19/2005 Hospice Joseph B. Straton, MD MSCE

joseph.straton@uphs.upenn.edu

02/02/2006 Epidemiology (Introduction) Peter Cronholm, MD MSCE

peter.cronholm@uphs.upenn.edu

02/09/2006 End of Life Care Joseph B. Straton, MD MSCE

joseph.straton@uphs.upenn.edu

04/06/2006 Healthcare for the underserved Mira Gohel, MD

mira.gohel@phila.gov

05/04/2006 Neighborhoods and health Chevy Williams, PhD

chyvette@wharton.upenn.edu

07/20/2006 Injury Prevention Charlie Branas, PhD

cbranas@cceb.med.upenn.edu

08/17/2006 Primary care providers as policy advocates  Evan Fieldston, MD

fieldston@email.chop.edu

08/31/2006 Epidemiology (Measures of Association) Joseph Gallo, MD MPH

Joseph.Gallo@uphs.upenn.edu

10/05/2006 Hospice Joseph B. Straton, MD MSCE

joseph.straton@uphs.upenn.edu

10/05/2006 Palliation - Opioids Joseph B. Straton, MD MSCE

joseph.straton@uphs.upenn.edu

10/12/2006 Drew Health Collaborative  Peter Cronholm, MD MSCE

peter.cronholm@uphs.upenn.edu

11/09/2006 Immigrant Health Cheryl Bettigole, MD

cbettigole@verizon.net

12/07/2006 Epidemiology (RCTs) Josh Metlay, MD PhD

jmetlay@cceb.med.upenn.edu

01/18/2007 Disaster Preparedness Crawford Mechem, MD

crawford.mechem@uphs.upenn.edu

02/15/2007 Social Services for Perinatal Risk Silvana Mazzella

silvana.mazzella@phila.gov

03/15/2007 Epidemiology (CBPR and Qualitative) Fran Barg, PhD and Chanita Hughes-Halbert, PhD

bargf@uphs.upenn.edu chanita@mail.med.upenn.edu

04/12/2007 Family Violence and Children / Child Abuse Marcy Witherspoon, MSW, LSW

marcy.witherspoon@phila.gov

05/10/2007 Public Assistance Heather Klusaritz

Heather.Klusaritz@uphs.upenn.edu

06/07/2007 Epidemiology (IRB and Research Ethics) Vardit Ravitsky, PhD

ravitsky@mail.med.upenn.edu 

 

Date TBD Epidemiology (Case Control and Cohort Studies) Dennis Durbin, MD MSCE

durbind@email.chop.edu

Date TBD Using Census data Laurie Allen

laallen@pobox.upenn.edu

Date TBD Health Insurance and Medication Coverage Heather Klusaritz

Heather.Klusaritz@uphs.upenn.edu

Date TBD Services for the Elderly Heather Klusaritz

Heather.Klusaritz@uphs.upenn.edu 

Date TBD Domestic Violence - Victimization Peter Cronholm, MD MSCE

peter.cronholm@uphs.upenn.edu

Date TBD Domestic Violence - Perpetration Peter Cronholm, MD MSCE

peter.cronholm@uphs.upenn.edu

• Longitudinal component of the Drew Health Collaborative reframed in terms of a residency-wide intervention in order to improve sense of coherence and continuity as opposed to individual residency class projects

• Higher-level interaction with Bridging the Gap Program (BTG) with consideration of resident mentoring of BTG students and resident development of Sayre-based site for BTG student/resident projects

• Home visit program coordinated with Family Medicine attendings, nursing, social work and pharmacy staff

• Exposure to diabetes group visits

• Block sessions with the following:

     Disability assessments at occupational health

     School and pre-participation physicals

     Community-based domestic violence advocacy programs

     Continued structured interaction with the public health system

     Continued structured interaction with Wissahickon Hospice Program

     Faith-based organizations

• Individual resident community medicine projects focused on Drew or Sayre-based initiatives