Department of Family Medicine and Community Health
Summer 2008
Course Directors: Peter Cronholm, MD MSCE, Gary Davis, MD
Description: The Community Medicine Summer Assistantship (CMSA) is a two-month community oriented learning opportunity for medical students who have completed their first year of training. The CMSA will be linked to the Sayre School Clinic, a Health Resources and Services Administration-funded community medical healthcare site developed in and coordinated with the Sayre School of West Philadelphia. The CMSA is a learning opportunity that will involve a structured educational program in community medicine as well as the development and implementation of student's individual community medicine project. The Sayre School healthcare site is a newly funded initiative which provides a unique opportunity to learn about community partnerships for health and directly affect the initial development of a novel school-based healthcare site. Weekly lectures in the development and execution of community medicine will be provided by the course director and invited lecturers. Student-directed community medicine projects will be developed by CMSA participants with support of the course director, faculty sponsor and in conjunction with the Sayre community advisory board (if project is conducted at Sayre). A final presentation and paper reporting the product of these efforts are to be presented to the CMSA course director and the Sayre community advisory board (if project is conducted at Sayre) for successful completion of the CMSA. Participants will be expected to dedicate full-time to this effort for the duration of the summer recess with allowance for vacation time to be worked out on an individual basis. Seminar sessions will be on Wednesday afternoons from 3:30-4:30 in the Gates conference room starting July 2nd, 2008.
Requirements: 1) Development and implementation of an individual community medicine project approved by CMSA Course Director and faculty supervisor; 2) Attendance and participation in weekly seminars (Summer Seminar Series) in the development and execution of student's community medicine projects; 3) Development of a final paper describing the community medicine project and summary of the evidence base justifying the specific aims of your project (5-10 pages: Referenced: Manuscript format - Intro, methods, results, conclusions); 4) a final presentation of the student's community medicine projects (20 minute presentations; Manuscript format - Intro, methods, results, conclusions); 5) participating students will be expected to meet with their faculty sponsors at a minimum of on a weekly basis; 6) All participating students are required to complete an anonymous evaluation of course content and process; 7) Prior to implementation of any research projects, all students must complete the University of Pennsylvania Patient Oriented Research (http://www.med.upenn.edu/ohrtrain/POR/); and 8) obtain approval of the proposed project from the University of Pennsylvania Institutional Review Board (http://www.upenn.edu/regulatoryaffairs/IRB.html).
Summer Seminar Series 2008
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Date
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7/1/2008
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7/8/2008
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7/15/2008
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7/22/2008
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7/29/2008
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8/5/2008
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Topic
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Community-Based Participatory Research
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Qualitative Methods
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Needs Assessments
Census Data
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Building Community Partnerships
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Community-Based Preventive Services
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Report Presentations
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Presenter
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Chanita Hughes Halbert, PhD
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Frances Barg, PhD
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Laurie Allen
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Jeffrey Draine, MSW, PhD
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Giang Nguyen,
MD, MPH, MSCE
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Gary Davis, MD and Peter Cronholm,
MD, MSCE
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Note: Sessions will be held on Wednesdays from 3:30-4:30pm in the 2-Gates conference room
SUMMER SEMINAR SERIES 2008
Session 1 – Community Based Participatory Research (CBPR)
Discussion of student projects
CBPR Principles
1. Recognizes the community as a unit of identity.
2. Builds on strengths and resources within the community.
3. Facilitates collaborative partnerships in all phases of the research.
4. Integrates knowledge and action for mutual benefit of all partners
5. Promotes a co-learning and empowering process that attends to social inequalities.
6. Involves a cyclical and iterative process.
7. The research should involve trust-building, partnership development and maintenance in all phases of the research.
8. Disseminates findings and knowledge gained to all partners.
CBPR Process
1. Identify community and partners (by set criteria)
2. Identify the research question (prioritize and develop consensus)
3. Write the grant application (may or may not be a required step)
4. Collaborative implementation of the project
5. Analysis and interpretation of results and manuscript preparation (with partners as co-authors)
6. Dissemination and application of findings
Session 2 – Qualitative Methods
Discussion of student projects
Interviewing
Qualitative methods
Focus Groups and Nominal Group Technique
Individual Interviews
Cultural Consensus Analysis
Session 3 – Needs assessments
Discussion of student projects
Community resources
Session 4 – Building Community Partnerships
Discussion of student projects
Issues with community-academic partnerships
Principles of developing community partnerships
Session 5 – Community-Based Preventive Services
Discussion of student projects
AHRQ Guide: Viswanathan M, Ammerman A, Eng E, Gartlehner G, Lohr KN, Griffith D, Rhodes S, Samuel-Hodge C, Maty S, Lux, L, Webb L, Sutton SF, Swinson T, Jackman A, Whitener L. Community-Based Participatory Research: Assessing the Evidence. Evidence Report/Technology Assessment No. 99 (Prepared by RTI–University of North Carolina Evidence-based Practice Center under Contract No. 290-02-0016). AHRQ Publication 04-E022-2. Rockville, MD: Agency for Healthcare Research and Quality. July 2004. AHRQ_2004_CBPR Evidence Report.pdf
Session 6 – Project Reports
Discussion of student projects
Group Debrief
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