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The Urban and Community Health Pathway Preparing Socially Responsive Physicians Through Community-Engaged Learning

Published on Oct 1, 2011in American Journal of Preventive Medicine 4.43
· DOI :10.1016/j.amepre.2011.06.005
Linda N. Meurer16
Estimated H-index: 16
(MCW: Medical College of Wisconsin),
Staci Young8
Estimated H-index: 8
(MCW: Medical College of Wisconsin)
+ 3 AuthorsSabina Diehr8
Estimated H-index: 8
(MCW: Medical College of Wisconsin)
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Abstract
One of five options for the new required Medical College of Wisconsin Pathways program, the Urban and Community Health Pathway (UCHP), links training with community needs and assets to prepare students with the knowledge, skills, and attitudes to provide effective care in urban, underserved settings; promote community health; and reduce health disparities. Students spend at least 10 hours per month on pathway activities: 4 hours of core material delivered through readings, didactics, case discussions, and site visits; and at least 6 hours of experiential noncore activities applying core competencies, guided by an Individualized Learning Plan and faculty advisor. Noncore activities include community-engaged research, service-learning activities or other relevant experiences, and submission of a synthesis paper addressing pathway competencies. The first cohort of students began their pathways in January 2010. Of 560 participating students, 95 (of which 48 were first-year, 21 second-year, and 26 third-year students) selected UCHP. Core sessions focused on public health, social determinants, cultural humility, poverty, the local healthcare system, and safety net. During noncore time, students engaged in projects addressing homelessness, obesity, advocacy, Hmong and Latino health, HIV, asthma, and violence prevention. Students enjoyed working with peers across classes and favored interactive, community-based sessions over didactics in the classroom. Students' papers reflected a range of service and scholarly activities and a deepened appreciation of social and economic influences on health. The UCHP enriches the traditional curriculum with individualized, community-based experiences to build knowledge about health determinants and skills in partnering with communities to improve health. Language: en
  • References (11)
  • Citations (28)
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References11
Newest
Published on Aug 1, 2010in Health Affairs 5.71
David R. Williams129
Estimated H-index: 129
(Harvard University),
Mark McClellan44
Estimated H-index: 44
,
Alice M. Rivlin18
Estimated H-index: 18
(Brookings Institution)
Improved access to health care is essential if we are to fill the striking gaps between how healthy Americans are and how healthy they could be. But access alone is not enough. Health and longevity are also profoundly influenced by where and how Americans live, learn, work, and play. Recognizing this, the Robert Wood Johnson Foundation’s Commission to Build a Healthier America has identified concrete, feasible actions outside of medical care that constitute an urgent agenda for improving America...
34 Citations Source Cite
Published on Jun 15, 2010in Annals of Internal Medicine 19.32
Fitzhugh Mullan26
Estimated H-index: 26
,
Candice Chen10
Estimated H-index: 10
+ 2 AuthorsMichael Spagnola1
Estimated H-index: 1
Background: The basic purpose of medical schools is to educate physicians to care for the national population. Fulfilling this goal requires an adequate number of primary care physicians, adequate distribution of physicians to underserved areas, and a sufficient number of minority physicians in the workforce. Objective: To develop a metric called the social mission score to evaluate medical school output in these 3 dimensions. Design: Secondary analysis of data from the American Medical Associat...
152 Citations Source Cite
Published on Apr 1, 2008in Academic Medicine 5.08
Lisa Chamberlain13
Estimated H-index: 13
,
Nancy Wang22
Estimated H-index: 22
+ 3 AuthorsNeil Gesundheit28
Estimated H-index: 28
AbstractThe authors describe the population health curriculum at the Stanford University School of Medicine from 2003 to 2007 that includes a requirement for first-year medical students to engage in community-based population health projects. The new curriculum in population health comprises classro
25 Citations Source Cite
Published on Nov 22, 2006in JAMA 51.27
Russell L. Gruen36
Estimated H-index: 36
(University of Melbourne),
Eric G. Campbell44
Estimated H-index: 44
,
David Blumenthal72
Estimated H-index: 72
ContextWhether physicians have a professional responsibility to address health-related issues beyond providing care to individual patients has been vigorously debated. Yet little is known about practicing physicians' attitudes about or the extent to which they participate in public roles, which we defined as community participation, political involvement, and collective advocacy.ObjectivesTo determine the importance physicians assign to public roles, their participation in related activities, an...
106 Citations Source Cite
Published on Sep 28, 2006in The New England Journal of Medicine 70.67
David M. Irby43
Estimated H-index: 43
,
Molly Cooke28
Estimated H-index: 28
+ 1 AuthorsKenneth M. Ludmerer12
Estimated H-index: 12
This article introduces a series of reports on medical education. It outlines the main areas of success and the problems that have arisen since the Flexner report was issued.
590 Citations Source Cite
Published on Jul 1, 2005
Leslie Curry1
Estimated H-index: 1
The Future of the Public's Health in the 21st Century By the Committee on Assuring the Health of the Public in the 21st Century, National Academies Press, 2002, 536 pp., $39.00 (doth), $29.95 (paper). Also available at http://books.nap.edu/catalog/10548.hml. In The Future of the Public's Health in the 21st Century, experts from the national public health community present a framework for assuring the public's health in the coming decades. Convened through a collaborative agreement among the key ...
496 Citations
Published on Jan 1, 2003
Kristine M. Gebbie DrPh Rn28
Estimated H-index: 28
,
L Rosenstook31
Estimated H-index: 31
,
Lyla M. Hernandez12
Estimated H-index: 12
Bioterrorism, drug--resistant disease, transmission of disease by global travel ...therea (TM)s no shortage of challenges facing Americaa (TM)s public health officials. Men and women preparing to enter the field require state-of-the-art training to meet these increasing threats to the public health. But are the programs they rely on provide the high caliber professional training they require? Who Will Keep the Public Healthy? provides an overview of the past, present, and future of public health...
431 Citations Source Cite
Published on Jul 1, 1999in Scandinavian Journal of Public Health 1.76
Carles Muntaner54
Estimated H-index: 54
(WVU: West Virginia University)
This article examines some of the main threats and new opportunities encountered by teachers of social inequalities in health in contemporary academia. Focusing mostly on the recent US and European experiences, I suggest that lay world views legitimating social inequalities are often in conflict with explanations arising from social epidemiology and medical sociology. The dominance of medicine in public health, through its often implicit assumptions about the biological determinants of human beh...
25 Citations Source Cite
Published on Mar 1, 1998in Academic Medicine 5.08
Sarena D. Seifer20
Estimated H-index: 20
In 1995, the Health Professions Schools in Service to the Nation (HPSISN) program was launched under the auspices of the Pew Health Professions Commission as a national demonstration of an innovative form of community-based education called service-learning. The foundation of service-learning is a balanced partnership between communities and health professions schools and a balance between serving the community and meeting defined learning objectives. This article offers a definition of service-...
285 Citations Source Cite
Published on Jul 1, 1995in Academic Medicine 5.08
Carole J. Bland21
Estimated H-index: 21
(UMN: University of Minnesota),
Linda N. Meurer16
Estimated H-index: 16
(UMN: University of Minnesota),
George Maldonado25
Estimated H-index: 25
This paper analyzes and synthesizes the literature on primary care specialty choice from 1987 through 1993. To improve the validity and usefulness of the conclusions drawn from the literature, the authors developed a model of medical student specialty choice to guide the synthesis, and used only hig
279 Citations Source Cite
Cited By28
Newest
Published on May 1, 2019in Journal of General Internal Medicine 4.61
Ashti Doobay-Persaud1
Estimated H-index: 1
(NU: Northwestern University),
Mark Adler14
Estimated H-index: 14
(NU: Northwestern University)
+ 5 AuthorsKaren Sheehan14
Estimated H-index: 14
(NU: Northwestern University)
Background To provide optimal care, medical students should understand that the social determinants of health (SDH) impact their patients’ well-being. Those charged with teaching SDH to future physicians, however, face a paucity of curricular guidance.
1 Citations Source Cite
Published on Apr 9, 2019in Pedagogy in health promotion
Kristen Cribbs1
Estimated H-index: 1
(CUNY: City University of New York),
Susanna Lynch (CUNY: City University of New York)+ 2 AuthorsAshish Joshi3
Estimated H-index: 3
(CUNY: City University of New York)
Experiential learning is a core competency of curricula across accredited U.S. schools of public health, helping students to hone diverse skill sets that will enable them to readily join the workforce and contribute to solving complex public health problems. At the City University of New York (CUNY) Graduate School of Public Health and Health Policy (SPH), all master’s and doctoral students are required to complete a practicum during their degree programs; yet practicum development and selection...
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Published on Dec 1, 2018in Journal of General Internal Medicine 4.61
Benjamin J. Oldfield1
Estimated H-index: 1
(Yale University),
Bennett W. Clark2
Estimated H-index: 2
(JHUSOM: Johns Hopkins University School of Medicine)
+ 7 AuthorsLeonard Feldman13
Estimated H-index: 13
(JHUSOM: Johns Hopkins University School of Medicine)
Background Although residency programs are well situated for developing a physician workforce with knowledge, skills, and attitudes that incorporate the strengths and reflect the priorities of community organizations, few curricula explicitly do so.
1 Citations Source Cite
Published on Oct 1, 2018in Advances in Health Sciences Education 2.76
William Ventres10
Estimated H-index: 10
(University of El Salvador),
Charles Boelen5
Estimated H-index: 5
(WHO: World Health Organization),
Cynthia Haq12
Estimated H-index: 12
(UW: University of Wisconsin-Madison)
Within health professional education around the world, there exists a growing awareness of the professional duty to be socially responsible, being attentive to the needs of all members of communities, regions, and nations, especially those who disproportionately suffer from the adverse influence of social determinants. However, much work still remains to progress beyond such good intentions. Moving from contemplation to action means embracing social accountability as a key guiding principle for ...
2 Citations Source Cite
Published on Sep 9, 2018
Brianna McMichael , Amanda Nickel1
Estimated H-index: 1
+ 6 AuthorsAnupam B. Kharbanda17
Estimated H-index: 17
Purpose:American Indian (AI) children experience significant disparities in health-care access. As a result, they are more likely to use the emergency department (ED) for nonemergent visits than white children. In a recent study, pediatric ED providers have shown an implicit bias for white children over AI children. To combat implicit bias in an ED setting, we created a protocol for training ED providers as health equity coaches.Methods:The intervention took place during the fall of 2016 and was...
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Chris Johnson1
Estimated H-index: 1
(University of Arkansas for Medical Sciences),
Andrew P. Traynor10
Estimated H-index: 10
(CUW: Concordia University Wisconsin)
Abstract Introduction The pharmacy profession has a growing opportunity to provide high-quality patient care to urban underserved patients. The Accreditation Council for Pharmacy Education (ACPE) has also recognized the necessity of training pharmacy students to care for underserved patients within Standard 3.5 in Standards 2016. Despite this recognized need to train students to care for urban underserved patients, there is limited literature to guide schools and colleges of pharmacy in developi...
2 Citations Source Cite
Published on Jan 1, 2018in Academic Medicine 5.08
Malika Sharma4
Estimated H-index: 4
(U of T: University of Toronto),
Andrew D. Pinto12
Estimated H-index: 12
(U of T: University of Toronto),
Arno K. Kumagai14
Estimated H-index: 14
(U of T: University of Toronto)
Medical schools are increasingly called to include social responsibility in their mandates. As such, they are focusing their attention on the social determinants of health (SDOH) as key drivers in the health of the patients and communities they serve. However, underlying this emphasis on the SDOH is
17 Citations Source Cite
Published on Aug 1, 2017in Journal of The National Medical Association 0.83
Kimberly S. Johnson17
Estimated H-index: 17
(Duke University),
Kevin L. Thomas19
Estimated H-index: 19
(Duke University)
+ 1 AuthorsLaura P. Svetkey60
Estimated H-index: 60
(Duke University)
Abstract Background Disparities in health and healthcare are widely documented for underrepresented racial and ethnic populations across a spectrum of diseases and care settings. An evidence base for addressing racial and ethnic disparities in health and healthcare requires investigators trained to conduct health disparities research. Objective To increase knowledge, stimulate interest, teach skills to evaluate and conduct, and foster collaborations in health disparities research. Design We desi...
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Published on Jan 1, 2017
Kathleen Bronson Dussán1
Estimated H-index: 1
,
Adam Leidal4
Estimated H-index: 4
+ 3 AuthorsBarbara J LaHood
Background:Within medical education, there have been recent calls for increased understanding and exposure to poverty to increase trainees’ empathy toward the underserved. Students participating in Michigan Cardiovascular Outcomes Research and Reporting Program research program volunteered at World Medical Relief (WMR) in Detroit, Michigan, a nonprofit organization which recycles medical equipment for developing countries and within greater Detroit. Participants’ perceptions of the underserved w...
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