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

Published on Oct 1, 2011in American Journal of Preventive Medicine 4.13
· DOI :10.1016/j.amepre.2011.06.005
Linda N. Meurer15
Estimated H-index: 15
(Medical College of Wisconsin),
Staci Young8
Estimated H-index: 8
(Medical College of Wisconsin)
+ 3 AuthorsSabina Diehr9
Estimated H-index: 9
(Medical College of Wisconsin)
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
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  • Citations (26)
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References11
Published on Sep 28, 2006in The New England Journal of Medicine 79.26
David M. Irby43
Estimated H-index: 43
,
Molly Cooke28
Estimated H-index: 28
+ 1 AuthorsKenneth M. Ludmerer11
Estimated H-index: 11
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.
581 Citations Source Cite
Published on Apr 1, 2008in Academic Medicine 4.80
Lisa Chamberlain13
Estimated H-index: 13
,
Nancy E. 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
24 Citations Source Cite
Published on Jul 1, 1995in Academic Medicine 4.80
Carole J. Bland21
Estimated H-index: 21
(University of Minnesota),
Linda N. Meurer15
Estimated H-index: 15
(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
276 Citations Source Cite
Published on Mar 1, 1998in Academic Medicine 4.80
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-...
284 Citations Source Cite
Published on Jul 1, 1999in Scandinavian Journal of Public Health 1.65
Carles Muntaner52
Estimated H-index: 52
(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 Jun 15, 2010in Annals of Internal Medicine 19.38
Fitzhugh Mullan25
Estimated H-index: 25
,
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...
150 Citations Source Cite
Published on Aug 1, 2010in Health Affairs 4.84
David R. Williams120
Estimated H-index: 120
(Harvard University),
Mark McClellan43
Estimated H-index: 43
,
Alice M. Rivlin16
Estimated H-index: 16
(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 Nov 22, 2006in JAMA 47.66
Russell L. Gruen36
Estimated H-index: 36
(University of Melbourne),
Eric G. Campbell43
Estimated H-index: 43
,
David Blumenthal70
Estimated H-index: 70
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...
104 Citations Source Cite
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Cited By26
Published on Oct 1, 2015in Pediatric Clinics of North America 2.81
Sheri Johnson3
Estimated H-index: 3
(Medical College of Wisconsin),
Veronica L. Gunn1
Estimated H-index: 1
(Children's Hospital of Wisconsin)
In restructuring the delivery of primary care to improve the wellness of a community, every community must review its own circumstances for factors such as resources and capacities, health concerns, social and political perspectives, and competing priorities. Strengthening the health care team with community health workers to create a patient-centered medical home can enhance health care access and outcomes. Community health workers can serve as critical connectors between health systems and com...
8 Citations Source Cite
Published on Oct 2, 2015in Occupational Therapy in Health Care
Joy Hammel23
Estimated H-index: 23
(University of Illinois at Chicago),
Susan Magasi19
Estimated H-index: 19
(University of Illinois at Chicago)
+ 4 AuthorsYolanda Suarez-Balcazar21
Estimated H-index: 21
(University of Illinois at Chicago)
Trends in policy, practice, and research point to the need for a community-engaged Scholarship of Practice (SOP) model that can be used to inform the development of occupational therapy practitioners, educators, and researchers. This article describes a community-engaged SOP model, the evidence justifying the need for such a model, and strategies to effectively create community-engaged practitioners, educators and career scientists within occupational therapy. We highlight several examples of co...
3 Citations Source Cite
Matthew J. O'Brien11
Estimated H-index: 11
(Temple University),
Joseph M Garland1
Estimated H-index: 1
+ 3 AuthorsSteven C. Larson3
Estimated H-index: 3
Purpose: Given the large influence of social conditions on health, physicians may be more effective if they are trained to identify and address social factors that impact health. Despite increasing interest in teaching the social determinants of health in undergraduate medical education, few models exist. Participants and methods: We present a 9-month pilot course on the social determinants of health for medical and other health professional students, which is based at Puentes de Salud, Philadel...
10 Citations Source Cite
Published on Oct 1, 2011in American Journal of Preventive Medicine 4.13
Rika Maeshiro7
Estimated H-index: 7
(Association of American Medical Colleges),
Denise Koo2
Estimated H-index: 2
,
C. William Keck3
Estimated H-index: 3
(Northeast Ohio Medical University)
17 Citations Source Cite
Published on Oct 20, 2014in Community Development
Omer Aijazi2
Estimated H-index: 2
(University of British Columbia),
Leonora C. Angeles6
Estimated H-index: 6
(University of British Columbia)
Although the nexus between religion, faith-based organizations, and community development is well established in the literature, the potential for change driven by indigenous and grassroots social structures such as Islamic schools ( madrassas) is still largely ignored in practice. Against the backdrop of overall educational and political economic reforms affecting Pakistan, this paper examines the community development function and other extra-religious roles of the madrassa in development work...
3 Citations Source Cite
Published on Nov 13, 2013in PLOS ONE 2.77
Josephine Y. Chau25
Estimated H-index: 25
(University of Sydney),
Anne Grunseit18
Estimated H-index: 18
(University of Sydney)
+ 5 AuthorsHidde P. van der Ploeg36
Estimated H-index: 36
(University of Sydney)
Objective To quantify the association between daily total sitting and all-cause mortality risk and to examine dose-response relationships with and without adjustment for moderate-to-vigorous physical activity. Methods Studies published from 1989 to January 2013 were identified via searches of multiple databases, reference lists of systematic reviews on sitting and health, and from authors’ personal literature databases. We included prospective cohort studies that had total daily sitting time as ...
286 Citations Source Cite
Published on Nov 1, 2014in American Journal of Preventive Medicine 4.13
Imam M. Xierali13
Estimated H-index: 13
(Association of American Medical Colleges),
Rika Maeshiro7
Estimated H-index: 7
(Association of American Medical Colleges)
+ 2 AuthorsMalika Fair3
Estimated H-index: 3
(Association of American Medical Colleges)
Background Experts have historically recommended better integration of public health content into medical education. Whether this adoption is associated with physician practice location has not been studied. Purpose To examine the association between medical student perception of their public health and community medicine instruction and practice location in a Health Professional Shortage Area. Methods Descriptive analysis and a regression model assessed the significance and strength of the asso...
2 Citations Source Cite
Published on Sep 1, 2012in Journal of Graduate Medical Education
Linda N. Meurer15
Estimated H-index: 15
,
Sabina Diehr9
Estimated H-index: 9
Linda N. Meurer, MD, MPH, is Professor, Family & Community Medicine, and Director, Academic Fellowship in Primary Care/Community-Based Research, and Urban and Community Pathway at the Medical College of Wisconsin; and Sabina Diehr, MD, is Associate Professor in Family & Community Medicine and Faculty Mentor for the Homeless Outreach in Medical Education (HOME) Project at the Medical College of Wisconsin. Funding: Work was partially supported by the U.S. Department of Health and Human Services, H...
4 Citations Source Cite
Cassandra Fritz2
Estimated H-index: 2
(University of Chicago),
Keith Naylor3
Estimated H-index: 3
(Chicago State University)
+ 6 AuthorsKaren Kim4
Estimated H-index: 4
(University of Chicago)
Objective The Chicago south side, even more so than national populations, continues to be burdened with widening gaps of disparities in cancer outcomes. Therefore, Chicago community members were engaged in addressing the following content areas for a cancer disparities curriculum: (1) the south side Chicago community interest in participating in curriculum design, (2) how community members should be involved in designing cancer disparities curriculum, and (3) what community members believe the c...
1 Citations Source Cite
Visual impairment disproportionately affects the health and function of people who are homeless. A common and correctable cause of visual impairment is refractive error. However, eyeglasses remain an unmet need for the poor and underinsured. This report describes eyeglasses recycling and vision screening to reduce the burden of correctable visual impairment.
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