Community-Academic Partnerships: Teaching Medical Students Public Health

1
Community-Academic Partnerships Teaching
Medical Students Public Health

• American Public Health Association, November 2004
• Jan K Carney MD MPH
• University of Vermont College of Medicine

2
(No Transcript)
3
(No Transcript)
4
Why Public Health Projects?

• All physicians will face public health issues
• Multiple determinants of health
• Population/community context of individual
  patients
• Increasing need for disease prevention
• Partnerships essential

5
Multiple Determinants of Health
6
Why public health projects?

• Physicians face a growing list of public health
  issues in clinical practice today examples
• Preventing childhood obesity
• Emerging infectious diseases
• Preventing and caring for chronic conditions in
  an aging population
• IOM recommends that all medical students receive
  basic public health training in the
  population-based prevention approaches to health.

7
Vermont Integrated Curriculum (VIC)

• Implemented at the UVM College of Medicine fall
  2003
• Integrates sciences and clinical medicine
• Develops skills for life-long learning
• Public health competencies

8
Public Health Projectsin the Vermont Integrated
Curriculum

• MSLG I first year
• Student groups of 8
• May 2004 project ranking
• MSLG II Public Health Projects
• September through December
• Second year students
• Begin September 2004
• 13 projects per year

9
Themes and Competencies

• Professional development
• Learning
• Leadership and Collaboration
• Research and Discovery

10
Goals and Objectives
11
Public Health ProjectsEducational Goals

• Understand the breadth and scope of public health
• Understand current and emerging public health
  issues
• Understand how public health interfaces with
  clinical medicine
• Understand and apply public health research
  methods

12
Public Health ProjectsEducational Goals

• Understand the role of the community in improving
  individuals health
• Learn practical ways to improve the health of
  both individuals and populations
• Be creative and have fun!

13
For each Public Health Project

• 1. must address a public health issue
• 2. must ask and answer a scientific question
• 3. must show a public health benefit

14
Public Health Framework
15
Healthy People 2010Overarching goals

• 1. increase quality and years of healthy life
• 2. eliminate health disparities

16
Healthy People 2010Focus Areas

• Access to quality health services
• Arthritis
• Cancer
• Chronic Kidney Disease
• Diabetes
• Disability
• Educational programs
• Environmental health
• Family planning
• Food Safety
• Health Communication
• Heart Disease and Stroke
• HIV
• Immunization and Infectious Diseases

• Injury and violence prevention
• Maternal, infant and child health
• Medical Product Safety
• Mental health
• Nutrition and overweight
• Occupational health
• Oral health
• Physical activity
• Public Health Infrastructure
• Respiratory Diseases
• Substance abuse
• Tobacco
• Vision and Hearing

17
Community-Academic Partnerships

• Students asked for better way to make a
  difference
• Previous project design reversed
• Community First!
• Community agencies asked to identify public
  health needs
• Projects designed to meet community-identified
  needs

18
Community-Academic Partnerships

• Link with community agencies
• United Way of Chittenden County
• Invited proposals January 2004
• Protocols developed to match HP2010 focus areas
  and educational goals
• May 2004 student rank and match
• IRB process/IRB tutorial

19
(No Transcript)
20
(No Transcript)
21
Evaluation

• Field notes for peers (COMET)
• Written report
• About 10 pages
• Background, Methods, Results, Conclusions
• For mentors and agencies
• Poster presentation
• Visually appealing summary
• Professional quality
• Suitable for submission to national meeting
• January poster presentation at COM

22
Evaluation (cont)

• Grading Pass/Fail
• Student self-assessment
• Agency assessment
• Faculty mentor assessment
• Midpoint and final
• Individual contribution and group work
• Competency based

23
Project Examples 2004
24
(No Transcript)
25
Public Health Project Titles 2004

• 1. Navigating a 15 minute doctor visit Helping
  patients communicate with their physicians
• 2. Public Health for Refugees in Vermont Public
  Health in the Home
• 3. Healthy Choice for Teens the path to
  well-being through diet and exercise (Woodside)
• 4. The Built Environment and Health Promoting
  healthy and active Vermont communities (VDH)

26
Projects 2004 (cont)

• 5. Helping patients to help themselves
  educational methods to improve access to health
  care Lund family center
• 6. Teaching young children about nutrition and
  physical activity Improving nutrition and
  physical fitness in YMCA families
• 7. Improving health care quality and reducing
  errors (VNA)
• 8. Assessing psychiatry needs at a community
  mental health center (Howard)

27
Projects 2004- (cont)

• 9. Immunizations are for adults, too reducing
  the risk of influenza and pneumococcal disease in
  a nursing home
• 10. Diabetic-friendly food donations nutritional
  options for the homebound senior (CCEFS)
• 11. Improving the health of the community
  educational strategies at the Community Health
  Center

28
Projects 2004 (cont)

• 12. Improving the health of Puerto Cabezas,
  Nicaragua, Burlingtons Sister City
• 13. Complementary and Alternative Medicine
  Physician beliefs and patient/doctor communication

29
(No Transcript)
30
(No Transcript)
31
(No Transcript)
32
Public Health Projects Healthy People 2010
areas

• Access to Quality Health Services
• Health Communication
• Environmental Health
• Diabetes
• Immunizations and infectious disease
• Nutrition/Physical Activity
• Mental Health

33
(No Transcript)
34
Jan K Carney, MD MPH,Associate Dean for Public
Health, University of Vermont College of Medicine

• 371 Pearl St, Burlington VT 05401
• [phone]
• Jan.Carney_at_uvm.edu