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Training community-responsive physicians.

John R Brill1, Steve Ohly, Marjorie A Stearns

  • 1St. Luke's Family Practice Residency, University of Wisconsin Medical School, Milwaukee, 53215, USA. jbrill@fammed.wisc.edu

Academic Medicine : Journal of the Association of American Medical Colleges
|July 13, 2002
PubMed
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This family practice residency program trains physicians in community-responsive medicine. The curriculum fosters skills for underserved populations and improves community health through service learning.

Area of Science:

  • Primary care and population health
  • Medical education and community engagement
  • Physician training for underserved populations

Background:

  • The
  • community-responsive
  • primary care provider
  • integrates population health, prevention, cultural competence, and community leadership.
  • St. Luke's family practice residency program developed a longitudinal community medicine curriculum to cultivate these attributes in residents.
  • A key goal is training physicians committed to practicing in medically underserved communities.

Purpose of the Study:

  • To describe a longitudinal community medicine curriculum designed to foster physician-community involvement.
  • To outline the curriculum's structure, content, and evaluation methods.
  • To demonstrate the curriculum's impact on developing community-responsive physicians and improving community health.

Related Experiment Videos

Main Methods:

  • A three-year curriculum includes orientation windshield surveys, a four-week community medicine rotation, and a two-year community-based project.
  • Residents engage in health education, clinical services, and advocacy in diverse community settings.
  • Evaluation employs a progression matrix tracking growth in eight domains, supplemented by portfolios and video journaling.

Main Results:

  • The curriculum integrates four domains: sociocultural insights, community resource knowledge, community-oriented primary care skills, and community involvement.
  • Residents develop community health-improvement skills, cultural awareness, and interdisciplinary collaboration.
  • A graduate's successful implementation of a "Reach Out and Read" program exemplifies the curriculum's impact.

Conclusions:

  • The longitudinal community medicine curriculum effectively trains physicians in community-responsive practice.
  • Service learning initiatives improve community health and address factors like literacy impacting health outcomes.
  • The program cultivates physicians with the skills and confidence to serve underserved populations.