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The Development of a Novel, Standards-Based Core Curriculum for Community Facing, Clinic-Based Community Health
Sheba George1,2, Lucero Silva3, Myra Llamas4
1Department of Preventive and Social Medicine, College of Medicine, Charles R. Drew University of Medicine and Science, Los Angeles, CA, United States.
This study developed a novel, standards-based curriculum for clinic-based Community Health Workers (CHWs), integrating expert input and stakeholder perspectives for effective healthcare integration. The curriculum focuses on professional identity, healthcare system navigation, and understanding health determinants.
Area of Science:
- Public Health
- Health Professions Education
Background:
- Community Health Worker (CHW) training historically focused on community-based roles, not ongoing clinical settings.
- Existing training often supported short-term, grant-funded projects, lacking long-term clinical integration focus.
Purpose of the Study:
- To describe the development of a novel, standards-based training curriculum for clinic-based CHWs.
- To establish a framework for ongoing, professional development of CHWs within healthcare systems.
Main Methods:
- Consultation with national CHW experts and utilization of the CHW Consensus Project (C3 Project) standards.
- Integration of patient, healthcare team, and healthcare system stakeholder perspectives.
- Application of popular and adult learning principles, including a modified apprenticeship model and collaboration with clinical partners.
Main Results:
- A 10-module, standards-based curriculum was developed for clinic-based CHWs.
- Curriculum modules cover CHW professional identity and competencies, healthcare setting navigation, and understanding health determinants.
- The development process incorporated expert, stakeholder, and practical clinical insights.
Conclusions:
- Curriculum development should leverage CHW standards, existing materials, and participatory adult education principles.
- Training for clinical settings requires input from experienced clinical CHWs and consideration of organizational integration.
- Effective CHW training is crucial for successful integration into healthcare teams and systems.
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