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Teaching community-oriented primary care through longitudinal group projects

J Donsky1, T Villela, M Rodriguez

  • 1Family Practice Residency Program, San Francisco General Hospital, USA.

Family Medicine
|June 13, 1998
PubMed
Summary
This summary is machine-generated.

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Implementing community-oriented primary care (COPC) training for residents improved knowledge but slightly decreased positive attitudes. The curriculum fostered project completion but presented challenges in resident experience and engagement.

Area of Science:

  • Medical Education
  • Public Health
  • Family Medicine

Background:

  • Community-Oriented Primary Care (COPC) is advocated for community health but is poorly understood and practiced.
  • Incorporating COPC into medical training is challenging due to time, approach, and skill requirements.
  • This study describes a COPC curriculum for family practice residents using a longitudinal group project.

Purpose of the Study:

  • To evaluate a COPC curriculum for family practice residents.
  • To assess changes in residents' knowledge and attitudes towards COPC.
  • To qualitatively evaluate residents' experiences with the COPC curriculum.

Main Methods:

  • Residents participated in successive groups completing a 2-year COPC project.
  • Knowledge and attitude tests were administered pre- and post-curriculum to PGY-2 residents.

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  • Qualitative evaluation methods were employed to assess resident feedback.

    • Main Results:

    • Significant improvements in residents' COPC knowledge were observed.
    • A small but significant decline in positive attitudes toward COPC occurred.
    • Residents reported positive aspects like intellectual stimulation but also negative aspects such as lack of ownership and cumbersome processes.

    Conclusions:

    • A 2-year COPC group project curriculum facilitated substantial project completion.
    • Trade-offs in resident experience, including continuity, were noted.
    • Effectively teaching COPC and engaging residents in community-oriented activities remains a challenge.