The Boston Schoolyard Initiative (BSI) is a policy effort to rebuild school yards in Boston through innovative citywide public-private partnerships. At the center of the initiative is a commitment to engage multiple stakeholders and utilize a bottom-up planning process to encourage meaningful change. Based on a case study of BSI, this article develops a framework to understand and analyze how different school and neighborhood sectors can partner to benefit neighborhood communities and utilize the built environment to encourage more active living and active learning. The article contributes to a literature that focuses on the effects of school yards and the role of physically active environments on learning. It expands on this literature by looking at the school-yard initiative as a way to build and expand relationships between teachers, parents, and the community at large. Finally, the study shows that even older schools in inner-city neighborhoods, previously considered blights, can be turned into community, educational, and political assets.

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This article examines the role and impact of community participation in the development of the Roxbury Master Plan in Boston, Massachusetts. It describes how residents and activists utilized the Roxbury Master Plan as a tool to raise challenges to planning ideas perceived as detrimental to the neighborhood. Discussion of this master plan provides a laboratory for examining race and class relationships and tensions generated by proposals for economic development strategies based on benefiting powerful institutional players as a way of helping low-income neighborhoods. Review of the development of this neighborhood master plan between the period 1999 and 2003 shows how residents can use community participation to ensure adoption of broad economic development strategies advocated by proponents of big business that do not spell dislocation and gentrification for poor and working-class neighborhoods. The case study also represents a critique of smart growth and New Urbanism as planning concepts in terms of how issues of race, class, and social inequality are approached or ignored by some planners. The study is based on the author’s involvement in the development of the Roxbury Master Plan, including participation in meetings and interviews with residents, elected officials, and representatives of city government between 1999 when the Roxbury Master Plan was officially launched and its completion in 2003.

Background Physician burnout refers to depersonalization, emotional exhaustion, and a sense of lower personal accomplishment. Affecting approximately 50% of physicians in the United States, physician burnout negatively impacts both the physician and patient. Over a 3-year-period, this prospective study evaluated the multidisciplinary approach to decreasing provider burnout and improving provider well-being in our metropolitan community. Methods A multidisciplinary Well-Being Task Force was established at our Institution in 2017 to assess the myriad factors that may play a role in provider burnout and offer solutions to mitigate the stressors that may lead to decreased provider well-being. Four multifaceted strategies were implemented: (1) provider engagement & growth; (2) workflow/office efficiencies; (3) relationship building; and (4) communication. Providers at our Institution took the Mayo Clinic’s well-being index survey on 3 occasions over 3 years. Their scores were compared to those of providers nationally at baseline and at 1 and 2 years after implementing organizational and individualized techniques to enhance provider well-being. Lower well-being index scores reflected better well-being. Results The average overall well-being index scores of our Institution’s providers decreased from 1.76 at baseline to 1.32 2 years later compared to an increase in well-being index scores of physicians nationally (1.73 to 1.85). Both male and female providers’ average well-being index scores at our Institution decreased over the 3 years of this study, from 1.72 to 1.58 for males and 1.78 to 1.21 for females, while physicians’ scores nationally increased for both genders. The average well-being index scores were highest for providers at our Institution who graduated from medical school less than 5 years earlier (2.0) and who graduated 15–24 years earlier (2.3), whereas the average lowest scores were observed in providers who graduated ≥25 years earlier (1.37). Obstetricians/gynecologists and internal medicine physicians had the highest average well-being index scores (2.48 and 2.4, respectively) compared to other medical specialties. The turnover rate of our Institution’s providers was 5.6% in 2017 and 3.9% in 2019, reflecting a 30% decrease. Conclusion This study serves as a model to reduce provider burnout and enhance well-being through both organizational and individual interventions.

Welfare reform is weakening the social and institutional fabric of neighborhoods with relatively high levels of poverty and is, therefore, antiurban and antineighborhood policy. This article is based on an in-depth study of three Massachusetts communities that finds that welfare reform is increasing regulatory and service demand pressures in inner-city neighborhoods, thereby altering the mission, organizational capacities, and planning activities of communitybased organizations. These findings support recent research that examines the problematic connections between welfare reform and race, neighborhood development, and civic participation. The emerging lesson is that the building of civic consciousness and the strengthening of institutional capacities to pursue community and economic development are ignored in the push of welfare reforms to change individual behavior. Neighborhood revitalization initiatives, as well as the call for increasing citizen participation and self-help strategies, are similarly being weakened or ignored.