Teaching and training in community child health: learning from global experience

Blair, Mitch; Koury, Samantha; Witt, T De; Cundall, D

doi:10.1136/adc.2008.142323

Cited by 3 publications

(2 citation statements)

References 30 publications

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“…This, together with the less prestigious reputation of working in the community is likely to lead to amotivation or to extrinsic motivation, and to difficulties in attracting new pediatricians to community work. Allocation of more resources to the community, financial incentives, and designated rotation in community pediatrics have been found to be beneficial in attracting doctors toward the community, and promoting the change in field of community pediatrics [11,26]. However, while financial incentives have a short-term positive effect on recruiting physicians for less prestigious professions and working in the community, they do not have a long-term effect on keeping doctors in the community or on changing the profession's reputation [2].…”

Section: Discussionmentioning

confidence: 99%

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“I’m 'just' a community pediatrician” views and challenges of pediatricians working in the community in Israel

Pinchover¹,

Berger-Raanan²,

Yaari³

et al. 2023

Isr J Health Policy Res

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Background There are ongoing changes around the world in the training and practice of pediatricians who work in the community. These changes are driven by the understanding that pediatricians are required to provide not only acute primary care but also to address more comprehensive concerns, particularly the ‘new morbidities’. The present study examines the professional identity of Israeli pediatricians in the community in light of these changes, the barriers and challenges to their work and professional adaptations in the field. Methods We used a mixed-methods approach, collecting the perspectives of 137 pediatricians who work in the community through an anonymous online survey, followed by in-depth semi-structured interviews with 11 community pediatricians. Results The survey results show that community pediatricians in Israel have limited knowledge on a variety of developmental, behavioral and emotional issues; that they lack working relationships with medical or other professionals; and are rarely engaged with other community services. Three main themes arose from the interviews that support and deepen the survey results: perceptions of the profession (pediatrics in the community vs. community pediatrics), the stature of pediatricians in the community (during residency, the choice to work in the community, their daily work) and barriers and change in community pediatrics (isolation, limited resources and challenges arising from the nature of community work). Conclusions The present study sheds light on the professional identity and the day-to-day challenges and successes of pediatricians working in the community. Continuing medical education, providing a supportive framework and professional community, better resources, more time with patients, and tools and opportunities for professional development would help pediatricians who work in the community to overcome some of these challenges. The research findings reinforce the need for policy change in the field of community pediatrics with a specific community training curriculum, provision of more resources and ongoing support for pediatricians. This requires partnership between the HMOs, the Ministry of Health, the Scientific Council (Israel Medical Association, professional organizations) and NGOs in order to turn individual-level solutions into system-level and policy-changing solutions.

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Section: Discussionmentioning

confidence: 99%

“…Around the world there are ongoing changes in the training and practice of doctors providing community primary care for children [10][11][12]. The American Academy of Pediatrics (AAP) definition of community pediatrics expands the focus from one child to all children in the community.…”

Section: Introductionmentioning

confidence: 99%

“I’m 'just' a community pediatrician” views and challenges of pediatricians working in the community in Israel

Pinchover¹,

Berger-Raanan²,

Yaari³

et al. 2023

Isr J Health Policy Res

View full text Add to dashboard Cite

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Exploring Undergraduate Medical Student Experiences of Training Within a Community-Based Paediatric Clinic

et al. 2022

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How can medical schools contribute to bringing about health equity?

Rudolf

Reis

Gibbs

et al. 2014

Isr J Health Policy Res

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The role of medical schools is in a process of change. The World Health Organization has declared that they can no longer be ivory towers whose primary focus is the production of specialist physicians and cutting edge laboratory research. They must also be socially accountable and direct their activities towards meeting the priority health concerns of the areas they serve. The agenda must be set in partnership with stakeholders including governments, health care organisations and the public.The concept of social accountability has particular resonance for the Bar Ilan Faculty of Medicine in the Galilee, Israel’s newest medical school, which was established with a purpose of reducing health inequities in the Region. As a way of exploring and understanding the issues, discussions were held with international experts in the field who visited the Galilee. A symposium involving representatives from other medical schools in Israel was also held to extend the discourse. Deliberations that took place are reported here.The meaning of social accountability was discussed, and how it could be achieved. Three forms of action were the principal foci – augmentation of the medical curriculum, direct action through community engagement and political advocacy. A platform was set for taking the social accountability agenda forward, with the hope that it will impact on health inequalities in Israel and contribute to discussions elsewhere.

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Teaching and training in community child health: learning from global experience

Cited by 3 publications

References 30 publications

“I’m 'just' a community pediatrician” views and challenges of pediatricians working in the community in Israel

“I’m 'just' a community pediatrician” views and challenges of pediatricians working in the community in Israel

Exploring Undergraduate Medical Student Experiences of Training Within a Community-Based Paediatric Clinic

How can medical schools contribute to bringing about health equity?

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