The Residency Program in Social Medicine of Montefiore Medical Center: 37 Years of Mission-Driven, Interdisciplinary Training in Primary Care, Population Health, and Social Medicine

Strelnick, A. Hal; Swiderski, Debbie; Fornari, Alice; Gorski, Victoria; Korin, Eliana; Ozuah, Philip O.; Townsend, Janet M.; Selwyn, Peter A.

doi:10.1097/acm.0b013e31816684a4

Cited by 53 publications

(57 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Field trips and collaboration with car seat technicians, 3 community lactation resources, 8 professional agencies, and community organizations [9][10][11][12][13] have all demonstrated increased knowledge and positive feedback from learners in pediatrics. Physicians benefit from both knowledge of, and comfort with, this material, 2,5,14 and this process needs to be reinforced during training.…”

Section: Introductionmentioning

confidence: 99%

Field Trips as a Novel Means of Experiential Learning in Ambulatory Pediatrics

Friedland¹,

Rintel-Queller²,

Unnikrishnan³

et al. 2012

Journal of Graduate Medical Education

View full text Add to dashboard Cite

Background Parents and caregivers look to pediatric health care providers for guidance on feeding, safety issues, and child-care products for children, but trainees have infrequent first-hand exposure to child products marketed to parents. Objective To conduct a pilot study to assess an experiential field trip as a novel method of enhancing medical knowledge in ambulatory pediatric feeding and safety. Methods Resident physicians and medical students visited a local children's store, where they took part in an interactive store tour, product discussions, and product demonstrations led by a physician educator. Participants also completed a 20-question pretest and a 20-question posttest related to common ambulatory pediatric feeding and safety issues, based on recent American Academy of Pediatrics (AAP) policy statements and practice guidelines. Results Sixty-seven medical students and resident physicians participated in the study. Overall, participants' short-term knowledge significantly increased from 9.9 ± 2.6 to 15.4 ± 2.2 questions correct (P = .001), with statistically significant gains (P < .001) on both the feeding and safety sections of the test. There were no differences in improvement based on participant's student or resident status, residency program type, program year, sex, or parental status. Ninety-five percent of the participants believed that their knowledge was enhanced by this approach, and participants uniformly agreed that this field trip was valuable to their pediatric training and that such field trip sessions should continue. Conclusions The inclusion of experiential learning through an interactive field trip in the curriculum of medical training was acceptable and feasible and showed short-term improvements in knowledge of AAP safety and feeding concepts.

show abstract

Section: Introductionmentioning

confidence: 99%

Field Trips as a Novel Means of Experiential Learning in Ambulatory Pediatrics

Friedland¹,

Rintel-Queller²,

Unnikrishnan³

et al. 2012

Journal of Graduate Medical Education

View full text Add to dashboard Cite

show abstract

“…[11][12][13][14][15][16][17] At the University of Oklahoma School of Community Medicine (OU-SCM), we replaced our traditional resident orientation with an experiential learning activity 18 in community medicine to address the gaps in resident knowledge and attitudes regarding the social determinants of health. In our Resident Academy, lectures about professionalism and cultural competence were augmented with experiences to open residents' minds and hearts to the challenges their patients face every day.…”

Section: Introductionmentioning

confidence: 99%

An Experiential Community Orientation to Improve Knowledge and Assess Resident Attitudes Toward Poor Patients

Wallace¹,

Miller‐Cribbs²,

Duffy³

2013

Journal of Graduate Medical Education

View full text Add to dashboard Cite

Background Future physicians may not be prepared for the challenges of caring for the growing population of poor patients in this country. Given the potential for a socioeconomic “gulf” between physicians and patients and the lack of curricula that address the specific needs of poor patients, resident knowledge about caring for this underserved population is low. Intervention We created a 2-day Resident Academy orientation, before the start of residency training, to improve community knowledge and address resident attitudes toward poor patients through team-based experiential activities. We collected demographic and satisfaction data through anonymous presurvey and postsurvey t tests, and descriptive analysis of the quantitative data were conducted. Qualitative comments from open-ended questions were reviewed, coded, and divided into themes. We also offer information on the cost and replicability of the Academy. Results Residents rated most components of the Academy as “very good” or “excellent.” Satisfaction scores were higher among residents in primary care training programs than among residents in nonprimary care programs for most Academy elements. Qualitative data demonstrated an overall positive effect on resident knowledge and attitudes about community resource availability for underserved patients, and the challenges of poor patients to access high-quality health care. Conclusions The Resident Academy orientation improved knowledge and attitudes of new residents before the start of residency, and residents were satisfied with the experience. The commitment of institutional leaders is essential for success.

show abstract

“…1-3 Until recently, published accounts of actual programs or outcomes at the post-graduate level have been scant, [4][5][6][7][8] although several excellent and long-standing programs exist. [9][10][11][12][13] In 1999, the Accrediting Council for Graduate Medical Education endorsed six general competencies expected of all residents, including "systems-based practice."…”

Section: Introductionmentioning

confidence: 99%