Two Novel Urban Health Primary Care Residency Tracks That Focus On Community-Level Structural Vulnerabilities

Benjamin J. Oldfield, Bennett W. Clark, Monica Mix, Katherine C. Shaw, Janet Rose Serwint, Sanjay Virendra Desai, Rachel M. Kruzan, Rosalyn Stewart, Sebastian Ruhs, Leonard Feldman

Research output: Contribution to journalArticle

Abstract

Background: Although residency programs are well situated for developing a physician workforce with knowledge, skills, and attitudes that incorporate the strengths and reflect the priorities of community organizations, few curricula explicitly do so. Aim: To develop urban health primary care tracks for internal medicine and combined internal medicine-pediatrics residents. Setting: Academic hospital, community health center, and community-based organizations. Participants: Internal medicine and combined internal medicine-pediatrics residents. Program Description: The program integrates community-based experiences with a focus on stakeholder engagement into its curriculum. A significant portion of the training (28 weeks out of 3 years for internal medicine and 34 weeks out of 4 years for medicine-pediatrics) occurs outside the hospital and continuity clinic to support residents’ understanding of structural vulnerabilities. Program Evaluation: Sixteen internal medicine and 14 medicine-pediatrics residents have graduated from our programs. Fifty-six percent of internal medicine graduates and 79% of medicine-pediatrics graduates are seeking primary care careers, and eight overall (27%) have been placed in community organizations. Seven (23%) hold leadership positions. Discussion: We implemented two novel residency tracks that successfully placed graduates in community-based primary care settings. Integrating primary care training with experiences in community organizations can create primary care leaders and may foster collective efficacy among medical centers and community organizations.

Original languageEnglish (US)
Pages (from-to)1-6
Number of pages6
JournalJournal of General Internal Medicine
DOIs
StateAccepted/In press - Jan 3 2018

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Urban Health
Internship and Residency
Internal Medicine
Primary Health Care
Delivery of Health Care
Organizations
Pediatrics
Medicine
Curriculum
Community Health Centers
Program Development
Program Evaluation
Physicians

ASJC Scopus subject areas

  • Internal Medicine

Cite this

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title = "Two Novel Urban Health Primary Care Residency Tracks That Focus On Community-Level Structural Vulnerabilities",
abstract = "Background: Although residency programs are well situated for developing a physician workforce with knowledge, skills, and attitudes that incorporate the strengths and reflect the priorities of community organizations, few curricula explicitly do so. Aim: To develop urban health primary care tracks for internal medicine and combined internal medicine-pediatrics residents. Setting: Academic hospital, community health center, and community-based organizations. Participants: Internal medicine and combined internal medicine-pediatrics residents. Program Description: The program integrates community-based experiences with a focus on stakeholder engagement into its curriculum. A significant portion of the training (28 weeks out of 3 years for internal medicine and 34 weeks out of 4 years for medicine-pediatrics) occurs outside the hospital and continuity clinic to support residents’ understanding of structural vulnerabilities. Program Evaluation: Sixteen internal medicine and 14 medicine-pediatrics residents have graduated from our programs. Fifty-six percent of internal medicine graduates and 79{\%} of medicine-pediatrics graduates are seeking primary care careers, and eight overall (27{\%}) have been placed in community organizations. Seven (23{\%}) hold leadership positions. Discussion: We implemented two novel residency tracks that successfully placed graduates in community-based primary care settings. Integrating primary care training with experiences in community organizations can create primary care leaders and may foster collective efficacy among medical centers and community organizations.",
author = "Oldfield, {Benjamin J.} and Clark, {Bennett W.} and Monica Mix and Shaw, {Katherine C.} and Serwint, {Janet Rose} and Desai, {Sanjay Virendra} and Kruzan, {Rachel M.} and Rosalyn Stewart and Sebastian Ruhs and Leonard Feldman",
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AU - Desai, Sanjay Virendra

AU - Kruzan, Rachel M.

AU - Stewart, Rosalyn

AU - Ruhs, Sebastian

AU - Feldman, Leonard

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