Community Building Blocks Curriculum
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Community Building Blocks Curriculum
Table of contents
1. Goal 1: Give residents a broader perspective of the community in which they practice [edit]
2. Goal 2: Help residents to be able to use communication and interpersonal skills to effectively exchange information with children and families from all cultural backgrounds [edit]
3. [edit]
4. Goal 3: Give residents an understanding of how pediatricians can work with various disciplines and community organizations to promote the health of children in the community [edit]
5. Goal 4: Residents will be able to identify and mobilize community resources useful in advocating for the well being of patients, families, and the community in an effort to optimize access to quality preventive and coordinated subspecialty care. [edit]
6. Goal 5: Foster and coordinate professional interactions with multiple disciplines within the health care setting [edit]
8. Goal 6: Residents will be able to provide family centered care that is developmentally and age appropriate, compassionate and effective for the treatment of health problems and the promotion of health [edit]
Originally created for residents at Children's at GHR/MLK
by Dr Terry Kind and Dr Cara Lichtenstein
Adapted for CHTCommunityBuilding Blocks Rotation
Mission: Prepare residents for the successful practice of pediatrics by teaching them skills and techniques to improve the health care of children and families in the community in which they practice.
Goal 1: Give residents a broader perspective of the community in which they practice [edit]
Objectives
- Residents will be able to describe demographics, socioeconomic status, and health status of community in which they serve
- Residents will be able to contrast health status of the population they serve with other well-defined populations (such as the city as a whole, other large cities, or the US population)
Suggested Activities
|
Activity |
Contact |
Description |
|
Attend and introduction to COPC session |
Cara |
1 hour talk with Cara on community oriented primary care. It's a good introduction to the concepts of COPC. Related readings and copy of talks available on ResidentBook. |
|
Community tour |
|
take a tour of the community in which you practice (walking, driving, metro bus) |
|
Participate in an obesity focused home visit |
Cara, Kofi Essel |
see the home visit folder in ResidentBook |
| NexForce | Clarissa Dudley Ashley Price (health Educator APrice@childrensnational.org) |
Nutrition and Exercise For Children's Esteem. Monthly Saturday (10 AM - 12PM) alternates between physical activity and nutrition at the Howard/Comp clinic. Good opportunity for teaching parents/patients in a group setting and to perhaps find families for home visits. Overall a really fun 2 hours. |
|
Create an asset map of the neighborhood right around your clinic |
|
Using guidelines from www.northwestern.edu/ipr/abcd.html, create an asset map of the community in which you practice. (see http://www.abcdinstitute.org/docs/abcd/GreenBookIntro.pdf for general intro to asset mapping and http://www.abcdinstitute.org/docs/kelloggabcd.pdf ; for actual workbook on process) Try using: www.zeemaps.com |
|
Review health indicators |
|
Review three of the leading health indicators from Healthy People 2020 (www.healthypeople.gov ) and describe how they relate to the community in which you practice. |
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Review detailed neighborhood health statistics |
|
Check out the interactive neighborhood map at: http://datatools.dcactionforchildren.org/ and see how various social determinant of health affect the community that you serve. You can also use http://www.neighborhoodinfodc.org/index.html to get more detailed neighborhood info |
| DC Hunger Solutions of DC Greens | In light of AAP recommendations on screenings for food insecurity, visiting these sites to learn more about resources for patients and families. |
Goal 2: Help residents to be able to use communication and interpersonal skills to effectively exchange information with children and families from all cultural backgrounds [edit]
Objectives
- Residents will be able to give examples of ways that cultural, spiritual, educational, environmental, and political forces can impact the health and functioning of patients
- Residents will be able to identify ways in which their own background contributes to or biases the way in which they practice medicine
Activities:
- Create a case study using examples from patients/families that you have seen where these factors (cultural, spiritual, educational, environmental, political) impact upon health
- Write a reflective essay on how your own background may contribute to or bias the way in which you practice medicine here in this community
- Read and reflect upon suggested novel(s):
- For Southeast DC: A Hope in the Unseen: An American Odyssey from the Inner City to the Ivy League by Ron Suskind 1998
- Suggest other novels that would be worthwhile for others to read.
- Spend part of the day reading to children in the waiting rooms and modeling positive book behaviors. Use this as an opportunity to see what families are experiencing in the waiting room.
- Watch a movie relating to the culture of families in your practice and reflect on how culture influenced the characters in the movie.
[edit]
Goal 3: Give residents an understanding of how pediatricians can work with various disciplines and community organizations to promote the health of children in the community [edit]
Objectives
- Residents will be able to speak effectively to families in a non-clinical setting such as a health fair or community meeting
- Residents will be able to identify potential opportunities to serve as a health consultant in the community
Suggested Activities:
|
Activity |
Contact |
Description |
|
Kirsten Orloff and Yael Smiley |
Joyful Markets is a program run by Martha's Table that provides fresh fruits and vegetables to families after school at local public schools. As part of their REACH project, Kirsten and Yael developed an "Ask a Doc" table at one of the markets at an elementary school in Ward 8 where parents can stop by and ask questions. You're automatically scheduled for this and Kirsten and Yael will send you a document with all the information (and there's a google drive with syllabi and a schedule but all you'll need is your white coat and your smile). It's about 2-3 hours one afternoon, mostly likely at Anne Beers elementary in SE. |
|
|
Environmental Health session* |
Dr. Jerry Paulson jerry@envirohealthdoctor.com |
Environmental Health talk with Dr. Jerry Paulson. 2-3 hour session during FoBo lecture time with some reading prep beforehand available on ResidentBook |
|
Mary House |
(general organization email) |
A community based organization that provides transitional housing services, shelter and support programs to homeless and struggling families, and after school programs for kids. We didn't have a chance to see Mary House, but our contact Megan Shea was happy to have residents visit. She mentioned residents have done workshops with parents in the past, so this may be something to look into and set up. |
|
Attend a neighborhood advisory meeting |
Check out the website and see when your continuity clinic community is having its advisory neighborhood commission meeting. Each neighborhood has a monthly meeting, usually in the evening, around 7-8pm. |
Goal 4: Residents will be able to identify and mobilize community resources useful in advocating for the well being of patients, families, and the community in an effort to optimize access to quality preventive and coordinated subspecialty care. [edit]
Objectives
- Residents will be able to identify local, state, and federal programs that affect the health of the community
- Residents will be able to describe individual, family, and community concerns that affect children's health
- Residents will be able to describe different methods of advocacy and plan or complete a brief advocacy project in response to a community health need
- Identify local resources available for all children including those with special needs
Suggested Activities:
|
Activity |
Contact |
Description |
|
Visit a DC Medicaid office |
|
Visit any of the offices in DC and see what materials they have. Talk with the staff there. We didn't make this a structured visit, but we were able to get some helpful information, some offices were more helpful than others. |
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Meet with Dr. Heidi Schumacher of DC Public Schools* |
Dr. Heidi Schumacher heidi.schumacher@dc.gov |
Dr. Schumacher is a pediatrician who now is the Deputy Chief of Student Wellness of DC Public Schools. She is very enthusiastic about talking to residents and helping them to understand some of the resources available to the students in the schools. |
|
Meet with CFSA* |
Charmene Johnson charmene.johnson@dc.gov |
In this meeting you meet with several departments that make up Children and Family Services. 2-3 packed hours. Really useful information. Parking and security for the building both take a while so leave time. |
|
DC General free STD clinic, TB clinic, homeless shelter |
Constance Williams
(nurse) constance.williams2@dc.gov
(try first) |
DC General used to be a full hospital, but now houses a free STD clinic, TB clinic, detox program, homeless shelter, and prison. We only spent time at the STD clinic, which is a good resource to know about. They see adolescents on Wednesday evenings, and Constance Williams said residents are welcome to volunteer if interested (we didn't get the chance to schedule this, but wish we had). You can also try and see the shelter and TB clinic if interested. |
|
Food insecurity activity |
Kirsten Orloff- curriculum available on ResidentBook in Community Building Block Folder |
An interactive activity created by Kirsten about food insecurity. Involves a half hour powerpoint to watch on your own, a grocery store visit to learn about shopping for healthy food on a budget, and a 1/2 page write up afterwards. If possible, they prefer you do the grocery shopping activity at a store in your continuity clinic community. |
|
Attend a DC City Council hearing |
Look through the calendar and see if there's a hearing on an issue pertinent to children's health. Topics include the public school system's meal program and care for children whose parents are imprisoned. You can also stream these videos online either live or archived. |
|
|
Meet with Alsan Bellard of the Department of Youth Rehabilitation Services |
Dr. Alsan Bellard
(medical director) alsan.bellard@dc.gov
|
About a 2 hour meeting with Dr. Bellard where you learn about the juvenile justice system, the medical services at the detention centers, and get a tour of the facility. Dr. Bellard is really nice and a great person to chat with! |
|
Meet with Strong Start |
Penny Glass (psychologist) |
We contacted Penny Glass, some residents met with the Strong Start liason at the child development clinic at CNMC. This meeting was a very broad overview and not particularly useful. Others observed evaluations and learned more about the process over an entire morning (although you learn this information on your development block as well). |
|
Early Stages |
Drena Brown
drena.brown@dc.gov |
One of the most enjoyable and useful activities we did. Email both Drena and Mafe (both super nice) to set up a time to visit and observe an intake. You get a chance to meet with and observe speech, OT, psych and learn about the program in general. It was really interesting to see the staff work with children who were referred by teachers and physicians and then debrief with them afterwards. Because this was a more informative visit, we would recommend doing this before Strong Start so you know what questions to ask there. (FYI there is a library in the same building if you are mapping libraries) |
|
Meet with Michael Barnes of Court Social Services/DC Juvenile Probation |
Michael Barnes
(psychologist) |
Interesting meeting (about 1.5 hours) where you learn about juvenile probation and social services available to youth who have committed crimes. They have several programs that aim to keep youth in the community and prevent them from ending up in detention centers. May be useful to do this prior to the meeting with Dr. Bellard at the Department of Youth Rehabilitation Services. |
|
Meet w/ Dr. Terrell re: school based health clinics |
Dr. Lekeisha Terrell |
Great meeting with Dr. Terrell in which you get an overview of school-based health centers and tour Unity Health Care's clinic at Ballou High School. She mentioned that in conjunction with DOH they conduct STD education and screening days at local high schools, and there may be opportunity for residents to volunteer (the contact for that is Veronica Urquilla at veronica.urquilla@dc.gov) |
| DCPS School Based Health Program, Wellness Efforts | Diana Bruce ( Diana.Bruce@dc.gov ). Director of health and wellness for DCPS. oversees DCPS school based health programs Donna Anthony (donnam.anthony@dc.gov) - Assistant superintendent for wellness for OSSE |
Alternative, if not able to meet with Dr. Terrell. |
|
Bread for the City |
Dr. Randi Abramson
rabramson@breadforthecity.org |
Provides food, clothing, medical care, and legal and social services to vulnerable populations in DC. We contacted Dr. Randi Abramson who is the medical director there, but she didn't follow up with us to set up a time to talk. You can give it a try and may have better luck! We did however just stop by to take a look around and ended up chatting with volunteers there which was helpful. |
|
Martha's Table |
Organization whose mission is to make healthy food and quality learning more accessible. If you visit their website, you can sign up to volunteer prepping food, distributing food on the van, or helping out at the clothing donation center. We met with a rep who discussed what they do and how they are expanding their programs and moving to SE in 2018. Muffin baking and going out on the food van are both highly recommended activities. |
|
| Dr. Dan Newman | dnewman@cnmc.org | Dr. Newman is an attending at the Adams Morgan clinic and a great resource about immigrant and refugee health. If you email him he will take the time to either go through an overview powerpoint or just answer questions based on your preference. |
| Playworks | Complete inquiry form on website (http://www.playworks.org/communities/dc/about/contact) or call the organization (202-822-0097) |
A nonprofit that partners with schools to use recess as an opportunity to develop problem solving, resiliency, team work, and other mental health coping skills. Results of program include decreased bullying, decreased disciplinary actions. List of schools (http://www.playworks.org/communities/dc/schools).We heard about this program during our meeting with Dr. Beers, could be a great opportunity to see a community program helps students learn interpersonal skills. |
| Lactation/Breastfeeding Class | Lactation Center at the Main Hospital Lactation Center at Children's Health Center- Anacostia/ East of the River Lactation Services Breastfeeding Center of Greater Washington |
Attending lactation session to learn how to counsel mothers on breastfeeding, how to observe latching and help mothers troubleshoot initial breastfeeding issues mothers may have |
Goal 5: Foster and coordinate professional interactions with multiple disciplines within the health care setting [edit]
Objectives
- Residents will be able to describe the roles of each member of the out-patient team
- Residents will be able to communicate effectively with each member of the healthcare team
- Residents will be able to identify ways in which patient care can be improved in their office setting
Suggested Activities:
|
Activity |
Contact |
Description |
|
Visited the local WIC office |
For SE DC, Lisa Brown labrown@cnmc.org |
Visit the WIC office at the MLK or GHR clinic. About a 1 hour meeting where you take a short quiz on what you know about WIC and then learn about the intake process, education, and services. You can also just pop into a WIC office and get more information about the process the patient's go through and services provided. |
|
Meet with an attorney for Healthy Together (Medical-Legal Partnership) |
For SE DC it is Kathy
Zeisel (supervising attorney at Childrens Law Center) |
1 hour Q&A style meeting that gives you a sense for what kinds of cases they take on. |
Attend a staff meeting at your health center |
Medical Director at your health center |
Learn more about the behind-the-scenes functioning at your office as well as getting updates about what resources are available in your office for your patients |
|
Meet with other ancillary staff at your health center |
Varies by site |
Spend time with other staff (both medical and non-medical) who help to care for kids in your office such as front desk staff, social workers, nurses, parent navigators, etc |
[edit]
Goal 6: Residents will be able to provide family centered care that is developmentally and age appropriate, compassionate and effective for the treatment of health problems and the promotion of health [edit]
Objective
- Resident will participate in providing medical care in the out-patient setting seeing both continuity and sick visit patients
- Residents will be able to prepare a "continuity clinic” talk on a primary care topic
Activities:
- Plan and lead a discussion on a primary care topic that pertains to the issues/concerns of patients and families at your health center
- Develop a plan for increasing the continuity that you have with patients at your health center
- Take the opportunity during this rotation to schedule patients to follow up with you during the week and increase continuity patient panel.
References:
ACGME Outcome Project: Competencies. http://www.acgme.org/outcome/comp/compHome.asp
Anne. E Dyson Community Pediatrics Training Initiative Curriculum Committee. Community-based resident projects toolkit: a guide to partnering with communities to improve child health. Children's Hospital Boston: 2004
Asset Based Community Development Institute. October 2005. http://www.northwestern.edu/ipr/abcd.html (26 October 2005)
Garfunkel LC, SidelingerDE, Rezet B, Blaschke GS, Risko W. Achieving consensus on competency in community pediatrics. Pediatrics. 2005;115(4 Suppl):1167-71.
Rezet B, Risko W, Blaschke GS; Dyson Community Pediatrics Training Initiative Curriculum Committee. Competency in community pediatrics: consensus statement of the Dyson Initiative Curriculum Committee. Pediatrics. 2005;115(4 Suppl):1172-83
Risko W, Chi G, Palfrey J: Anne E. Dyson Community Pediatrics Training Initiative Curriculum Committee. Community Pediatrics Curriculum. Children's Hospital Boston: 2004.
Suggested Reading:
A Hope in the Unseen: An American Odyssey from the Inner City to the Ivy League
by Ron Suskind 1998
Age 7 in America, 14 Up in America, 21 Up in America- a series of documentaries following a set of children as they grow up in America that highlights the differences in their experiences as they come from a range of regions, ethnicities, and socioeconomic statuses.
Suggested Web Sites:
http://www.aap.org/advocacy/chi2/Dc.pdf - report on improving access to health insurance for DC children
http://www.census.gov-US census bureau website
http://www.dc.gov -DC government homepage
http://www.dclibrary.org - DC public library homepage
http://www.dclibrary.org/branches/wah - local branch of DC public library
http://datatools.dcactionforchildren.org/- GREAT interactive map of tons of SDH indicators for DC
http://www.dcwatch.com/calendar.htm - listing of political meetings and events in DC
http://www.doh.dc.gov - DC Department of Health homepage
http://www.urban.org/toolkit/issues/dc.cfm - Urban Institute's DC section, wide range of info available
http://www.dysoninitiative.org - Anne E. Dyson Community Pediatric Training Initiative homepage
http://www.healthypeople.gov - Healthy People 2010 homepage
http://www.northwestern.edu/ipr/abcd.html- Asset Based Community Development Institute homepage
http://www.reachoutandread.org - Reach Out and Read early literacy program homepage