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Society for Teachers of Family Medicine Group on Community Medicine Spring 2005

Collaborating with the Community in Primary Care: Teaching and Modeling Community-Responsive Practice. Society for Teachers of Family Medicine Group on Community Medicine Spring 2005. Goals and Objectives.

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Society for Teachers of Family Medicine Group on Community Medicine Spring 2005

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  1. Collaborating with the Community in Primary Care: Teaching and Modeling Community-Responsive Practice Society for Teachers of Family Medicine Group on Community Medicine Spring 2005

  2. Goals and Objectives • Understand the importance of collaboration with the community when initiating COPC projects • Be able to identify some characteristics of community-academic partnerships that work • Identify methods for institutions to create a collaborative environment and find a "win-win" scenario which accomplishes training goals and community agendas • Have a working knowledge of 4 successful sustained collaborations pairing agencies and three Family Medicine Departments in which COPC is modeled and taught

  3. THEORETICAL FRAMEWORKDeterminants of Population Health Tarlov AR. Ann NY Acad Sci 1999;896:281-293

  4. Actual Causes of Death, 2000 • Tobacco 435,000 (18.1%) • Poor Diet & Physical Inactivity 400,000 (16.6%) • Alcohol 85,000 (3.5%) • Microbial Agents 75,000 (3.1%) • Toxic Agents 55,000 (2.3%) • Motor Vehicles 43,000 (1.8%) • Firearms 29,000 (1.2%) • Sexual Behavior 20,000 (0.8%) • Illicit Drug Use 17,000 (0.7%) • Total 1,159,000 (48.2%) Mokdad AH, Marks JS, Stroup DF, Gerberding JL. JAMA 2004; 291(10):1238-1245

  5. Racial & Ethnic Disparities In Health • Risk Behaviors • Medical Care • SES • Social Support • Group/Community Determinants • Social Capital • Income Inequality • Community Environment • Stress

  6. Environment Community Group Individual

  7. Understanding Inequalities in Health Kaplan GA. Ann NY Acad Sci 1999, 896:117-199

  8. Prisoners of the Proximate McMichael AJ. Am J Epidemiol 1999; 149:887-97

  9. RE-AIM Model Public Health Impact = Reach X Efficacy * Adoption X Implementation X Maintenance Glasgow RE, Vogt TM, Boles SM, et al. AJPH 1999; 89(9):1322-1327 Glasgow RE, Lichtenstein E, Marcus AC, et al. AJPH 2003; 93(8):1261-1267

  10. Collaboration & Community Medicine • Interest or Inclination AND • Competent Community Organization • Capable, Trusted Community Leaders

  11. Collaboration & Community Medicine • Common Interests • Overlapping Missions • Trust • Time • Keeping On

  12. Who’s here • Fit, Fun, & Thin-some • Rosalyn Arnaud, Community Health Nurse and Director of the Daughters of Charity Neighborhood Health Partnership • Carol Bebelle,Director of the Ashe Cultural Arts Center • R. A. Meriwether, MD, MPH; Tulane Dept of Family & Community Medicine

  13. Who’s here • Penelope House • Marty Adams, PhD; USA Dept of Family Medicine • D’ana Snow, PhD; USA Dept of Family Medicine • Reda Haynes-Penelope House, Mobile, Alabama • Allen Perkins, MD, MPH; University of South Alabama Dept of Family Medicine.

  14. Who’s here • Bridging Health Together: • Kim Gudzune, MS3 • Jim Theis, MD; Tulane Dept Family & Community Medicine.

  15. Who’s here • PATH • Dave Ward, President and CEO of Daughters of Charity Health Services of New Orleans • Father Jim DesHotels, FNP, Daughters of Charity • Robert Post, MD; LSU Dept of Family Medicine

  16. Environment Community Group Individual

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