ABSTRACT. To improve child health at a community level, pediatricians require knowledge and skills that have not been traditionally included in residency training. Recent policy statements from the American Academy of Pediatrics and requirements from Accreditation Council for Graduate Medical Education Residency Review committees emphasizing the importance of community pediatrics training have provided additional incentive for pediatric residency programs to actively explore methods of teaching the principles and promoting the practice of community pediatrics to resident trainees. With a growing number of diverse educational models in various stages of practice or development, common themes and approaches to promote successful teaching of community health and child advocacy can be described. This article defines strategies for 2 critical elements of community pediatrics training, engaging residents and building strong community partnerships, then highlights a number of educational models that illustrate key curricular components and methods. Published results from evaluations of some programs suggest that community pediatrics training of this caliber will cultivate a cadre of pediatricians (academic and community based, generalists and subspecialists, researchers and practitioners) who understand child health in the context of community and have the leadership and collaborative skills to improve the health of children in their communities.
The barriers that professionals face when screening victims for intimate partner violence (IPV) are well studied. The specific barriers that victims face however when being screened are not. The authors sought to identify characteristics of the screener and screening environment that make a victim feel more or less comfortable when disclosing a history of IPV. One hundred forty self-reported female victims of IPV completed a survey regarding their experiences with screening and degree of comfort with certain traits of the screener and the screening environment. Women demonstrated a preference to be screened by a woman, someone of the same race, a provider aged 30 to 50 years, and without anyone else present. Screeners should be aware of characteristics that impact victim comfort and should provide multiple opportunities for women to disclose IPV in a safe, respectful, and culturally effective environment.
Over the past decade there has been an unprecedented explosion of interest in the book of Lamentations. This increased attention has led to the writing of more dissertations, monographs and articles since 1990 than had been pro duced in the previous half century. This article offers a brief overview of some of the more important aspects of that research, as well as a summary of the significant trends in scholarship that have surfaced in the past several years. A more relentlessly brutal piece of writing is scarcely imaginable. This short biblical book affronts the reader with a barrage of harsh and violent images...the reader is not so much engaged by the book of Lamentations as assaulted by it (Linafelt 2000: 2). The Book of Lamentations calls its readers to remember the sacred events of their past, to reflect on them, to relive them again, to learn from them, and eventually to find hope in that knowledge (Polan 1996: 16).
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