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

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

doi:10.1007/s11606-017-4272-y

Cited by 7 publications

(10 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Several studies have shown that underrepresented minorities in medicine are more likely to treat underserved populations 14–16 . While this relationship has not been observed as robustly for females as it has in racial and ethnic minorities, this finding still speaks to the notion of minority groups taking a special interest in helping other minority groups; that urban programs often pioneer strong initiatives to aid underserved populations 17–19 might be particularly attractive to female applicants looking to aid groups that might need specialized care. Further, several studies have suggested that female residency applicants tend to value qualities that urban programs often emphasize 20 ; these values include diversity and equal representation in healthcare 21 .…”

Section: Discussionmentioning

confidence: 98%

Otolaryngology residency program factors associated with female resident representation

Canick

Campbell

Woodard

et al. 2023

World j. otorhinolaryngol.-head neck surg.

View full text Add to dashboard Cite

ObjectiveFemale representation in the field of otolaryngology is lacking. Residency is the first point at which medical school graduates specialize in a chosen field and thus represents an opportunity to recruit and train more female otolaryngologists. This study sought to identify program factors associated with greater female representation among resident physicians.MethodsDepartmental websites of all 124 otolaryngology residency programs in the United States and Puerto Rico were examined for a list of residents. For programs with a resident roster available, the genders of residents, faculty, program directors, and chairpersons were recorded. Location and city population for each program was also recorded, as was female resident representation. Programs were compared using Pearson Chi‐squared univariate tests.Results1,632 residents and 2,605 faculty were included in the analysis of 109 programs. The median female resident representation was 40%. Programs with larger faculty sizes, more female faculty, and urban location were associated with an above‐median female resident representation. Programs with a larger residency cohort approached significance regarding above‐median female resident representation. Higher female faculty representation, program director gender, chairperson gender, and US region were not associated with variation in female resident representation.ConclusionsGreater female otolaryngology residency representation was associated with programs having an urban location and greater numbers of female and total faculty. It was also likely that a larger resident cohort size may affect female resident representation. The proportions of female faculty, program director, and chairperson gender, as well as the US region, were not associated with variation in female resident gender representation.

show abstract

Section: Discussionmentioning

confidence: 98%

Otolaryngology residency program factors associated with female resident representation

Canick

Campbell

Woodard

et al. 2023

World j. otorhinolaryngol.-head neck surg.

View full text Add to dashboard Cite

show abstract

“…Advocacy is also difficult to teach and assess 30 . Lack of formal 7 , 8 , 11 , 19 , 21 , explicit 9 , 31 , and consistent 11 , 16 , 32 training leads to inadequate preparation 13 , 28 , 33 of trainees and negatively impacts patient care 13 . Perhaps most challenging for educators in this space has been the lack of formal curricula and guidelines to facilitate teaching efforts 15 – 17 , 19 .…”

Section: Introductionmentioning

confidence: 99%

Advocacy Curricula in Graduate Medical Education: an Updated Systematic Review from 2017 to 2022

et al. 2023

View full text Add to dashboard Cite

Background Advocacy is an integral component of a physician’s professional responsibilities, yet efforts to teach advocacy skills in a systematic and comprehensive manner have been inconsistent and challenging. There is currently no consensus on the tools and content that should be included in advocacy curricula for graduate medical trainees. Objective To conduct a systematic review of recently published GME advocacy curricula and delineate foundational concepts and topics in advocacy education that are pertinent to trainees across specialties and career paths. Methods We conducted an updated systematic review based off Howell et al. (J Gen Intern Med 34(11):2592–2601, 2019) to identify articles published between September 2017 and March 2022 that described GME advocacy curricula developed in the USA and Canada. Searches of grey literature were used to find citations potentially missed by the search strategy. Articles were independently reviewed by two authors to identify those meeting our inclusion and exclusion criteria; a third author resolved discrepancies. Three reviewers used a web-based interface to extract curricular details from the final selection of articles. Two reviewers conducted a detailed analysis of recurring themes in curricular design and implementation. Results Of 867 articles reviewed, 26 articles, describing 31 unique curricula, met inclusion and exclusion criteria. The majority (84%) represented Internal Medicine, Family Medicine, Pediatrics, and Psychiatry programs. The most common learning methods included experiential learning, didactics, and project-based work. Most covered community partnerships (58%) and legislative advocacy (58%) as advocacy tools and social determinants of health (58%) as an educational topic. Evaluation results were inconsistently reported. Analysis of recurring themes showed that advocacy curricula benefit from an overarching culture supportive of advocacy education and should ideally be learner-centric, educator-friendly, and action-oriented. Discussion Combining core features of advocacy curricula identified in prior publications with our findings, we propose an integrative framework to guide design and implementation of advocacy curricula for GME trainees. Additional research is needed to build expert consensus and ultimately develop model curricula for disseminated use.

show abstract

“…1 ) IM residency-trained physicians who do not seek subspecialty training after residency may practice general outpatient IM (also called primary care), general inpatient IM (also called hospitalist medicine), or a combination of both. Published literature reveals several programs within IM residencies to provide training in underserved medicine (UM), including Montefiore Medical Center’s Residency Program in Social Medicine [ 11 ], University of California Davis’s Transforming Education and Community Health Program [ 12 ], Johns Hopkins University’s Urban Health Primary Care Residency Track [ 13 ], and Beth Israel Deaconess Medical Center’s HIV Primary Care Track [ 14 ], however most seek to produce PCPs. The University of Alabama at Birmingham published early information on its Health Disparities Track, which was available to all IM residents, however their small sample size limited program evaluation [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

Retaining interest in caring for underserved patients among future medicine subspecialists: Underserved Medicine and Public Health (UMPH) program

2021

View full text Add to dashboard Cite

Background Accessing subspecialty care is hard for underserved patients in the U.S. Published curricula in underserved medicine for Internal Medicine residents target future-primary care physicians, with unknown impact on future medicine subspecialists. Methods The aim was to retain interest in caring for underserved patients among Internal Medicine residents who plan for subspecialist careers at an urban university hospital. The two-year Underserved Medicine and Public Health (UMPH) program features community-based clinics, evening seminars, reflection assignments and practicum projects for 3–7 Internal Medicine residents per year. All may apply regardless of anticipated career plans after residency. Seven years of graduates were surveyed. Data were analyzed using descriptive statistics. Results According to respondents, UMPH provided a meaningful forum to discuss important issues in underserved medicine, fostered interest in treating underserved populations and provided a sense of belonging to a community of providers committed to underserved medicine. After residency, 48% of UMPH graduates pursued subspecialty training and 34% practiced hospitalist medicine. 65% of respondents disagreed that “UMPH made me more likely to practice primary care” and 59% agreed “UMPH should target residents pursuing subpecialty careers.” Conclusions A curriculum in underserved medicine can retain interest in caring for underserved patients among future-medicine subspecialists. Lessons learned include [1] building relationships with local community health centers and community-practicing physicians was important for success and [2] thoughtful scheduling promoted high resident attendance at program events and avoided detracting from other activities required during residency for subspecialist career paths. We hope Internal Medicine residency programs consider training in underserved medicine for all trainees. Future work should investigate sustainability, whether training results in improved subspecialty access, and whether subspecialists face unique barriers caring for underserved patients. Future curricula should include advocacy skills to target systemic barriers.

show abstract

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

Cited by 7 publications

References 40 publications

Otolaryngology residency program factors associated with female resident representation

Otolaryngology residency program factors associated with female resident representation

Advocacy Curricula in Graduate Medical Education: an Updated Systematic Review from 2017 to 2022

Retaining interest in caring for underserved patients among future medicine subspecialists: Underserved Medicine and Public Health (UMPH) program

Contact Info

Product

Resources

About