Transcription
Resident CommunityEngagement:Experiences at 3 ProgramsDebra Gould, MD, MPH – Central Washington Family Medicine Residency Jacqueline Wong, MD – Swedish Family Medicine-Cherry Hill Teresa Wallace, MD – Valley Family Medicine Patricia Stern, PhD – Valley Family Medicine WWAMI Network Webinar August 3, 2016S
EllensburgYakimaDebraA.GouldMD,MPH
culture/CWU
yMedicine(MonthGroupProject)
DescripAon–A]endNeedleExchangeVan rs.Two½daysperrotaAonWri]enAssignment- ‐(PC- ‐3,SBP- ‐3,SBP- ‐4,PROF- ‐1,C- ‐3)
DescripAon–A]endNeedleExchangeVan rs.Two½daysperrotaAonWri]enAssignment- ‐(PC- ‐3,SBP- ‐3,SBP- ‐4,PROF- ‐1,C- ‐3)CommunityGains I&Dabscesses;vaccinaAons CompassionateCare(vs.ED) EducatePhysiciansaboutIVDU&HarmReducAonStrategies
Barriers LocaAon–mobileunit SAgmaDescripAon–A]endNeedleExchangeVan rs.Two½daysperrotaAonWri]enAssignment- ‐(PC- ‐3,SBP- ‐3,SBP- ‐4,PROF- ‐1,C- ‐3)CommunityGains I&Dabscesses;vaccinaAons CompassionateCare(vs.ED) EducatePhysiciansaboutIVDU&HarmReducAonStrategies
tyliason) FirstmonthofR2year Three½daysperweek DidacAcpresentaAon- ‐4thweek- ‐(PC- ‐3,SBP- ‐3,PROF- ‐2)
tyliason) FirstmonthofR2year Three½daysperweek DidacAcpresentaAon- ‐4thweek- ‐(PC- ‐3,SBP- ‐3,PROF- ‐2) CommunityGains HelpwithaCommunityProject,surveys,needsassessments repaAentslive PresentaAonstolocalgovernment(citycouncil)- ‐influence
Barriers CoordinaAonwithstakeholders Timing oraAonwithYHD(communityliason) FirstmonthofR2year Three½daysperweek DidacAcpresentaAon- ‐4thweek- ‐(PC- ‐3,SBP- ‐3,PROF- ‐2) CommunityGains HelpwithaCommunityProject,surveys,needsassessments repaAentslive PresentaAonstolocalgovernment(citycouncil)- ‐influence
Swedish CherryHillJacqueline Wong
Swedish Cherry Hill FamilyMedicineu Seattle, Washingtonu 12/12/12u Multiple continuity clinicsu Cherry Hillu Seattle Indian Health Boardu Seamaru Carolyn Downsu International Community Health Services
Goalsu Learn sociocultural aspects of patient careu Integrate into a community and participating in itsorganizationsu Coordinate a community’s health resources in the care ofpatientsu Identify and intervene in a community’s health problems
Community Medicineu Didactic learning in orientationu R-1 month long rotationu R-2 and R-3 longitudinal curriculum
Orientationu Walking tour of the communityu Didactic lectures
R-1 Rotationu u Shadowing experiencesu Detox and treatment center for substance abuseu Methadone clinicu Legal clinicu Immigration and naturalization classesu Short term/crisis housing for adolescentsDirect serviceu Residential six month treatment center for pregnant and parentingwomen with chemical dependencyu Needle exchangeu Foodbanku Day center and transitional housing for homeless adolescentsu Inpatient psychiatryu Independent studyu Continuity clinic
Longitudinal curriculum – R2u Monthly workshops led by community organizeru Class projectu Home visitsu Relational meetings
Longitudinal curriculum – R3u Monthly meeting with community organizeru Relational meetings
Benefits to communityu Residents and community learn about each otheru Community organizations receive medical services on siteu Residents channel energy towards actual communityneedsu Encourages residents to use their standing to work forchange that benefits the communityu On going projects allow momentum to build long termand sustain change
Barriersu High turnover rates in community organizationsu Less flexible rotation within residencyu Need for faculty to precept at community sitesu Logistics of practicing medicine off siteu Less flexibility for individual resident projectsu Off hours relational meetings
Thank you!
ValleyFamilyMedicineRenton,Washingtonv TeresaWallace,M.D.v PatriciaStern,Ph.D.
ValleyFamilyMedicine(VFM)ì VFMResidencyisacommunitybased8- ‐8- ‐8programì ValleyMedicalCenterisourins tu onalhostandweareaUWMedicalaffiliateì LocatedinRenton,Washingtonì ì nendofLakeWashington15minutesEastofSea- ‐TacInterna onalAirportì Diversepa ì KentSchoolDistrictserves150differentlanguagesì TheUnitedNa ons/Interna rrefugeereloca oncenter
VFMPatientPopulationì ngforourdiversepa entpopula on.ì dyearclass.ì Ini rstyearofresidency.ì teachtheworkshop.ì eehealth,thatisgivenatnoon me.
VFMRefugeeClinicObjectivesVFM Refugee Intake Clinicì Introduc ontorefugee/immigrantmedicine.ì OverviewofVOLAGreseJlementprocess.ì UnderstandSKCPHDevalua onlabsandbehavioralhealthscreening.ì Overviewofimmuniza onsandscreeningtestsforrefugeepa ents.ì Educateaboutcommoninfec ousdiseasesaffec ngpa entsfromrefugeecamps.ì Reviewbehavioralhealthresourcesandscreening.
VFMRefugeeIntakeClinicGoalsì Improveunderstandingofrefugeeimmuniza onandhealthscreenings.ì Organizemedicalcarefornewlyarrivedrefugees.ì grantandinterna onalhealth.ì Cul vatestrongerownershipandrela onshipswithourpa entsfromforeigncountries.ì atedmedicalpopula on.ì Enhanceourculturalcompetencies.ì Takecareofourcommunity.VFM Refugee Intake Clinic
VFMRefugeeIntakeClinicSummaryChallengesVFM Refugee Intake Clinicì Variabilityofrefugeearrivalsì VariabilityofVOLAGreferralsì Administra ve metocoordinatewithVOLAGsStrengthsì Increasedcompetencyinrefugeehealthcareì Dedicatedclinical metoprovidecomplexhealthcareservicesContact:Teresa Wallace@valleymed.org
VFMCulturalHumilityWorkshopì 90minuteR1/R2Workshopì FacilitatedbyDanHerman,MDandPatriciaStern,Ph.D.ì Curriculum:BehavioralScienceandPopula onHealthì Residentsarepre- ‐assignedaspecificculturalgrouptoresearchì Givenexplicitinstruc onstocreateabriefpresenta onandhighlightteachingpearlsì Wefeatureaguestspeakerfrom‘WorldRelief’ì Eachresidentisgiven7minutestopresentaculturalgroup
stedcomponentsinclude:1.Mapillustra nggeographiccontext2.Recentpoli calhistorycontribu ngtoU.S.migra on3.Na velanguagesandreligiousprac tedpa enteduca onmaterials
identwasassignedoneofthefollowingculturalgroups:ì UkrainianRefugeesì BurmeseRefugees(Myanmar)ì AfghaniRefugeesì SomaliRefugeesì IraqiRefugeesì NepaliSpeakingBhutaneseRefugeesì AmericanSamoa,PacificIslandersì HearingImpairedPa ents
VFMCulturalHumilityWorkshopResourcesì Mul lingualScreeningToolsì Mul lingualPa entEduca onMaterialsì LocalResourcesì RefugeeInforma onì CulturalTopicsì LanguageToolsandAddi onalPa entEduca onTranslatedMaterials
nstraints- ‐residentpresenta lgroupstostereo- a onofexperienceWebsiteandresourceinforma onrequiresfrequentupda ngì ì ì ì ì StrengthsAc yresidentsì ì ì Contact:Patricia Stern@valleymed.org
Q&A Debra Gould, MD, MPH – Central Washington Family Medicine Residency Jacqueline Wong, MD – Swedish Family Medicine-Cherry HillTeresa Wallace, MD – Valley Family Medicine Patricia Stern, PhD – Valley Family MedicineS
Resident Community Engagement: Experiences at 3 Programs Debra Gould, MD, MPH - Central Washington Family Medicine Residency Jacqueline Wong, MD - Swedish Family Medicine-Cherry Hill Teresa Wallace, MD - Valley Family Medicine Patricia Stern, PhD - Valley Family Medicine WWAMI Network Webinar August 3, 2016
