2005 Community-Campus Partnerships for Health Award Recipient
Communities & Physicians Together
Communities & Physicians Together (CPT) is a partnership that draws upon the assets of communities and physicians-in-training to improve child health and support families in raising healthy children. Employing the principles of asset-based community development, CPT teaches pediatric residents how to identify community assets and resources, build partnerships with community collaboratives, and leverage these partnerships to enhance the capacity to improve child health in each community. The partnership is guided by their vision: "All children deserve the opportunity to achieve their physical, mental and social potential. Pediatricians have a broad responsibility to optimize child health and development by helping build capacity in communities and supporting families. CPT strives to give every child a healthy present and future by teaching pediatricians, both in training and in practice, how to make a difference through active community partnerships to support families in raising healthy children." The partnership is comprised of five volunteer community collaboratives in Sacramento & Yuba Counties; the University of California, Davis Department of Pediatrics; the American Academy of Pediatrics Community Access To Child Health (CATCH) program in California; and Sacramento ENRICHES (Engaging Neighborhood Resources for Improving Children's Health, Education and Safety). Since the establishment of CPT in 1999, 54 pediatric residents and faculty have addressed an array of community-identified concerns, including obesity prevention, safety education, and health education in immigrant and minority communities. Evaluations of CPT have shown that community leaders value their participation in CPT and view the pediatric residents as assets to the community, while at the same time pediatric residents gain an understanding that working in partnership with communities allows physicians to impact health and fitness in a much broader manner.
CPT was implemented in 1999 by the University of California, Davis Department of Pediatrics' Pediatric Residency Program (UCD) in partnership with five community collaboratives. The collaboratives were identified using a connection between the California chapter of the American Academy of Pediatrics Community Access To Child Health (AAP CATCH) program and Sierra Health Foundation's Community Partnerships for Healthy Children (CPHC) initiative. These five collaboratives agreed to become training sites - real-world classrooms- for the residents. As part of the CPHC initiative, each Collaborative had previously been trained in and were using ABCD, and therefore, CPT adopted this asset-based approach as the conceptual basis for the program, using New Community Tools for Improving Child Health: A Pediatrician's Guide to Local Associations as a guide. The residency program provided administrative support and collaborative members donated their time until extramural funding was obtained through the Anne E. Dyson Community Pediatrics Training Initiative in 2002.
The overall vision of Communities & Physicians Together (CPT) is "All children deserve the opportunity to achieve their physical, mental and social potential. Pediatricians have a broad responsibility to optimize child health and development by helping build capacity in communities and supporting families. Communities & Physicians Together (CPT) strives to give every child a healthy present and future by teaching pediatricians, both in training and in practice, how to make a difference through active community partnerships to support families in raising healthy children." CPT has four main goals:
The cornerstone of the program is the longitudinal and reciprocal experiences of pediatric residents within collaborative communities. In addition, outreach to government and community-based agencies serving children and their families open additional educational opportunities for the residents to learn about existing services. Each resident partners with one of the community collaboratives where s/he is educated to the value of child advocacy as an essential role of a pediatrician. Through this partnership, each Resident is oriented to their specific community, and then work with the collaborative and their colleagues to develop and implement a child advocacy project for the community. CPT Residents spend three years with their Collaborative communities. Their first year - a full-time, two-week rotation - is spent learning about the Collaborative, its community, and the people and assets that it has to offer. The second year Advocacy Rotation is a four-week, part-time rotation during which the Resident works with the Collaborative to develop and implement a Resident Advocacy Project, based on the interests of both the Resident and the Community. The third year is another two-week, full-time rotation where Residents wrap up and evaluate their Resident Advocacy Project.
Community Partners: The community partners include five community collaboratives. A Community collaborative is a neighborhood "association of associations" consisting of community residents, students, professionals, business owners, voluntary associations, and government agencies. The community partners serve as community "faculty" in teaching residents about grassroots community building & development and child & family advocacy
Strong Partner Involvement Strategies
Promotion of service-learning as a core component of health professions education.
All pediatric residents at UC Davis participate in CPT, which has created a culture of service learning in the program. Each resident is expected to form a longitudinal and reciprocal relationship with their CPT community throughout residency and has six weeks scheduled for CPT activities. Residents are taught to reflect on their experiences working in their community to serve children and families - and are expected to do so not only on their own but through dialogue with their Collaborative Coordinators and other community members. In addition, the residents are provided with a formal curriculum on important concepts in community pediatrics to reinforce what they learn from their service projects. CPT is working to expand CPT to involve medical students and residents in other specialties including family medicine and child psychiatry.
Advocacy for policies needed in the public and private sectors that facilitate and support the partnership
CPT partners have worked to garner support from local and state government officials, top executives from private companies, and philanthropies. Several Community Collaborative coordinators have also taken strong roles in local policy efforts related to children's health. On the national level, CPT Director, Dr. Richard Pan, has been a national leader in medical education, serving on the American Medical Association (AMA) Council on Medical Education and the Board of the Accreditation Council on Graduate Medical Education, and a strong advocate for service learning, starting the "Grassroots Initiative" as Chair of the American Academy of Pediatrics (AAP) Resident Section.
Creation of opportunities for individuals and organizations to collaborate and exchange relevant resources and information
Promotion of the benefits of community-campus partnerships
CPT publishes "The Beat" quarterly newsletter to share information and promote the partnership. Quarterly features include a "Resident Project Focus" and "Community Collaborative Spotlight," where readers are introduced to the players and the work of CPT, in a close-up, in-depth manner. This newsletter, with a distribution list of more than 300 community members, agencies, local government representatives, and UC Davis faculty, is also posted on CPT's website for further dissemination. Additionally, CPT has presented its partnership in many arenas, most recently at the American Academy of Pediatrics' Community Access To Child Health National Conference in August 2004.
Achieving Tangible Results:
Initiation and/or sustaining of community-based projects to improve child health. Examples include:
Development of curricular materials to teach physicians how to effectively partner with community partners. CPT developed a six-part curriculum on Asset-Based Community Development for pediatric residents and a workshop for community members and community physicians. This training in community medicine and child advocacy benefits not only future pediatricians but also practicing pediatricians who serve as mentors to the residents. The curricular materials have been disseminated nationally at workshops about CPT presented at academic and professional meetings including the American Academy of Pediatrics, the Pediatric Academic Societies, the Dyson Initiative Symposium, and the American Medical Association.
Impact on professional development of pediatric residents and on partnering communities. A qualitative evaluation of CPT is currently being conducted with pediatric residents and collaborative coordinators. Initial results have found that community leaders value their participation in CPT and that pediatric residents gain an understanding that working in partnership with communities allows physicians to participate in projects that impact health and fitness in a much broader manner. Results from CPT's initial evaluation are pending publication in peer-reviewed medical journals.
For more information on the Communities & Physicians Together, contact Liz Sterba at email@example.com or (916)734-2156.
Partnership Website: www.cpt-online.org
On October 19, 2005, Communities & Physicians Together
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