1 / 11

Building a Community Pediatrics Program: Enhancing Primary Care Services

Learn how a tertiary care center developed a community pediatrics program to address the needs of Latino and African American populations with high poverty levels and poor schools. Discover the benefits and challenges of decentralized primary care and community-based education.

bradfordc
Download Presentation

Building a Community Pediatrics Program: Enhancing Primary Care Services

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. The Continuum of a Primary Care Service Infrastructure and the Development of a Community Pediatrics Program Matilde Irigoyen, Dodi Meyer, and Mary McCord Columbia University, NY

  2. Columbia University Department of Pediatrics • Tertiary care center • Generalist faculty: 25 FTE • 60 residents: • more than half enter specialties

  3. The Community • Demographics: Latino and African American • Assets: vibrant Community-Based Organizations • Needs: High levels of poverty, poor schools, injuries, and domestic violence

  4. Community-based Primary Care: Service Infrastructure • Model: the General Pediatrics Group Practice • Decentralized primary care • Integrated resident – faculty practices

  5. General Pediatric Group Practice: Service • 16,000 children/year • 60,000 visits, scheduled and walk-ins • Special health care needs children • 24 hour coverage – 7 days/week • Inpatient coverage

  6. General Pediatric Group Practice: Education • Leadership roles • Main preceptors for residents and medical students in: • Continuity clinic • Ambulatory block • Inpatient wards

  7. Community Pediatrics:Beyond Hospital Walls • Reverses community-hospital relationship • Moves away from hospital’s institutional culture • Promotes knowledge of community resources • Facilitates collaboration with community

  8. Community-based Education: Service Learning • Structured educational methodology • Combines community service with specific goals and objectives • Integrates community members as active partners in program design, implementation and evaluation

  9. Community-based Education for Residents: Examples • School health clinic • Newborn home visitation program

  10. Decentralized Primary Care:Pros • Fosters mentoring of residents • Allows independence and creativity of faculty and sites • Closeness to community and Community-Based Organizations

  11. Decentralized Primary Care: Challenges • Maintaining standards and a unified vision • Decentralized faculty and residents: logistical difficulties

More Related