COMMUNITY MEDICINE ROTATION PGYIII

Description of Rotation

This rotation occurs in the PGYIII year over a two-week period.  The course director is Dr. Linda McGhee, full-time faculty member of the AHEC Northwest Family Medicine Residency.

During this rotation, the residents (in groups of two) visit several sites (see list).  At the end of each week, Dr. McGhee conducts a didactic session which includes a time of reflection as well as imparting knowledge of public health statistics, population epidemiology, and health disparities.  During the rotation, the residents are given specific reading assignments. The resident will work in the FMC on Monday p.m. and Friday p.m.

The resident will become familiar with resources available for patients at the following community medicine sites:

Ø       Employee Health, Washington Regional Medical Center

Ø       Arkansas Occupational Health Clinic

Ø       Seven Hills Homeless Shelter

Ø       Arkansas Department of Human Services

Ø       Medical Case Management, Northwest Medical Center

Ø       Community Clinic at St. Francis House

Ø       Washington County Health Department

Ø       Alcoholics Anonymous – St. Paul’s Episcopal Church

Ø       Peace at Home Family Shelter

Ø       Health Nurse, Lincoln Public Schools

Patient Care

Objective:

Ø       The resident will become familiar with community wide resources that are available to enhance patient care. 

Medical Knowledge

Objectives:

Ø       The resident will become familiar with the spectrum of Occupational Medicine.

Ø       The resident will learn to recognize and manage environmental illnesses and injury.

Ø       The resident will become familiar with the disability determination process.

Ø       The resident will learn how to assess and manage families where abuse or neglect is a risk.

Ø       The resident will learn about population epidemiology and health statistics.

Ø       The resident will learn about health disparities in ethnic, geographic, and socioeconomic groups, and the Family Physician’s role in reducing gaps in health care.

Practice- Based Learning and Improvement

Objectives:

Ø       The resident will be able to skillfully access resources for patients.

Ø       The resident will become interested in participating in community health activities

Systems Based Practice

Objective:

Ø       The resident will become familiar with several health care delivery systems.

Professionalism

Objectives:

Ø       The resident will understand, after observation and participation in community activities, the need for social reform and involvement.

Interpersonal and Communication Skills

Objectives:

Ø       The resident will be able to work as a colleague, consultant, or leader with other health-related agencies.

Ø       The resident will become more sensitive to the needs of culturally and socioeconomically diverse populations.

Assessment Method

At the conclusion of each resident rotation, the residency coordinator sends a formative-type, rotation-specific performance evaluation form to the rotations’ supervising physician.  When the completed evaluation is returned, the resident physician and the resident’s faculty advisor review the evaluation and attest to reviewing it by signing/initialing the form.  Next, the program director reviews and attests to the document.  Once all three have reviewed and attested the evaluation, it is included in the resident’s permanent file. 

Each resident is asked to evaluate the rotation and supervising physician(s) at the end of the rotation.  The resident’s faculty advisor and program director review the evaluation and attest to reviewing it by signing/initialing the form. These evaluations are filed together by resident year.

Educational Resources

Materials distributed to resident at the time of the rotation:

Where to Turn in Northwest Arkansas Resource Directory

Changing the Culture of Health in Arkansas

Washington County Health Profile Data

Arkansas Behavioral Risk Factor Surveillance System

Injuries in Arkansas

Boone County Behavioral Risk Factor Survey

Arkansas Commission on Child Abuse, Rape and Domestic Violence

Arkansas Animal Rabies Summary

Chicot and Desha Counties Cardiovascular and    Diabetes Risk Factor Survey

State of Arkansas Health Statistics