社区健康交流：在住院医师培训中建立社区伙伴关系。

The neighborhood health exchange: developing a community partnership in residency.

作者信息

Tartaglia Kimberly M, Press Valerie G, Freed Benjamin H, Baker Timothy, Tang Joyce W, Cohen Julie C, Laiteerapong Neda, Alvarez Kimberly, Schwartz Mindy, Arora Vineet M

出版信息

J Grad Med Educ. 2010 Sep;2(3):456-61. doi: 10.4300/JGME-D-10-00067.1.

DOI:10.4300/JGME-D-10-00067.1

PMID:21976098

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2951789/

Abstract

BACKGROUND

The current system of residency training focuses on the hospital setting, and resident exposure to the surrounding community is often limited. However, community interaction can play an important role in ambulatory training and in learning systems-based practice, a residency core competency. The goal of the Neighborhood Health Exchange was to develop a community partnership to provide internal medicine residents with an opportunity to interface with community members through a mutually beneficial educational experience.

METHODS

Internal medicine residents received training during their ambulatory block and participated in a voluntary field practicum designed to engage community members in discussions about their health. Community members participated in education sessions led by resident volunteers.

RESULTS

Resident volunteers completed a survey on their experiences. All residents stated that the opportunity to lead an exchange was very useful to their overall residency training. Eight exchanges were held with a total of 61 community participants, who completed a 3-question survey following the session. This survey asked about the level of material, the helpfulness of the exchanges, and opportunities for improvement. We received 46 completed surveys from community members: 91% stated that the material was presented "at the right level" and 93% stated that the presentations were somewhat or very helpful. Eighty percent gave positive and encouraging comments about the exchange.

CONCLUSION

Effective community partnerships involve assessing needs of the stakeholders, anticipating leadership turnover, and adapting the Neighborhood Health Exchange model to different groups. Community outreach can also enhance internal medicine ambulatory training experience, provide residents with patient counseling opportunities, and offer a novel method to enhance resident understanding of systems-based practice, especially within the larger community in which their patients live.

摘要

背景

当前的住院医师培训体系侧重于医院环境，住院医师与周边社区的接触往往有限。然而，社区互动在门诊培训以及学习基于系统的实践（住院医师核心能力之一）中可发挥重要作用。邻里健康交流项目的目标是建立社区伙伴关系，为内科住院医师提供机会，通过互利的教育体验与社区成员互动。

方法

内科住院医师在门诊实习期间接受培训，并参加一个自愿的实地实习项目，该项目旨在促使社区成员参与有关自身健康的讨论。社区成员参加由住院医师志愿者主持的教育课程。

结果

住院医师志愿者完成了关于其经历的调查。所有住院医师均表示，主持交流的机会对其整体住院医师培训非常有用。共举办了8次交流活动，共有61名社区参与者，他们在活动结束后完成了一项包含3个问题的调查。该调查询问了材料水平、交流的帮助程度以及改进机会。我们收到了46名社区成员填写完整的调查问卷：91%的人表示材料“水平合适”，93%的人表示讲解有些帮助或非常有帮助。80%的人对交流给出了积极且鼓励性的评价。