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将社区参与纳入初级保健研究培训:十一年的结果。

Incorporating Community Engagement in Primary Care Research Training: Eleven-Year Outcomes.

出版信息

Prog Community Health Partnersh. 2020;14(1):63-74. doi: 10.1353/cpr.2020.0009.

DOI:10.1353/cpr.2020.0009
PMID:32280124
Abstract

BACKGROUND

In response to a local workforce need for community-engaged scholars, a community-based participatory research (CBPR) curriculum was incorporated into an established primary care research fellowship. The program prepares researchers to partner with at-risk communities to address root causes and cultural, linguistic, and systems barriers that contribute to health disparities.

OBJECTIVES

To describe the context, design, implementation and evaluation of the Academic Fellowship in Primary Care and Community-Engaged Research.

METHODS

The traditional primary care research curriculum was enhanced with expanded enrollment, including social scientists with complementary expertise to physician fellows; a structured CBPR seminar series; involvement of fellows in mentored community-academic partnership projects with progression to independence; and relevant teaching and mentoring experiences.

EVALUATION

Between 2007 and 2016, 22 fellows enrolled, with 16 in the CBPR track. Fellows demonstrated significant prepost gain in self-assessed competency in CBPR. During their 2- to 3-year training period, each CBPR fellow developed at least one community-academic partnership project, and they collectively produced more than 50 articles and 70 regional or national presentations, and mentored 29 medical student projects. Graduates have assumed leadership positions in academia, and have improved institutional capacity for community-engaged research, teaching, and practice.

CONCLUSIONS

Important factors related to success and feasibility of CBPR training within a 2- to 3-year timeframe were having dedicated, experienced faculty mentors with existing authentic, trusted community partners, and dedicated funding for new community-academic partnership projects. This model can prepare primary care researchers and teachers to genuinely collaborate with vulnerable communities to address important health priorities and advance health equity.

摘要

背景

为响应社区参与学者的当地劳动力需求,将基于社区的参与式研究 (CBPR) 课程纳入已建立的基层医疗研究奖学金中。该计划旨在培养研究人员与高风险社区合作,以解决导致健康不平等的根本原因以及文化、语言和系统障碍。

目的

描述以初级保健和社区参与式研究为基础的学术奖学金的背景、设计、实施和评估。

方法

在传统的初级保健研究课程中,增加了更多的社会科学家,他们具有与医师研究员互补的专业知识;扩大了招生规模,包括具有互补专业知识的社会科学家;增加了结构化的 CBPR 研讨会系列;让研究员参与以导师指导的社区学术伙伴关系项目,逐步实现独立;以及提供相关的教学和指导经验。

评估

2007 年至 2016 年间,有 22 名研究员入学,其中 16 名参加 CBPR 课程。研究员在 CBPR 自我评估能力方面表现出显著的前后增长。在他们 2 到 3 年的培训期间,每位 CBPR 研究员都至少开发了一个社区学术伙伴关系项目,他们共同发表了 50 多篇文章和 70 多个地区或全国性演讲,并指导了 29 名医学生项目。毕业生在学术界担任领导职务,并提高了社区参与式研究、教学和实践的机构能力。

结论

在 2 到 3 年的时间内成功进行 CBPR 培训的重要因素包括:有敬业、经验丰富的教师导师,他们拥有现有的真实、可信赖的社区合作伙伴,以及为新的社区学术伙伴关系项目提供专用资金。这种模式可以培养初级保健研究人员和教师,使其真正与弱势社区合作,解决重要的健康优先事项,推进健康公平。

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