Building Health Workforce Capacity Through Community-Based Health Professional Education Workshop Summary (2015) / Chapter Skim
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1 Establishing a Framework
1 Establishing a Framework
Pages 9-24
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From page 9... ...
• Health providers and others might improve their impact with community interventions by gaining greater understanding of the "insider views." (Scrimshaw) • Patient navigators play an important role in engaging com munities and bridging cultural and language gaps between patients and providers.
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Scrimshaw told the story of Richard Carmona, a former surgeon general, who was at a health clinic in the Southwest United States and noticed unusually high rates of carbon monoxide poisoning in children. According to Scrimshaw, youngsters were being left in old trucks with the motor running on cold nights, while their parents dashed into the trading post.
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Some say that health disparities involve measurable differences, but Scrimshaw would add that they also involve preventable differences. While at the CDC, Scrimshaw and her colleagues developed The Community Guide's Social Environment and Health Model (see Figure 1-1)
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Western medical training understand the pathology between higher rates of Ascaris infections and more gastrointestinal complications during the rainy season in a Guatemalan village (Warren and Mahmoud, 1977; CDC, 2013a)
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She noticed that the disparaging remarks began when these more complex patients entered the hospital, and she realized that the problem was the medical institution, the health providers, and the entire medical community who unwittingly perpetuated the negative behaviors. Establishment of the Rodham Institute in Washington, DC El-Bayoumi began the Rodham Institute to shine a light on the dismal health situation in the nation's capital.
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From page 14... ...
Although research is important, she says, it needs to be conducted under an umbrella of trust that is gained when health professionals directly connect with the community they are serving. This is the essence of the Rodham Institute that El-Bayoumi founded in 2013 in honor of Dorothy Rodham, mother of Hillary Clinton, who believed passionately in the power of education to achieve social change.
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From page 15... ...
It takes 1 day -- not weeks of clinical experience -- for the learners to gain an insight into the struggles people with illness and disabilities face every day. Lisa Fitzpatrick, Daveda Hudson, and Marjorie Cooper-Smith of the Care Center then discussed with the Forum members what they wish health professionals knew (see Boxes 1-3, 1-4, and 1-5)
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The Care Center "offers clinical and social support ser vices that include health education, psychological counseling, patient navigation and referral services, support groups, and medical case management" (United Medical Center, 2014)
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It is up to W the health professionals and health workers to welcome patients and put them at ease. For example, one patient at the Care Center was afraid to come in to the medical setting.
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Hudson would meet with him after work at a convenience store or a public park a few blocks away from the Care Center. Though it took a great deal of prompting and encouragement, Hudson eventually helped him to get ready and mentally prepared to receive health care from Lisa Fitzpatrick.
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From page 19... ...
Cooper-Smith said that it is important for health professionals to realize that even though patients come into a health care setting for medical care, there may be additional stressors in their lives that are barriers to receiving care and being healthy. Cooper-Smith then discussed a case that involved a 45-year-old African American male who was diagnosed with diabetes and taking a number of medi cations when he came to the Care Center.
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From page 20... ...
, an interprofessional student-led clinic, is an r opportunity for students to engage in health education and health literacy beyond the clinical preceptorship model.2 Role Models Building on the discussion of longitudinality, Afaf Meleis of the University of Pennsylvania School of Nursing thought the question for faculty and other educators was how to impart a value system to all health care students -- a value system about the social mission and making a difference in patients' lives. She asked, how might social justice and an equity framework be infused into health professionals' curricula and how might it be operationalized and modeled by faculty?
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From page 21... ...
Global Health Education Malual Mabur is a health promotion specialist and community health outreach worker with the City of Portland, Maine, but is originally from Sudan. He pointed out the important role patient navigators play in engaging communities and bridging cultural and language gaps between patients and providers.
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In her view, there is a disconnection when health professionals talk about sending students "into the community," when in fact health care systems are of the community. And until educators, health professionals, and policy makers start talking about health and educational institutions as being of the community, she believes the United States as a nation will continue to have problems with its health professions education.
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From page 23... ...
Toronto, Ontario: University of Toronto Center for Interprofessional Education. Warren, K
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