Online Program

Evaluation of a Public Health, Service-Based Medical School Curriculum: Effect on Physician Practice in Underserved Communities

Monday, November 2, 2015 : 8:50 a.m. - 9:10 a.m.

Joanna Michel, PhD in Medical Ethnobotany, Medical Education, University of Illinois at Chicago College of Medicine, Chicago, IL
Jorge Girotti, PhD, College of Medicine, University of Illinois at Chicago, Chicago, IL
Iqra Mushtaq, B.A., B.S., College of Medicine, Urban Medicine Program, University of Illinois at Chicago, Chicago, IL
Gary Loy, M.D., MPH, Obstetrrics ang Gynecology, Rush University, Chicago, IL
The Urban Medicine Program (UMed) at the University of Illinois at Chicago (UIC) was launched in 2005 and aims to prepare physician-leaders to serve urban, underserved communities. The UMed curriculum is based on the Kolb Cycle of applied learning and utilizes interactive seminars and longitudinal, community-based service work to integrate the core principles of public health and community-based participatory research. Early outcomes of the UMed program suggest that a longitudinal, experiential curriculum can prepare students for leadership roles in advocacy, research, and policymaking. Furthermore, direct contact with diverse communities provides participants with the confidence and skills to make a positive impact on underserved, urban communities.

 While participating in UMed, the Classes of 2009-13 (n=99) reported increases in knowledge, confidence and skills to develop programs with nonprofit agencies that address population level health issues. These graduates were also more likely than their non-UMed peers to enter primary care (p=.02) and family medicine residencies (p=.002), to be selected for the Gold Humanism Honor Society (p=<.0001), and to complete joint degrees (MD/MPH, MD/MBA) (p=<.0001).

 The current study aims to assess longer term outcomes of UMed; specifically what opportunities exist during residency and beyond to engage in leadership roles, and can a program like UMed influence where and how graduates practice medicine.  Results of focus groups with a convenience sample of graduates (2009-2013) will add to the currently sparse literature on the long term outcomes of public health-based curricula in medical education.

Learning Areas:

Clinical medicine applied in public health
Implementation of health education strategies, interventions and programs
Other professions or practice related to public health
Planning of health education strategies, interventions, and programs
Provision of health care to the public

Learning Objectives:
Describe the elements of a public-health based curriculum aimed to prepare physician-leaders to serve in urban, underserved communities. Evaluate the contribution of qualitative data to understand long term outcomes of a special curricular program. Identify the challenges and opportunities to provide public health education throughout the medical training continuum. Discuss additional curricular and experiential activities that develop public health minded physicians.

Keyword(s): Medical Care, Health Disparities/Inequities

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the Associate Director of the Urban Medicine Program and the Co-PI on the research study of graduates that will be presented. I have a Phd in medical ethnobotany and a postdoc in Public Health and I am also a professor in public health at UIC
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.