Published online April 1, 2005
PEDIATRICS Vol. 115 No. 4 April 2005, pp. 1150-1157 (doi:10.1542/peds.2004-2825J)

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SUPPLEMENT ARTICLE

Teaching Community Pediatrics to Pediatric Residents: Strategic Approaches and Successful Models for Education in Community Health and Child Advocacy

Laura Jean Shipley, MD^*,, Sarah M. Stelzner, MD, Elisa Alter Zenni, MD^||, Dana Hargunani, MD^¶, Julie O’Keefe, MD^¶, Carleen Miller, MA^#, Brian Alverson, MD^** and Nancy Swigonski, MD, MPH

^* Department of Pediatrics, University of Rochester, Rochester, New York
Panorama Pediatric Group, Rochester, New York
Department of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana
^|| Department of Pediatrics, University of Florida, Jacksonville, Florida
^¶ Department of Pediatrics, Oregon Health and Science University, Portland, Oregon
^# Julian Center, Indianapolis, Indiana
^** Carepoint PC, Denver, Colorado

To improve child health at a community level, pediatricians require knowledge and skills that have not been traditionally included in residency training. Recent policy statements from the American Academy of Pediatrics and requirements from Accreditation Council for Graduate Medical Education Residency Review committees emphasizing the importance of community pediatrics training have provided additional incentive for pediatric residency programs to actively explore methods of teaching the principles and promoting the practice of community pediatrics to resident trainees. With a growing number of diverse educational models in various stages of practice or development, common themes and approaches to promote successful teaching of community health and child advocacy can be described. This article defines strategies for 2 critical elements of community pediatrics training, engaging residents and building strong community partnerships, then highlights a number of educational models that illustrate key curricular components and methods. Published results from evaluations of some programs suggest that community pediatrics training of this caliber will cultivate a cadre of pediatricians (academic and community based, generalists and subspecialists, researchers and practitioners) who understand child health in the context of community and have the leadership and collaborative skills to improve the health of children in their communities.

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Key Words: community pediatrics • child advocacy • pediatric residency education • competency project

Abbreviations: AAP, American Academy of Pediatrics • CATCH, Community Access to Child Health • CBO, community-based organization • CBA, community-based association • PLC, Pediatric Links With the Community • CAI, community action initiative • COPC, community-oriented primary care • OHSU, Oregon Health and Science University • WIC, Special Supplemental Nutrition Program for Women, Infants, and Children

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Accepted Dec 22, 2004.

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