1. LOCUS: Preparing Medical Students for Community Health Leadership

2. Goals
Understand the medical, educational, cultural, political and socioeconomic environment out of which the need for LOCUS developed.
Reflect on the concept of leadership and understand the importance of leadership in medicine.

3. GOALS
Review the LOCUS core curriculum, the program’s structure, its active learning components, and its goals and desired outcomes
Understand the evolution of the program, challenges to its survival, and its growth over time.

4. LOCUS 1999

5. CONTEXT Health system challenges Medical education
Inequities: access, quality
Escalating costs
Ever expanding knowledge
Medical education
Reductionistic, biomedical focus
“Coveritis”, burn out, cynicism
Role of physicians in society

7. Context continued Social accountability Leadership for change
Physician’s as stewards and servants
Responsibility to society
Leadership for change
Education for leadership
Community of shared values
Mentoring, encouragement and feedback

8. LOCUS GATHERING 2000

9. LOCUS Definition: a place Leadership Opportunities with
Communities, the medically
Underserved and
Special populations

10. LOCUS Logistics 15 to 18 LOCUS fellows per medical school class
Each LOCUS fellow:
Is paired with both a faculty and a student mentor
Participates in approximately 20 hours per year
Completes a community health project
“LOCUS is for life”

12. LOCUS Core Content Introduction to leadership
Leadership and one’s self
Leadership and others
Leadership and communities

13. Introduction to Leadership
Challenges in health care
Importance of leadership
Leadership styles
Qualities of leaders
Mentors and role models

14. Leadership and One’s Self
Describe personal mission, goals, priorities
Find strategies to achieve balance between personal and professional lives
Solicit feedback
Engage in self-reflection and self-assessment
Adjust goals through career

15. Leadership and Others
Develop team skills: listening, collaborating, delegating, giving and receiving feedback, acknowledge contributions of others
Lead effective meetings: agendas, keeping on time, summaries, follow-up actions
Identify and address conflicts: understand one’s own responses, mediation skills

16. Leadership and Health Issues in Communities
Identify local and global health challenges
Recognize complex determinants of health
Reflect on the roles and responsibilities of physicians in improving conditions for health

17. Leadership and Community Health Methods
Community oriented primary care (COPC)
Evidence-based public health
Ecological models
Logic model
Community health needs assessments

18. Leadership and Health Activist Skills
Community networking and organizing
Fund raising
Non-violent protests
Writing skills:
Letters to the editor
Position statements
Oral communications:
Public speaking, radio and television interviews
Testifying in government hearings

19. Community Health Service Projects
Conduct community health needs assessments:
Rapid appraisal and surveys
Key informant interviews
Access health data
Select project framework
Conduct project
Assess, present and celebrate outcomes

20. LOCUS 2000

21. Evolution and Opportunities
Student Issues
Faculty Issues
School Issues
Sustainability

22. Student Issues Interest growing, student applications increasing
Student desire to keep personal and limited in size
Greater interest in self-initiated new projects
Issues of individual vs group projects
Issues of individual interests vs community needs

23. Faculty Issues School-based faculty Community faculty Time Value
Reward

24. School Issues Informal vs formal curriculum Credit vs No Credit
Recognition for “Honors”

25. Sustainability
School and Department role
AHEC
Community Partnerships

26. LOCUS GATHERING 2002