1. Ellen Beck, MD University of California, San Diego
Addressing the Health Needs of the Underserved Outcomes of a National Faculty Development Program
Ellen Beck, MD
University of California, San Diego

2. GOALS Program Description Participant Demographics Outcomes
Future Plans
Questions and Answers

3. The program: Need Need in the nation for underserved health care
Need for leadership in underserved health care (Markuns and Culpepper: Academic Medicine, 10/09: A Need for Leadership in Primary Health Care for the Underserved: A Call to Action)

4. The Program
3 one week blocks over a week with opportunities for followup and continuity
Create a national community of leaders in underserved health care

5. Program Goals Skill Development in: Core faculty development skills
Community Partnership and project development skills
Professional renewal and rejuvenation

6. Teaching Strategies included:
Presentations from community leaders and health profession leaders
Present a model, then practice using the model towards a goal of the group and individuals
Site Visits
Opportunities for community building and reflection
Addressing specific challenges, case-based model
Relaxed setting
Skills in Personal and Professional Renewal

10. Core Philosophy Empowerment Humanistic approaches Transdisciplinary
Experiential
Community as Teacher
Adult Learning Model

11. Needs, Assets, and Solutions Assessment

12. Participant Demographics
Geography
Ethnicity
Gender
Age

13. Participants Geographic Distribution 32 states including Puerto Rico and Hawaii

14. Ethnicity of Participants
27% participants-Underrepresented Minorities in the Health Professions

15. Gender of Participants

16. Age Range of Participants

17. Outcomes: Pre-post Change in overall confidence in being able to demonstrate your proficiency in the following skills…
Overall change
48.36%
2.62
3.73

18. Defining Promotora 118% Designing a Promotora Program 123%

19. Designing a Research Proposal 60% pre-post change Designing a Program Evaluation or Course Evaluation 50% pre-post change

20. Designing student curricula related to underserved communities

21. Designing a student or resident-run free clinic project

22. Outcomes: Programs and Projects

23. Designing an Occupational and Environmental Health Experience for students or residents
1.44
3.02
109
Developing occupational health/environmental medicine curricula
1.58
2.98 89
Designing a COPC project or educational experience
1.96
3.66 87
Defining COPC
2.09
3.87 85
Designing a Community Medicine Rotation
2.13
3.68 73
Designing a Needs Assessment
2.27
3.73 64
Grant-writing
2.01
3.22 60
Developing community-oriented curricula or programs
2.58
3.83 48
Developing an educational component or experience addressing issues of culture and race
2.52

24. 2003: Outcomes after first 53 participants
7 new or improved student-run free clinic projects
19 new student curricula
30 new resident curricula
21 PI or co-investigator for a grant
35 new leadership roles

26. National Community: Examples
Second generation participant-former student leader now faculty, generations of change agents
Fellowships in Underserved Health Care
Institute for Street Medicine National Meeting
Student-Run Free Clinic Projects
Letters for Academic Promotion
Networking for Program Development
First readers for grant ideas
Policy collaboration: HRSA, transdisciplinary models, liability coverage for volunteer health professionals
Friendships, colleagueships, mentoring, trusted relationships

27. Next Steps: Long-term outcomes Advanced Skills Workshops
National meeting: on-site and virtual
Your thoughts

28. Learnings and implications of the data
Degree of change reflects a need for skill-building in these areas
Strategies used:
Individually relevant, national in scope
Opportunities for reflection and renewal built into the program
A trusted group, a safe environment to take risks
Problem-solving: cases

29. Let the community be your teacher.

30. Thank you! Colleagues, Participants, Community,
Staff, particularly, Carol Whitener, Anne Crane, and Kristin Deveraux
and students for continuing to inspire us.