1. Community Oriented Primary Care An Overview Fitzhugh Mullan, M.D.

2. COPC is... A basic method for the practice of community medicine A blending of public health practice and clinical medicine A training discipline for community based academicians

3. COPC is... A systematic approach to the practice of medicine in the community built on principles of epidemiology and community organizing

4. COPC blends... Public health and personal health care Epidemiology and primary care The forest and the trees The forester and the tree surgeon

5. COPC process... Community definition Community characterization Problem prioritization Detailed assessment Intervention Evaluation

6. Community Definition Geographic community Health care coverage “community” Special Population Community

7. Community Characterization Quantitative Information – Demographic – Health data Qualitative Information – Focus groups – Key informants

8. Problem Prioritization Issue triage Frequency, severity, and feasibility principles Prioritization groups – Community – Staff

9. Detailed Assessment Develop Community-Specific Information Examine Literature and Experience Select an Intervention Invent No Wheels

10. Intervention To consider... Time Personnel Tracking Impact “Winning”

11. Evaluation Process Impact Outcome Community utility

12. The Power of COPC COPC as a Movement COPC as an Ethos COPC as an Organizing Principle

13. COPC -- A Much Used Term “Lower Case” COPC “Upper Case” COPC

14. Origins of COPC Sidney and Emily Kark Phoela, Kwazulu Natal, RSA Department of Family and Community Health, University of Natal in Durban

23. COPC Migration Hadassah - Hebrew University, Jerusalem Kiryat HaYovel Community Health Center International MPH program

24. COPC in the United States IOM Conference, 1982 IOM/NAS Publications, 1982-84 Parkland Hospital, Dallas Montifiore Social Medicine Residency Program APHA Book

27. DC and COPC COPC track at GWSPHHS, 1997 CNMC General Academic Pediatric Fellowship Program, 1997 GW-Hebrew University International Certificate Program, 1998 Medical University of Southern Africa partnership, 1999