1. Collaborating with the Community in Primary Care: Teaching and Modeling Community-Responsive Practice Society for Teachers of Family Medicine Group on Community Medicine Spring 2005

2. Goals and Objectives  Understand the importance of collaboration with the community when initiating COPC projects  Be able to identify some characteristics of community- academic partnerships that work  Identify methods for institutions to create a collaborative environment and find a "win-win" scenario which accomplishes training goals and community agendas  Have a working knowledge of 4 successful sustained collaborations pairing agencies and three Family Medicine Departments in which COPC is modeled and taught

3. THEORETICAL FRAMEWORK Determinants of Population Health Tarlov AR. Ann NY Acad Sci 1999;896:281-293

4. Actual Causes of Death, 2000  Tobacco435,000 (18.1%)  Poor Diet & Physical Inactivity 400,000 (16.6%)  Alcohol 85,000 (3.5%)  Microbial Agents 75,000 (3.1%)  Toxic Agents 55,000 (2.3%)  Motor Vehicles 43,000 (1.8%)  Firearms 29,000 (1.2%)  Sexual Behavior 20,000 (0.8%)  Illicit Drug Use 17,000 (0.7%)  Total 1,159,000 (48.2%) Mokdad AH, Marks JS, Stroup DF, Gerberding JL. JAMA 2004; 291(10):1238- 1245

5. Racial & Ethnic Disparities In Health  Risk Behaviors  Medical Care  SES  Social Support  Group/Community Determinants –Social Capital –Income Inequality –Community Environment  Stress

6. Community Environment Group Individual

7. Understanding Inequalities in Health Kaplan GA. Ann NY Acad Sci 1999, 896:117-199

8. Prisoners of the Proximate McMichael AJ. Am J Epidemiol 1999; 149:887-97

9. RE-AIM Model Public Health Impact = Reach X Efficacy * Adoption X Implementation X Maintenance Glasgow RE, Vogt TM, Boles SM, et al. AJPH 1999; 89(9):1322-1327 Glasgow RE, Lichtenstein E, Marcus AC, et al. AJPH 2003; 93(8):1261-1267

10. Collaboration & Community Medicine  Interest or Inclination AND  Competent Community Organization  Capable, Trusted Community Leaders

11. Collaboration & Community Medicine  Common Interests  Overlapping Missions  Trust  Time  Keeping On

12. Who’s here  Fit, Fun, & Thin-some –Rosalyn Arnaud, Community Health Nurse and Director of the Daughters of Charity Neighborhood Health Partnership –Carol Bebelle,Director of the Ashe Cultural Arts Center –R. A. Meriwether, MD, MPH; Tulane Dept of Family & Community Medicine

13. Who’s here  Penelope House –Marty Adams, PhD; USA Dept of Family Medicine –D’ana Snow, PhD; USA Dept of Family Medicine –Reda Haynes-Penelope House, Mobile, Alabama –Allen Perkins, MD, MPH; University of South Alabama Dept of Family Medicine.

14. Who’s here  Bridging Health Together: –Kim Gudzune, MS3 –Jim Theis, MD; Tulane Dept Family & Community Medicine.

15. Who’s here  PATH –Dave Ward, President and CEO of Daughters of Charity Health Services of New Orleans –Father Jim DesHotels, FNP, Daughters of Charity –Robert Post, MD; LSU Dept of Family Medicine

16. Community Environment Group Individual