An Alternative to Corporate Health (founded in 2004)
In the first installment of his new videoblog our good colleague Robert Morrow, MD offers an unexpected twist on the future of health care in the US. Will the banks ruin for-profit healthcare?
Bob Morrow’s blog, “The Transparent Practice”, offers his unique perspective as a Bronx Family Doctor.
Research-based health activism describes a growing sector of the medical and public health worlds where the classic skills of clinical research and epidemiology are combined with grass-roots advocacy to influence federal and state health policy, stemming the influence of private industry and market forces on public and community health. The Residency Program in Social Medicine at Montefiore Medical Center and Albert Einstein College of Medicine has a rich tradition of innovations in community oriented primary care and a history of progressive research and practice. Our faculty, together with experts from throughout the New York Metropolitan area, will provide training in this growing field of research-based health activism.
We have developed a unique course, which combines both didactic and project based approaches, to the teaching of research-based health activism. Didactic lectures will introduce three major topic areas: research methods, health policy, and advocacy skills. Individual and small group mentorship will be provided to help students utilize these skills by developing their own independent research proposal. Other sessions will include physician-activist guest lecturers and visits to state or private health organizations that both create and influence health policy. Finally, students will work in groups to develop a research proposal for a project which reflects their interests that can be used when completed to influence health policy. This proposal will be presented on the final day of the course at a luncheon including all students, the course directors, returning session leaders, and Peter Lurie, MD, MPH, from the Public Citizen’s Health Research Group.
FACULTY AND RESIDENTS: Galit Sacajiu, MD, MPH, Associate Professor of Medicine, Montefiore Medical Center/Albert Einstein College of Medicine, Course Director, Research-Based Health Activism Course * Carolyn Chu, MD, HIV Research Fellow, Department of Family and Social Medicine * Aaron Fox, MD, Chief Resident, Primary Care and Social Medicine Residency Programs
FOR MORE INFORMATION: Please visit our website on Public Citizen at: http://www.citizen.org/hrg/activistcourses/einstein.htm or contact Galit Sacajiu, MD, MPH at this link: Galit Sacajiu
Programming Tracks:
Health Policy and Activism—The history and the present: Bertrand Bell, MD: Making Real World Change As A Physician—Jo Ivey Boufford, MD: Public Policy—Joseph Ross, MD: Health Care Organization—Ernest Drucker, PhD: A Plague of Prisons: The Epidemiology of Mass Incarceration—Oliver Fein, MD: National Health Insurance for the US: Has Its Time Come?—Paul Lipson, Chief of Staff and Siddharta Sanchez, Community Liaison for Immigration & Environmental Affairs for Bronx Congressman José Serrano: Health Topics as they relate to the policies in the Bronx, NY—Ruth Macklin, PhD: Research Ethics: Protecting Human Subjects of International Research—Eva Metalios, MD: Human Rights Clinic—Barbara Seaman: Women’s Health Activism—Peter Selwyn, MD, MPH: Research and Advocacy at the Dawn of AIDS—Peter Sherman, MD: The Affects of Domestic Violence on Children—Victor Sidel, MD: Social Injustice and Public Health, and War, Terrorism, and Public Health—Hal Strelnick, MD: Health Policy at Local, State, and National Levels—Bruce Vladeck, PhD: Medicare and the Role of Physicians in the Future—Sidney Wolfe, MD: Research Topics/Questions
Research Methods—how to produce activist research:
Matthew Anderson, MD, MSc: Planning the write-up process of your project—Chinazo Cunningham, MD: Grant Writing—Robin Flam, MD, DrPH: Uses of Epidemiology—Aaron Fox, MD: Social Epidemiology—Nerina Garcia, PhD and Lucia Ferra: Qualitative data use and analysis—Alison Karasz, PhD and Galit Sacajiu, MD, MPH: The Underline Construct—Paul Meissner, MSPH: Using Secondary Demographic and Clinical Databases—Robert Roose, MD: Quantitative data use and analysis—Galit Sacajiu, MD, MPH: Research Questions—Nancy Sohler, PhD, MPH and Galit Sacajiu, MD, MPH: Study Designs
Advocacy—how to create change:
David Appel, MD: Lobbying—Ramin Asgary, MD, MPH, MSc:Humanitarian Assistance: The Principles—Oni Blackstock, MD: HIV/AIDS in Ghana: Adherence and Stigma—Bob Goodman, MD—Pharmaceutical Industry and Physicians—Kirsten Goodwin of GMHC: Coalition Building—Hillary Kunins, MD, MPH, MS and Mindy Sobota, MD: Case Workshop: Advocating for Choice—Janice Lieberman, NBC Studio: Media Relations in Health Research and Advocacy—David Matthews: Harm Reduction and HIV: a grass root organization—Steve Max of Midwest Academy: Intro to Organizing and Strategy Building—Mini Murthy, MD, MPH, MS: Women’s Health and Human Rights—Zena Nelson: The South Bronx Food Cooperative—Adam Richards, MD, MPH: Public Health and Human Rights Praxis in Burma—Minesh Shah, MD: Public Speaking—Lanny Smith, MD, MPH, DTM&H: Liberation Medicine, Health and Human Rights—Leonora Tiefer, PhD: FSD-A Case of Disease Mongering and Activist Resistance
Click on the links below for:
The Program Brochure
An application for the 2008 course
Articles about the course from the Journal of General Internal Medicine, Academic Physician and Scientist and the New York Times
The Residency Program in Social Pediatrics began at Montefiore in 1970. Our program is designed to train pediatricians who are interested in practicing medicine within underserved, disadvantaged communities. Since its inception the residency program has trained over 150 pediatricians, many who have gone on to leadership positions as advocates for impoverished children and families. Our residents are trained alongside residents in Montefiore’s categorical residency program1. Inpatient training takes place within the Children’s Hospital at Montefiore. In addition to traditional didactics, residents in Social Pediatrics receive extensive training in the biopsychosocial aspects of medical care. They are exposed to a multi-disciplinary core curriculum, which includes training in:
Ambulatory education and clinical experience occurs at the Montefiore Comprehensive Health Care Center (CHCC) a federally-funded community health center located on 161st street in the South Bronx, just a few blocks away from the world-famous, Yankee Stadium. CHCC is located in the 16th congressional district–the poorest congressional district in the United States. The clinic serves more than 12,000 patients who make more than 71,000 visits annually and offers a variety of medical and ancillary services, such as medical, OB-GYN, dental, nutrition, health education, social work and WIC. Social Pediatrics is a three-year training program leading to board eligibility in pediatrics.
Intern Year
The main focus of the first year of social pediatrics training is the development of a strong general pediatric knowledge base and the advancement of inpatient skills. The intern year bears a a close resemblance to the first year of training in the categorical pediatrics program. For example, like the categorical residents, you spend one afternoon session a week in your ambulatory clinic at CHCC. However, there are important differences. One is that in the fall notable exception is:
Each social pediatrics intern attends a month-long intensive orientation to social medicine with the interns from Family Medicine and Social Internal Medicine. During this call-free month, you will be exposed to basic principles in social medicine, connect with the Bronx community, and begin to explore important issues that impact the health of this community. In addition, throughout the year interns attend the weekly social pediatrics rounds, schedule permitting, as described below.
Second and Third Years
In addition to the refinement of inpatient skills, the second and third year of the social pediatrics residency continues with an increased focus on ambulatory and community pediatrics. In the second and third years of training, At the beginning of the second year each social pediatric resident is paired with another social pediatric resident from the same year. The partners share a continuity panel and inpatient responsibilities. This allows residents to spend more time in the ambulatory setting, and continue quality inpatient training. Each pair divides call responsibility between themselves. Residents also participate in a school health rotation during the second and third years. During this rotation residents provide primary care services in a school- based health care center, interact with a community health team, learn to advocate for children in a school-based setting and learn the legal and political issues involving school-based health centers.
The social pediatrics’ schedule differs from the categorical schedule as it includes 3.5 blocks of full time clinic each year. There is also one call free elective during both second and third year.
In addition to clinical responsibilities, social pediatrics interns and residents are required to participate in community-related research, education, and advocacy activities.
Specific Program Components:
In addition to clinical responsibilities, social pediatrics interns and residents participate in a comprehensive core curriculum designed to provide instruction in the fundamentals of community-centered research, advocacy and epidemiology.
Social Pediatrics Rounds: This core conference is held weekly providing residents with on going exposure to important social pediatric-related topics such as foster care, cultural competency, homelessness, community organizing, domestic violence and health literacy.
Social Pediatrics Curriculum: During second and third year residents are given the opportunity to participate in varied curricular activities including research methods and design, social epidemiology, medical legal advocacy, medical Spanish, journal club, policy rounds and board review.
Social Pediatrics Project: Residents are required to complete a social medicine project during their three years in residency. These projects will provide practical hands-on community pediatrics experience.
Faculty
Peter Sherman, MD
Director, Residency Training Program in Social Pediatrics
David K. Appel, MD
Executive Director, School Health Program
Sandra Braganza, MD, MPH
Faculty, Residency Training Program in Social Pediatrics
Neal Hoffman, MD
Faculty, School Health Program
Natalie Langston-Davis, MD, MPH
Faculty, Residency Program in Social Pediatrics
Theresa Pinili-Ozuah, MD
Faculty, Residency Training Program in Social Pediatrics
Andrea Rich, MD
Medical Director, Comprehensive Health Care Center
Jennifer Rich, MD
Faculty, Residency Training Program in Social Pediatrics
Iman Sharif, MD, MPH
Associate Director, Residency Training Program in Social Pediatrics
Charles Strouthides, MD
Faculty, Residency Training Program in Social Pediatrics
Graduates
Many graduates of social pediatrics continue to fulfill their training mandate by practicing in inner city health centers, community hospitals and large, urban medical centers. Several of them serve as health policy makers, health administrators, and leaders in community medicine. Some help underserved children in rural health facilities. Others put their social pediatrics training to use in subspecialties, where there is often a need for a novel community-oriented approach.
Alumnae of the Residency Program in Social Pediatrics include:
Philip Ozuah, MD, PHD Chairman, Department of Pediatrics, Albert Einstein College of Medicine & Children’s Hospital at Montefiore
Jo Ivey Boufford, MD President, New York Academy of Medicine
David Appel, MD Director, Montefiore School Health Program
Andrew Goodman, MD Associate Commissioner, New York Department of Health
Steven Shevlov, MD Chairman, Pediatrics, Maimonides Medical Center
Sharon Joseph, MD Medical Director, New York Children’s Health Project-Children’s Health Fund
Research and Advocacy
Social Pediatrics residents and faculty have contributed significantly to scholarly dissemination and clinical research. Our department participates in several national and regional meetings each year including meetings of the American Academy of Pediatrics, the Association of American Medical Colleges, the Ambulatory Pediatric Association and the American Public Health Association. In addition, residents and faculty participate in local advocacy projects for the betterment of the community we directly serve.
Recent scholarly activities, research, presentations and publications of social pediatrics residents & faculty (resident names in bold):
Harris JC, Giddy J, Thomas M. QI: HIV Testing of the children of adult patients in an HIV treatment program. Presented at the Pediatric Academic Societies, Toronto, Canada, May 2007. Presented at the Eastern Society for Pediatric Research, Philadelphia, PA, March 2007.
Harris J, O’Connor K, Sharif I. Legal needs assessment of families accessing care at an inner-city community health center. Presented at the Pediatric Academic Societies, Toronto, Canada, May 2007. Presented at the Eastern Society for Pediatric Research, Philadelphia, PA, March 2007.
Langston-Davis N, Perez-Rivera B, Sarmiento A, Santana I. Impact of an electronic health record on the promotion of NIH asthma guidelines in the primary care setting. Presented at the American Public Health Association, Washington, DC, November 2007.
Scharbach K, Sharif I, Skae C. Resident knowledge and comfort with pediatric pain management. Presented at the Pediatric Academic Societies, Toronto, Canada, May 2007. Presented at the Eastern Society for Pediatric Research, Philadelphia, PA, March 2007.
Sharif I, Wills TA, Sargent JD. Does television viewing during middle-school lead to poorer school performance? Presented at the Pediatric Academic Societies, Toronto, Canada, May 2007. Presented at the Eastern Society for Pediatric Research, Philadelphia, PA, March 2007.
Tesher M, Siegel S, Sharif I, Campbell D. Resident knowledge and confidence about breastfeeding in a poor urban community. Presented at the Pediatric Academic Societies, Toronto, Canada, May 2007. Presented at the Eastern Society for Pediatric Research, Philadelphia, PA, March 2007.
Sherman PA, Rice A. Domestic violence and the family, In RA Hoekelman, ML Weitzman, HA Adam, NM Nelson, MH Wilson, eds. Primary Pediatric Care, 5th Edition. St. Louis: In Press.
Sherman PA, Pezzullo R. Homelessness and the family, In RA Hoekelman, ML Weitzman, HA Adam, NM Nelson, MH Wilson, eds. Primary Pediatric Care, 5th Edition. St. Louis: Mosby, In Press.
Sherman P, Cahill L. Sexual abuse in children in the context of domestic violence. Pediatrics in Review. American Academy of Pediatrics. 2006; 27: 339-345.
1NOTE: Social Pediatrics is not listed separately in the Directory of Residency Training Programs, but it does have a separate matching number (listed under Montefiore programs match number 315332O
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