Community-based Teaching about Health Disparities: Combining Education, Scholarship, and Community Service
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The Institute of Medicine recommends that clinicians receive training to better understand and address disparities. While disparities in health status are primarily due to inequities in social determinants of health, current curricula largely focus on how to teach about disparities within the health care setting. Learners may more fully understand and appreciate how social contextual factors contribute to disparities through instruction about disparities in community settings. Community-based teaching about health disparities may be advantageous for learners, medical institutions, and participating communities. This manuscript aims to guide medical educators in teaching students and residents about health disparities through community-based activities, including service learning and research.
- Stewart, AL, Napoles-Springer, AM (2003) Advancing health disparities research: can we afford to ignore measurement issues?. Med Care. 41: pp. 1207-1220 CrossRef
- Smedley BD, Stith AY, Nelson AR, for the Committee on Understanding and Eliminating Rational and Ethnic Disparities in Health Care, ed. Unequal Treatment:Confronting Racial and Ethnic Disparities in Health Care. Washington, DC: National Academy of Science; 2003.
- McGinnis, JM, Foege, WH (1993) Actual causes of death in the United States. JAMA. 270: pp. 2207-2212 CrossRef
- Lurie, N, Fremont, A, Jain, AK (2005) Racial and ethnic disparities in care: the perspectives of cardiologists. Circulation. 111: pp. 1264-1269 CrossRef
- Kaiser Family Foundation. National Survey of Physicians Part 1: Doctors on Disparities in Medical Care. http://www.kff.org/minorityhealth/loader.cfm?url=/commonspot/security/getfile.cfm&PageID=13955. Accessed 29 November 2009.
- Commission to End Health Care Disparities. Physicians are becoming engaged in addressing disparities: preliminary survey brief. www.ama-assn.org/ama/pub/physician-resources/public-health/eliminating-health-disparities/commission-end-health-care-disparities/quality-health-care-minorities-understanding-physicians.shtml Accessed on 29 November 2009.
- Sequist, TD, Ayanian, JZ, Marshall, R, Fitzmaurice, GM, Safran, DG (2008) Primary-care clinician perceptions of racial disparities in diabetes care. J Gen Intern Med. 23: pp. 678-684 CrossRef
- Wolf, TM, Balson, PM, Faucett, JM, Randall, HM (1989) A retrospective study of attitude change during medical education. Med Educ. 23: pp. 19-23 CrossRef
- Kopelman, L (1983) Cynicism among medical students. JAMA. 250: pp. 2006-2010 CrossRef
- Goldstein, AO, Calleson, D, Curtis, P (2005) Community service by North Carolina family physicians. J Am Board Fam Pract. 18: pp. 48-56 CrossRef
- Steiner, BD, Pathman, DE, Jones, B, Williams, ES, Riggins, T (1999) Primary care physicians' training and their community involvement. Fam Med. 31: pp. 257-262
- Smith, WR, Betancourt, JR, Wynia, MK (2007) Recommendations for teaching about racial and ethnic disparities in health and health care. Ann Intern Med. 147: pp. 654-665
- Berman, Sally (2006) Service Learning: A Guide to Planning, Implementing, and Assessing Student Projects. Corwin Press, Thousand Oaks
- Seifer, SD (1998) Service-learning: community-campus partnerships for health professions education. Acad Med. 73: pp. 273-277 CrossRef
- Cauley, K, Canfield, A, Clasen, C (2001) Service learning: integrating student learning and community service. Educ Health (Abingdon). 14: pp. 173-181 CrossRef
- Seifer, S, Hermanns, K, Lewis, J eds. (2000) Creating Community-Responsive Physicians: Concepts and Models for Service Learning in Medical Education. American Association for Higher Education, Washington
- Horowitz, CR, Goldfinger, JZ, Muller, SE (2008) A model for using community-based participatory research to address the diabetes epidemic in East Harlem. Mt Sinai J Med. 75: pp. 13-21 CrossRef
- Methods in Community-Based Participatory Research for Health. San Francisco, CA: Jossey-Bass; 2005.
- Horowitz, CR, Robinson, M, Seifer, S (2009) Community-based participatory research from the margin to the mainstream: are researchers prepared?. Circulation. 119: pp. 2633-2642 CrossRef
- Goldstein, AO, Calleson, D, Bearman, R, Steiner, BD, Frasier, PY, Slatt, L (2009) Teaching Advanced Leadership Skills in Community Service (ALSCS) to medical students. Acad Med. 84: pp. 754-764 CrossRef
- Jacobs, EA, Kohrman, C, Lemon, M, Vickers, DL (2003) Teaching physicians-in-training to address racial disparities in health: a hospital-community partnership. Public Health Rep. 118: pp. 349-356
- Interdisciplinary Models of Service-Learning in Higher Education. http://www.servicelearning.org/instant_info/fact_sheets/he_facts/interdisciplinary/expanded.php. Accessed 29 November 2009.
- Peek, ME (2007) An innovative partnership to address breast cancer screening among vulnerable populations. Educ Health (Abingdon) 20: pp. 52
- Meyer, D, Armstrong-Coben, A, Batista, M (2005) How a community-based organization and an academic health center are creating an effective partnership for training and service. Acad Med. 80: pp. 327-333 CrossRef
- Lancaster K, Arniella G, Walker W, Vance T, Kaskel P, Horowitz C. Food for Life/Comida para la Vida: Creating a Food Festival to Raise Diabetes Awareness. Progress in Community Health Partnerships. In press.
- Whyte, WF (1943) Street Corner Society: The Social Structure of an Italian Slum. University of Chicago Press, Chicago
- Accreditation Council for Graduate Medical Education Core Competencies. Available at http://www.acgme.org/outcome/comp/GeneralCompetenciesStandards21307.pdf. Updated 2009.
- Peek, ME, Haley, M (2003) The breast cancer education project: a service-learning initiative and a foundation for community-based research. Partnersh Perspect. 3: pp. 51-63
- Habbick, BF, Leeder, SR (1996) Orienting medical education to community need: a review. Med Educ. 30: pp. 163-171 CrossRef
- Sabin, JA, Rivara, FP, Greenwald, AG (2008) Physician implicit attitudes and stereotypes about race and quality of medical care. Med Care. 46: pp. 678-685 CrossRef
- Green, AR, Carney, DR, Pallin, DJ (2007) Implicit bias among physicians and its prediction of thrombolysis decisions for black and white patients. J Gen Intern Med. 22: pp. 1231-1238 CrossRef
- Peris, TS, Teachman, BA, Nosek, BA (2008) Implicit and explicit stigma of mental illness: links to clinical care. J Nerv Ment Dis. 196: pp. 752-760 CrossRef
- O'Toole, TP, Arbelaez, JJ, Lawrence, RS (2004) Medical debt and aggressive debt restitution practices: predatory billing among the urban poor. J Gen Intern Med. 19: pp. 772-778 CrossRef
- O'toole, TP, Hanusa, BH, Gibbon, JL, Boyles, SH (1999) Experiences and attitudes of residents and students influence voluntary service with homeless populations. J Gen Intern Med. 14: pp. 211-216 CrossRef
- Community-based Teaching about Health Disparities: Combining Education, Scholarship, and Community Service
Journal of General Internal Medicine
Volume 25, Issue 2 Supplement, pp 130-135
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links
- disparities education
- community-based education
- public health approach
- Industry Sectors
- Author Affiliations
- 1. Division of General Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
- 2. Section of General Internal Medicine, University of Chicago, Chicago, IL, USA
- 3. John H. Stroger, Jr., Hospital of Cook County and Rush University Medical Center, Chicago, IL, USA
- 4. Department of Health Policy, Mount Sinai School of Medicine, New York, NY, USA