Over 350 residents and pediatric nurse practitioner students
have trained in the PLC two-week community rotation
As of July 2008, 67 residents have enrolled or participated
in the two-year, longitudinal CARE track (2/3rds of residents),
including the two-week comprehensive summer introductory CARE
training block
To date, all pediatric senior chief residents (35 total) have
chosen to or currently act as Assistant Directors for PLC. All
complete a community-partnered project and serve as role models
and support for interns at these community sites during the PLC
rotation
Over 50 community-based organizations (CBOs) as partners, collaborators,
and advisors. Examples include:
Mercy Outreach Medical Center; ABC Head Start;
Lead Poisoning Prevention Program; Monroe County Family Court;
Community Health Nursing; Starlight Pediatric Care Clinic;
Bethany House for Homeless Women and Children; Early Intervention
Child Protective Services; and Boys and Girls Club of Rochester
43 projects funded for practicing pediatricians or academic
fellows in collaboration with CBOs under the Partners for Children
Grants Program 2002 - 2007 (total ~ $329,467)
At any time, approximately 15 active projects focused on vulnerable
children being conducted through the program by residents, fellows,
or practicing pediatricians
To date, all (100%) CARE residents have presented their projects
as poster or slide presentations in conjunction with the annual
Anne E. Dyson Memorial Grand Rounds or other Grand Rounds. 48%
of CARE residents have obtained Institutional Review Board investigator
status to conduct research as part of their projects and 33% have
presented their projects at peer-reviewed national meetings
Projects areas include: mental health, domestic violence, child
abuse, homeless youth, substance abuse, school health, immigrant
children, support for children with chronic health conditions,
teen pregnancy, behavioral and developmental concerns, legislative
advocacy at the county level
71% of entering residents in 2002 and 2003 indicated that PLC
was important to very important in their choice to train in Rochester;
21% indicated it was the most important reason they chose to train
in Rochester
50% of residency graduates remain in the Rochester community
after graduation. We have evidence that we are attracting higher
caliber medical students from throughout the United States to
train in Rochester and remain as pediatricians here, thus providing
quality care for our community's children and counteracting the
"brain drain" of young professionals that has been written
about with regard to Upstate N.Y and Rochester.
TIMELINE:
1994: Pilot version of the PLC Program - two week rotation exclusively
in the community
1996: PLC becomes a permanent component of the residency training
program in Rochester
2000: PLC one of 6 programs nationally to receive $2.5 million
grant from the Dyson Foundation
2000: Initiation of the Child Advocacy Resident Education (CARE)
Track
2001: Community Pediatrics Advisory Council established
2002-07: Partners for Children Grants Program: Forty-three grants
between $2,000-$10,000 awarded to practicing pediatricians, residents
and academic fellows to improve health for vulnerable children
on a community level
2003-04: Partnerships with General Academic Pediatrics Fellowship,
Psychology Fellowship, Family Medicine Residents
2004: Expansion to Medicine-Pediatrics (CARE track), medical
students and undergraduates, dissemination to other residency
programs throughout the country
2005: Partnership with the School of Nursing Pediatric Nurse
Practitioner Program to train all pediatric nurse practitioner
students in pediatric community health experiences
2006: Partnership with the International Health Medicine-Pediatrics
Program to provide CARE leadership training to enrolled Medicine-Pediatric
residents
2007: Partnership with the Leadership Education and Adolescent
Health (LEAH) Program & Community and Preventive Medicine
to provide modified community health/leadership training to all
fellows
NATIONAL AWARDS:
2000 - Ambulatory Pediatric Association: National Outstanding
Teaching Award
2000 - American Academy of Pediatrics Resident Section Child
Advocacy Award to Jamie Perry, MD, third year pediatric resident,
for the "Steps to a Healthy You" education project with
the Boys and Girls Club of Rochester
2001 - American Academy of Pediatrics: National Professional
Education Award
2003 - Drs. Kaczorowski and Shipley - finalists for the Robert
Wood Johnson Community Health Leadership Award
2004 - American Association of Medical Colleges, Organization
of Resident
Representatives: Community Service Recognition Award to CARE resident
Bridgette Wiefling, MD
2004 - American Association of Medical Colleges Outstanding
Community Service Award to University of Rochester Medical Center
"The institution's emphasis on service is integrated
into residency training at URMC … The Pediatric Links with
the Community Program, a partnership with community-based agencies
that serve children and families, is a formal component of the pediatric
residency experience that trains new physicians to care and advocate
for underserved and high-risk youth and families."
2006 - American Academy of Pediatrics Resident Section Anne
E. Dyson Child Advocacy Award to Kristi Cowell, MD, Sara Horstmann,
MD, Jennifer Linebarger, MD & Philip Meaker, MD, MPH for the
"TEACHER (Trial of an After-school Curriculum for a Healthier
Environment in Rochester)" after-school project in collaboration
with the YMCA and Pinnacle School #35
SELECTED PUBLICATIONS:
Chin NP, Aligne CA, Stronzcek A, Shipley LJ, Kaczorowski J.
Evaluation of a Community-Based Pediatrics Residency Rotation
Using Narrative Analysis. Academic Medicine. 2003;78(12):1266-70
Kaczorowski J, Aligne CA, Halterman JS, Allan MJ, Aten MJ,
Shipley LJ. A Block Rotation in Community Health and Child Advocacy:
Improved Competency of Pediatric Residency Graduates. Ambulatory
Pediatrics. 2004;4: (283-288)
Nader P, Kaczorowski J et al. Education for Community Pediatrics.
Clinical Pediatrics. 2004 Jul-Aug; 43(6) 505-21
Supplement to Pediatrics, "Community Pediatrics: Making
Child Health at the Community Level an Integral Part of Pediatric
Training and Practice," senior ed. Kaczorowski J, ed. Aligne
CA. In press for April 2005. 14 Articles, 7 Commentaries, Forward,
Introduction, and Summary. More than 70 contributing authors including
David Satcher, MD, PhD, Julius Richmond, MD, Morris Green, MD,
Robert Haggerty, MD, James Stockman, MD, Errol Alden, MD, and
Robert Hoekelman, MD. Includes the following articles:
- Shipley LJ et al. Teaching Community Pediatrics to Pediatric
Residents: Strategic Approaches and Successful Models for Education
in Community Health and Child Advocacy (features the PLC/CARE
community pediatrics model)
- Satcher D, Topa D, Kaczorowski J. Addressing the Millenial
Morbidity:
The Expanding Role of the Pediatrician in Improving Child Health
(with a section on Dr. Diana Kudes' work with the Department of
Pediatrics Mental Health Task Force)
- Haggerty R and Aligne CA. Community Pediatrics: The Rochester
Story the tradition in Rochester, with reference to PLC)
NATIONAL CONSULTING:
Recent visit from Elizabeth Lee Ford-Jones, MD FRCPC and Anthony
Jones, MD from The Hospital for Sick Children and University of
Toronto (2007)
Dr. Kaczorowski named the director of the AAP National Community
Pediatrics Training Initiative; PLC faculty serve as consultants
(2005)
Consultation for and site visits to Rochester by Washington
University at St. Louis (2004), University of California at San
Francisco (2004) and McGill University in Montreal, Canada (2005)
PLC Program replicated/modeled at residency programs including
The Children's Hospital of Philadelphia, Denver Children's Hospital,
Stanford University, the University of California at Davis and
McGill University in Montreal, Canada
Leadership for Dyson Initiative Resident Projects Collaborative
Workgroup
National "Best Practices" Tool Kit for residency programs
to begin community health and child advocacy educational experiences
Over a dozen workshops conducted at national meetings over the
last 10 years
