COVID-19 has underscored the need for advancing health justice. As educators, we need to prepare our trainees to understand the dynamics of the patient population they will be serving and use their voice and expertise in community-scale efforts to advance health justice for all.
Metropolitan Omaha needs pediatric providers who are up to that task. We, therefore, need to enhance the educational and leverage the clinical opportunities we have.
To provide educational and clinical opportunities that will prepare graduates of the pediatric and med/peds residency program to:
- Be primary care providers well versed in the care and needs of underserved pediatric populations with higher exposure to adverse social determinants of health.
- Participate in public health justice work in their communities through research, advocacy and/or practice.
Intro to health equity, health justice, social determinants of health (SDOH) and maternal child health (MCH). This will be given in a series of 3 lectures delivered by Drs. Delair, Stoolman, and Abresch:
- Social Determinants of Health: History of Healthcare Access and Delivery in Omaha for Marginalized Populations (Stoolman)
- Social Determinants of Health: Applications of Health Justice in Clinical and Research Activities (Delair)
- Health Equity/Justice and MCH Frameworks (Abresch)
- Completion of 1 month of outpatient pediatrics in the division of general pediatrics
- Skill: primary care for the urban medically complex child and/or underserved child at an urban serving medical center
- Completion of 1-month elective Public Health rotation with Child Health Policy
- Individualized instruction designed to assist the resident in identifying a focus area (i.e., population focus or health issue focus) for future health justice research and advocacy. Once a focus area is established, the resident will progress to learn basic epidemiological principals to monitor health inequities and will apply these skills to develop advocacy materials (e.g., a policy testimony statement, a grand-rounds styled presentation for delivery with colleagues and the community, a research project, etc.).
- During the month include some time to work with Liz Lyons on advocacy
- Lead Health Justice Journal Club (open to all residents and medical students and led by track participants). Occurs every four months (three sessions per year SEPT, JAN, APRIL) and held at an off-campus site.
- Completion of 1 month of outpatient community pediatrics at practices that serve > 50% underserved children/adolescents
- Skill: primary care for the urban underserved child in metropolitan Omaha
- Sign up to complete the fall session of CPH 539 - Public Health Leadership and Advocacy (3 credit hours completed)
- Skill: Academic intro to Public Health Leadership and Advocacy
- Attend a CityMatCH event
- Residents will have the opportunity to attend a CityMatCH event, which could include: an in-person CityMatCH training with local health departments, the annual CityMatCH conference, or the annual weeklong training in MCH Epidemiology. (Note: residents will arrange their schedules to coordinate with their selected event, taking the elective Public Health rotation during the month of the event.)
- Lead Health Justice Journal Club (open to all residents and medical students and led by track participants): Occurs every four months (three sessions per year) and held at an off-campus site.
- Continue to develop and implement activities initiated in the Public Health elective (e.g., a policy testimony statement, a grand-rounds styled presentation for delivery with colleagues and the community, a research project, etc.). In this year, the resident should progress from learning and initial development to preliminary implementation of activities (i.e., becoming “active” in the community in their selected focus area).
- Participation in community support activities based on community offerings
- Participate in yearly Black Family Health fair
- Participate in yearly Binational Health fair
- Other advocacy/community engagement to be determined based on community needs (to be determined)