The goal of the first year of training is to become familiar with the local community and the concepts of Community-Oriented Primary Care (COPC). By the end of the first year, residents are expected to use the COPC model to identify a health need in the community that will be the basis of a longitudinal project.
- Outpatient Acute Care (OAC): Residents spend one full block at their community-based continuity site, allowing them the opportunity to learn about the community in which they practice, as well as how a community clinic functions.
- Community Building Blocks: During this four-week rotation, residents are expected to learn skills and techniques that will help them improve the healthcare of children in the community, using a curriculum that highlights seven areas of community pediatrics. Some sample activities include completing a community asset map, taking local transportation from your clinic to the main hospital to understand how long it may take for one of your patients to do so, or visiting the local pharmacy to appreciate prices of commonly recommended products. In addition, residents will receive didactic sessions on the basic concepts of Community-Oriented Primary Care and begin to do a community needs assessment.
During their second year, residents will have a half-day a week to work on their longitudinal projects. They will spend the majority of this time cultivating a relationship with a community-based organization that works on their identified health area of concentration and will work with them to derive a plan for a healthcare intervention to address this need. Residents spend their outpatient block rotations learning the basics of advocacy and health policy.
- Child and Adolescent Protection Center: Residents will spend two weeks working at the Freddie Mac Child and Adolescent Protection Center at Children’s National. During this time, residents will have the opportunity to participate in the evaluation of various forms of child maltreatment for both inpatients and outpatients, and to learn what a child and family may experience when a report of abuse is made and how a multidisciplinary team works together to meet the needs of vulnerable children. By the end of the rotation, residents are expected to understand what history and physical exam findings are important to elicit, identify and document in cases of abused children and how the local legal system works in relation to abuse cases.
- Health Policy Fellowship (George Washington University School of Public Health): This three-week rotation held in conjunction with the GWU School of Public Health gives residents a broad overview of the background and context of health policy in the United States. Residents will be introduced to key issues in health policy and to a sampling of key individuals and organizations in the field. The rotation culminates in a health policy analysis exercise where participants perform their own policy analysis and create recommendations related to a current issue being debated by Congress.
- Global Health Elective: During this one-week rotation, residents will be exposed to global health issues such as the diagnosis and management of common illnesses and tropical diseases affecting children in developing countries, child and newborn survival in developing countries, and allocation of limited resources. Additionally, residents will meet local healthcare professionals working in the fields of global health research, policy, and clinical care. This rotation also will provide residents an opportunity to prepare for international elective experiences or future work in a developing country.
- The Child Health Advocacy Institute/Advocacy Selective: During this four-week block, residents will be introduced to basic advocacy tools such as meetings with government officials, using the media, and grassroots campaigns. Residents will choose one issue important to pediatric health, research that issue, and use newly learned advocacy skills to advance that issue. Residents also will partner with a local community-based advocacy agency and learn how it works to improve children’s health. At the end of the rotation, residents will be expected to deliver a noon conference on their chosen issue highlighting how advocacy techniques were applied.
The main goals of this year are completion of the longitudinal project and continued development of community pediatrics knowledge.
- Outpatient Acute Care (OAC): Residents will again spend a full block at their continuity site, not only seeing their own panel of continuity patients, but serving as a teacher and mentor to more junior residents and medical students rotating through that clinical setting.
- Research Completion: In addition to the continued protected half-day a week to work on their longitudinal project, residents will have additional time dedicated to finalize project work and put together a proposal for presentation at a regional or national meeting. Residents also will complete a Quality Improvement Project during this time.
- THEARC / Mobile Van: The Town Hall Education, Arts and Recreation Campus (THEARC) is a unique facility that serves as a community center for one of the most underserved areas of Washington, DC. The facility serves as the fixed clinic site for a Children’s Health Center and it is the base for the Children’s Health Project of DC Mobile Health Program which consists of medical and dental mobile units. Community partners within THEARC include the Boys and Girls Club, a middle school for girls, a ballet school, a music school, and an art school. During this rotation, third year residents have the opportunity to experience and witness the advanced medical home model. The rotation and its activities focus on vulnerable populations (i.e. the uninsured and children in foster care), oral health, mental health, community partnerships, and the medical home concept. Resident experience how the staff interacts in a medical home with oral health providers, mental health professionals, local schools and various community organizations to improve the health of children in the District of Columbia and nationally.
Children's National Community Health Track residents attend continuity clinics in the community at sites affiliated with the Children's Goldberg Center for Community Pediatric Health in both Northwest and Southeast DC as well as several Federally Qualified Community Health Centers in Northwest DC. Education in continuity clinic sessions is focused on a blend of primary care and community pediatrics. The staff members are very familiar and active within the community they serve. Each site typically has one resident from each year of the community track, so residents have the opportunity to interact with peers in the Track as well as their community preceptors.
At the beginning of their first year, each CHT resident is assigned a portfolio advisor who is committed to community pediatrics. As topics for longitudinal projects are identified, additional mentors will be assigned to each resident. Additionally, all of the faculty members of the Goldberg Center for Community Pediatric Health are available to offer career advice for our residents.
CHT Symposia / Journal Club
Semiannually, the director of the Track hosts a journal club or symposia at her home related to a resident chosen community health topic. These evening symposia afford residents and faculty the opportunity to engage in educational discussions on a wide variety of current issues in community health as well as a chance to for residents in the track to catch up with each other.
Foggy Bottom Didactics
During certain outpatient rotations, CHT residents have the opportunity to join colleagues in the Primary Care Track for a once-weekly morning of didactic sessions focused on general primary care pediatrics topics.