Connecting with the community: Perceptions of a community tour.

Autor:	Jones C; Department of Implementation Science, Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC, USA.; Northwest Area Health Education Center, Wake Forest University School of Medicine, Winston-Salem, NC, USA., Reilly K; Department of Implementation Science, Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC, USA., Peacock B; Department of Physician Assistant Studies, Wake Forest University School of Medicine, Winston-Salem, NC, USA., Denizard-Thompson N; Department of Internal Medicine, Wake Forest University School of Medicine, Winston-Salem, NC, USA., Walters-Stewart A; Department of Family Medicine, Wake Forest University School of Medicine, Winston-Salem, NC, USA., McDowell LD; Northwest Area Health Education Center, Wake Forest University School of Medicine, Winston-Salem, NC, USA., Valente J; Department of Internal Medicine, Wake Forest University School of Medicine, Winston-Salem, NC, USA., Aguilar AA; Department of Implementation Science, Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC, USA., Lischke M; Northwest Area Health Education Center, Wake Forest University School of Medicine, Winston-Salem, NC, USA.; Department of Family Medicine, Wake Forest University School of Medicine, Winston-Salem, NC, USA., Montez K; Department of Pediatrics, Wake Forest University School of Medicine, Winston-Salem, NC, USA.; Department of Social Sciences and Health Policy, Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Jazyk:	angličtina
Zdroj:	Journal of clinical and translational science [J Clin Transl Sci] 2024 Sep 06; Vol. 8 (1), pp. e113. Date of Electronic Publication: 2024 Sep 06 (Print Publication: 2024).
DOI:	10.1017/cts.2024.588
Abstrakt:	Introduction: This study explores the transformative effects of the Community Plunge, an educational program at the Wake Forest University School of Medicine (WFUSOM), on healthcare delivery, community engagement, and trainee perspectives. It addresses the broader context of health outcomes, where clinical care only accounts for 20%, emphasizing the critical role of social determinants of health (SDOH) and individual behaviors in the remaining 80%. Methods: WFUSOM's Community Plunge, established in 2002, involves a guided tour of the community, discussions with residents, and debriefing sessions. Qualitative interviews with 20 clinicians were conducted to extract key themes and insights. Results: The study identified several key outcomes. First, participants gained crucial insights into the community's history, structural challenges, and prevalent SDOH, enhancing their understanding of the diverse patient populations they serve. Second, the program positively influenced clinician attitudes, fostering empathy, reducing paternalism, and promoting holistic patient care. Third, participants expressed a desire for increased community involvement and reported career trajectory changes toward advocacy and volunteerism. However, challenges such as time constraints were acknowledged. Conclusions: The study advocates for collaborative efforts to enhance the program's impact, including proactive measures to ensure respectful engagement during community tours. It positions the Community Plunge as an innovative, scalable, and transformative strategy for experiential SDOH exposure, crucial for the evolving social consciousness of healthcare learners. Competing Interests: None. (© The Author(s) 2024.)
Databáze:	MEDLINE
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