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Training in Urban Medicine and Public Health: TRIUMPH

Haq, Cynthia MD; Stearns, Marjorie MPH; Brill, John MD, MPH; Crouse, Byron MD; Foertsch, Julie PhD; Knox, Kjersti MD; Stearns, Jeffrey MD; Skochelak, Susan MD, MPH; Golden, Robert N. MD

Academic Medicine:
doi: 10.1097/ACM.0b013e3182811a75
Research Reports
AM Rounds Blog Post
Abstract

Purpose: The number of U.S. medical school graduates who choose to practice in health professional shortage areas (HPSAs) has not kept pace with the needs of society. The University of Wisconsin School of Medicine and Public Health has created a new program that prepares medical students to reduce health disparities for urban medically underserved populations in Milwaukee. The authors describe the Training in Urban Medicine and Public Health (TRIUMPH) program and provide early, short-term outcomes.

Method: TRIUMPH integrates urban clinical training, community and public health curricula, longitudinal community and public health projects, mentoring, and peer support for select third- and fourth-year medical students. The authors tracked and held focus groups with program participants to assess their knowledge, skills, satisfaction, confidence, and residency matches. The authors surveyed community partners to assess their satisfaction with students and the program.

Results: From 2009 to 2012, 53 students enrolled in the program, and 45 have conducted projects with community organizations. Participants increased their knowledge, skills, confidence, and commitment to work with urban medically underserved populations. Compared with local peers, TRIUMPH graduates were more likely to select primary care specialties and residency programs serving urban underserved populations. Community leaders have reported high levels of satisfaction and benefits; their interest in hosting students exceeds program capacity.

Conclusions: Early, short-term outcomes confirm that TRIUMPH is achieving its desired goals: attracting and preparing medical students to work with urban underserved communities. The program serves as a model to prepare physicians to meet the needs of urban HPSAs.

Author Information

Dr. Haq is professor of family medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.

Ms. Stearns is clinical assistant professor of family medicine and program consultant, University of Wisconsin School of Medicine and Public Health, Milwaukee, Wisconsin.

Dr. Brill is professor of family medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, and director of medical student education, Aurora Health Care, Milwaukee, Wisconsin.

Dr. Crouse is professor of family medicine and associate dean for rural and community health, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.

Dr. Foertsch is director of evaluation, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.

Dr. Knox is a family medicine resident, Aurora Health Care, Milwaukee, Wisconsin. When this article was written, she was a student in the Training in Urban Medicine and Public Health (TRIUMPH) program.

Dr. Stearns is professor of family medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin. When this article was written, he was associate dean, Milwaukee Academic Campus, Aurora Health Care, Milwaukee, Wisconsin.

Dr. Skochelak is vice president for medical education, American Medical Association, Chicago, Illinois. When the Training in Urban Medicine and Public Health (TRIUMPH) program was launched, she was senior associate dean for academic affairs, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.

Dr. Golden is dean, University of Wisconsin School of Medicine and Public Health, and vice chancellor for medical affairs, University of Wisconsin–Madison, Madison, Wisconsin.

Correspondence should be addressed to Dr. Haq, University of Wisconsin–Madison, School of Medicine and Public Health, 4260 HSLC, 750 Highland Ave., Madison, WI 53705; e-mail: clhaq@wisc.edu.

© 2013 by the Association of American Medical Colleges