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A Framework for Resident Participation in Population Health

Jiménez, Jonathan, MD, MPH; Andolsek, Kathryn M., MD, MPH; Martinez-Bianchi, Viviana, MD; Michener, J. Lloyd, MD

doi: 10.1097/ACM.0000000000002471
Perspectives
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Population health experiences have become more common in medical education. Yet, most resident population health experiences are in patient panel management and fail to connect with the rapidly growing movement of cross-sector, data-driven, and community-led initiatives dedicated to improving the health of populations defined by geography rather than insurer or employer. In this Perspective, the authors present a five-stage framework for residents’ participation in the work of these initiatives. The five stages of this framework are (1) organize and prepare, (2) plan and prioritize, (3) implement, (4) monitor and evaluate, and (5) sustain. In applying this approach, residents stand to acquire new population health skills and augment the value and meaning of their work, while institutions stand to improve the health of the communities they serve, including the health of their own employees. However, a paucity of experienced role models and demanding residency schedules present significant challenges to residents effectively partnering with the community. Residencies and institutions will have to be flexible and committed to being a part of these cross-sector, data-driven, and community-led partnerships over the long term.

J. Jiménez is consulting medical instructor, Duke Family Medicine Residency, Duke University Hospital, Durham, North Carolina; ORCID: https://orcid.org/0000-0002-1452-5911.

K.M. Andolsek is professor and assistant dean for premedical education, Duke University School of Medicine, Durham, North Carolina; ORCID: https://orcid.org/0000-0001-7994-3869.

V. Martinez-Bianchi is assistant professor, Department of Community and Family Medicine, Duke University School of Medicine, and family medicine residency program director, Duke University Hospital, Durham, North Carolina; ORCID: https://orcid.org/0000-0003-4614-7916.

J.L. Michener is professor, Department of Community and Family Medicine, Duke University School of Medicine, Durham, North Carolina; ORCID: https://orcid.org/0000-0001-9002-2681.

Funding/Support: None reported.

Other disclosures: J. Lloyd Michener is a contributor and coauthor of The Practical Playbook: Public Health and Primary Care Together.

Ethical approval: Reported as not applicable.

Correspondence should be addressed to Jonathan Jiménez, Duke Family Medicine Residency, Duke University Hospital, 2100 Erwin Rd., Durham, NC 27705; telephone: (919) 684-9721; e-mail: jonathan.jimenez@duke.edu; Twitter: @jonjimper.

© 2019 by the Association of American Medical Colleges