In response to the demonstrated need to promote pediatrician involvement in addressing child health concerns within communities, the Dyson Foundation is making a major commitment to prepare the pediatric workforce of the future for community leadership roles. The Foundation is providing five-year grants to support curriculum revision in 10 schools of medicine. The Anne E. Dyson Community-Based Pediatric Training Initiative is based on a model of changing long-term physician practices through residency curriculum changes that both impart knowledge and philosophy and offer practical experiences. The Initiative’s emphasis on innovative residency training experiences provided in partnership with community-based organizations provides an important and unique opportunity to observe and document the short- and long-term effects of intervening in this regard during residency training.
The WCHPC is examining outcomes with respect to both the residency training program and individual residents.
At the level of the residency training program, the evaluation will:
- assess the impact of the foundation’s funding on the training activities
- track institutional systems issues and curriculum content over time; and,
- assess the level of institutional commitment, existence of a program champion, organizational capacity, the nature and extent of community relationships, and modifications to the program.
At the level of the individual, the evaluation will:
- collect baseline data and track changes over time assessing the impact of the program on trainees’ short-term attitudes and practices regarding community pediatrics;
- track residents’/graduates’ career paths and decisions about community-oriented practice, as well as their community-oriented activities and relationships; and,
- track changes in faculty attitudes and responsibilities with respect to research, patient care, community activities, and teaching.
The evaluation of the DI is designed to describe its impact in comparison to the potential changing/growing focus on community pediatrics in U.S. pediatric residency training programs. This requires collecting information that assesses concurrent related changes among non-Dyson funded residency programs and among their residents/graduate pediatricians. Two surveys of a national sample of pediatric residents (2001 and 2006), surveys of pediatric residency program directors (2002 and 2006), and one national survey of practicing pediatricians (2004) therefore, are being undertaken.
An advisory committee of experts in the fields of community pediatrics, program evaluation, and children’s health policy assists with the national evaluation. Committee members include Carol Bazell, MD, MPH; Marion Burton, MD; Carol Carraccio, MD; David Heppel, MD, MPH; Ken Roberts, MD; and Jeffrey Stoddard, MD. There also are rotating positions for Dyson Initiative principal investigators and participating residents.
Faculty taking the lead on this evaluation include Bernard Guyer, Holly Grason, Cynthia Minkovitz, and Barry Solomon. Project staff include Jennifer Mettrick, Cassandra Althauser, and Lauren Zerbe.
For more information on the evaluation, please refer to our:
Or contact Holly Grason at 410-502-5443.