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Rotation in Community Medicine
In the final block of the PGY-1 year, residents participate in a month-long curriculum based at Highland Family Medicine (HFM) and in the community. Designed to explore social and economic determinants of health and medical care as well as to develop skills for community-level interventions, the month provides seminar discussions and group and individual project development. Areas covered in seminars include public health, social epidemiology, culture and health, medical economics/politics, and occupational health. Also, field trips to local industrial sites provide firsthand experience in occupational health issues. This block provides an important time to look at the larger system, that is, the social context in which medical care is delivered and health/illness is determined.
The month also provides a timely opportunity for residents to meet together as a group to reaffirm their commitment to Family Medicine after the varied demands of the first year. The group-generated project is achieved within the month.
Residents also take time during this month to identify their areas of interest and begin to plan for their longitudinal community medicine project that they will complete during their second and third years of residency. Previous projects have included:
- Partnering with a temporary residence for homeless women and children
- Street Cleanup on South Avenue
- Longitudinal Care at Isaiah House, a local urban hospice
- Health Care Advocacy in Residency Education
- Working with the Healthy Living Program at the Center for Community Health
- Global Health: Connecting Communities in Rochester and Honduras
- Diabetic Racial Disparity
Family Medicine Links to the Community
This special 2-week rotation in coordination with the Pediatrics Department occurs during intern year. Residents work with medical and non-medical providers from a variety of community sites to provide health care and education for underserved families. The FMLC rotation enhances residents’ knowledge of community-based organizations that provide not only health care, but also advocacy, legal assistance, shelter, education, counseling, protection, food and clothing to their underserved patient population. It is an ideal hands-on mini-course in community resources for the health care provider.
Our global health track provides a rich educational experience that exposes residents to community medicine in a developing country. Please refer to the global health section of this site for additional information.