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 social context in which medical care is delivered and health/illness is determined.
The month also provides a timely opportunity for residents ending their intern year 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 may also take time during this month to identify a project in an area of interest that they wish to pursue longitudinally during their second and third years of residency.
Previous projects have included:
- 2020: Narcan Training
- 2019: Highland Family Medicine Community Garden
- 2018: Rochester City School #12 Community Garden
- 2017: Teen Health and Success Partnership
- 2016: Hoop Hoop Community Garden
- 2015: Clean Up Project in the South Wedge
- 2014: Rochester Roots Group Project
- 2013: Coat Drive to Benefit Bethany House
Community Medicine Testimonial
Written By: Dominick DeFelice, PGY-2
We have all seen the statistics; the United States is becoming more and more obese and unhealthy. The major contributor to this trend is our diet. Portion sizes are increasing but, perhaps more to blame, we have seen a shift in the types of food we eat. Processed food, pre-packaged food, fast food, and restaurant food, pretty much none of it healthy. As twelve primary care physicians located here in Rochester, we sought to understand and combat this complex problem on a local level.
Partnering with Foodlink, a Rochester-based branch of Feeding America, that works to collect and redistribute rood to those who are food insecure in the surrounding10 county area, we took a three-pronged approach to the problem. First, we did some research, learning that parts of Rochester suffer some of the highest rates of obseity, diabetes, and hypertension in the state of New York. Second, we volunteered on one of the commerical Foodlink farms, spending 120 collective hours over one month, helping plant and harvest crops that will be sold at their curbside markets. Third, we retooled ourselves with resources to help our patients fight the problem. We collaborated with a licensed dietician and created evidence-based documents that we can discuss iwth and give to our patients at Highland Family Medicine and Brown Square Health Center. Our hope is that we will:
- Help people understand the critical importance of portion control and healthy food choices in their overall health
- Give people we meet the information and resources they need to be healthier and live longer.
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.