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Community Engagement through Contact Tracing Training 通过接触者追踪培训进行社区参与
Pub Date : 2022-06-11 DOI: 10.18060/25661
David A Line, Pamela S Kohlmeier, Sarah Mount
The COVID-19 pandemic has brought many physical, mental, and economic challenges and has provided an opportunity for academia to participate in community engagement to help support public health. Through a partnership between a university and a local health district, a contact tracing training program was developed and implemented in the late spring of 2020. That training program increased the health district’s capacity to respond to the pandemic and provided an experiential learning experience for public health students. Through this community engagement endeavor, university faculty and students helped support a local health district’s COVID-19 response efforts and, in so doing, also helped to support public health in the early stages of a global health crisis. The products of this endeavor, including contract tracers, case investigation, and trained instructors, continue to support public health contact tracing efforts in the community.
2019冠状病毒病大流行带来了许多身体、精神和经济挑战,并为学术界提供了参与社区参与以帮助支持公共卫生的机会。通过一所大学和当地卫生区之间的合作,于2020年春末制定并实施了一项接触者追踪培训计划。该培训计划提高了卫生区应对大流行的能力,并为公共卫生专业的学生提供了体验式学习机会。通过这一社区参与努力,大学教职员工和学生帮助支持当地卫生区应对COVID-19的工作,并在全球卫生危机的早期阶段帮助支持公共卫生。这一努力的成果,包括合同追踪者、病例调查和训练有素的指导员,继续支持社区的公共卫生接触者追踪工作。
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引用次数: 1
Establishing Principles for Community-Based Research 建立基于社区的研究原则
Pub Date : 2022-06-11 DOI: 10.18060/25819
Ana Antunes, Adrienne Cachelin, Laneta Fitisemanu, Melsihna Folau, Sara Hart, Paul J. Kuttner, A. Salcedo
Academic health centers and their universities are increasingly encouraged to engage in more community-based and participatory approaches to research. Yet, traditional ethics guidelines and regulations are inadequate for addressing the dynamics of community-campus research partnerships. In this article, the authors share stories from the Community Research Collaborative (CRC), a collective of community leaders and faculty that published guidelines for community-based research (CBR). The CRC offers a case study in how a collaborative process of developing CBR guidelines can create space for partners to wrestle with the historical and present-day harms carried out in indigenous and minoritized communities in the name of science and to imagine alternative ways of working together collectively. This case study highlights the complex power dynamics inherent in community-campus partnerships and how storytelling can play a role in unearthing and addressing them. It positions the work of the CRC as incomplete and evolving while offering a foundation on which other institutions could carry out similar processes in their localities.
越来越多地鼓励学术保健中心及其大学采用更多以社区为基础的参与性研究方法。然而,传统的伦理准则和法规不足以解决社区-校园研究伙伴关系的动态问题。在本文中,作者分享了社区研究合作组织(CRC)的故事,该组织由社区领导人和教师组成,发布了社区研究(CBR)的指导方针。CRC提供了一个案例研究,说明制定CBR准则的协作过程如何为合作伙伴创造空间,使他们能够以科学的名义与土著和少数群体社区遭受的历史和当今的危害作斗争,并设想集体合作的其他方式。本案例研究强调了社区-校园伙伴关系中固有的复杂权力动态,以及讲故事如何在发掘和解决这些问题方面发挥作用。它认为儿童权利委员会的工作是不完整和不断发展的,同时为其他机构在其所在地开展类似进程提供了一个基础。
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引用次数: 0
Community Engagement at Academic Health Centers 学术健康中心的社区参与
Pub Date : 2022-06-11 DOI: 10.18060/26312
Joseph Allen, Melissa Yack, Sara Hart
Academic health centers are essential in many communities, providing health professions education and patient-focused services. These institutions often serve as anchor institutions for community-engaged efforts to serve underserved populations. During the COVID-19 pandemic, the central nature of academic health centers, and the well-being of communities, were on full display. This special issue aims to contribute to and expand our understanding and inform empirically the evidence-based programming, interventions, and policies that strengthen community engagement at academic health centers.  
学术健康中心在许多社区是必不可少的,提供健康专业教育和以患者为中心的服务。这些机构往往是社区参与努力为服务不足人口服务的支柱机构。在新冠肺炎大流行期间,学术卫生中心的中心性质和社区的福祉得到了充分展示。本特刊旨在促进和扩大我们对循证计划、干预措施和政策的理解,并从经验上为加强学术健康中心的社区参与提供信息。
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引用次数: 0
Selecting and Implementing a Telementoring Program: Case Studies of Project ECHO 远程教育项目的选择与实施——以ECHO项目为例
Pub Date : 2022-06-11 DOI: 10.18060/25689
Rebecca Sam Larson, Caryn Medved
Extension for Community Healthcare Outcomes (Project ECHO) is a telementoring program for health professionals that uses adult learning techniques and interactive video technology to connect distal community providers with specialist and multidisciplinary teams in real-time collaborative sessions. We examine the adoption, implementation, and sustainability of ECHO programs at four academic medical centers through case studies based on structured interviews. The study and its analysis are informed by the Diffusion of Innovation theory and the Exploration, Preparation, Implementation, Sustainment (EPIS) framework. We found that early adopters became aware of ECHO by chance and were persuaded through observations to adopt ECHO. Finding a home for ECHO was an important initial adoption decision. Five context factors influence the implementation of ECHO: Funding, networks, staffing processes, leadership, and individual characteristics of staff. Sustainability requires ongoing funding, which itself may rely on evidence of outcomes. Findings from this study can inform the implementation of Project ECHO at other academic medical centers and extend to decisions to adopt, implement, and sustain similar telementoring programs designed to close the research-practice care gap between communities and academic medical centers.
社区医疗保健成果扩展(ECHO项目)是一项面向卫生专业人员的远程监控计划,该计划使用成人学习技术和交互式视频技术,在实时协作会议中将远端社区提供者与专家和多学科团队联系起来。我们通过基于结构化访谈的案例研究,检查了四个学术医疗中心ECHO项目的采用、实施和可持续性。本文的研究和分析以创新扩散理论和探索、准备、实施、维持(EPIS)框架为指导。我们发现早期采用者偶然意识到ECHO,并通过观察被说服采用ECHO。为ECHO找到一个家是一项重要的最初收养决定。五个环境因素影响ECHO的实施:资金、网络、人员配备流程、领导和工作人员的个人特征。可持续性需要持续的资金,而资金本身可能依赖于成果的证据。本研究的发现可以为其他学术医疗中心实施ECHO项目提供参考,并扩展到采用、实施和维持类似的远程监控项目的决策,旨在缩小社区和学术医疗中心之间的研究实践护理差距。
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引用次数: 0
How Dynamic Academic Medical Centers Improve Communities: The Case of the Rocky Mountain Center for Occupational and Environmental Health 充满活力的学术医疗中心如何改善社区:以落基山职业与环境健康中心为例
Pub Date : 2022-06-11 DOI: 10.18060/25798
Katherine C. Castro, Travis Jacobs, Emilee Eden, Matthew S. Thiese, Kurt T. Hegmann, Joseph A. Allen
Academic Medical Centers (AMC) are unique healthcare resources that offer services to their local communities. As societal priorities shift, AMCs are identifying approaches to practice community engagement. Although many examples of AMCs exist in the literature, few have targeted resources for specific health topics like occupational health. This case study identifies examples of community engagement from AMCs around the U.S. It also offers a unique perspective of community engagement from the Rocky Mountain Center for Occupational and Environmental Health (RMCOEH), housed within the Department of Family and Preventative Medicine at the University of Utah. This center is one of eighteen National Institutes for Occupational Safety and Health (NIOSH) Education and Research Centers (ERC). We use the Community Engagement Continuum to consider community engagement across various degrees of relationship between the public and AMCs, including outreach, consulting, involvement, collaboration, and shared leadership. Continuing education, course work connecting students with the community, and multiorganization research projects are approaches RMCOEH uses to engage with communities. Although there are many ways for AMCs like RMCOEH to serve the community, there are opportunities for AMCs to improve community engagement efforts through cultural shifts and community participation in projects. We explore such opportunities specifically for RMCOEH.
学术医疗中心(AMC)是为当地社区提供服务的独特医疗资源。随着社会优先事项的转变,资产管理公司正在寻找实践社区参与的方法。虽然文献中存在许多amc的例子,但很少有针对职业健康等特定健康主题的资源。本案例研究确定了美国各地amc社区参与的例子。它还提供了犹他大学家庭和预防医学系落基山职业和环境健康中心(RMCOEH)社区参与的独特视角。该中心是美国十八个国家职业安全与健康研究所(NIOSH)教育与研究中心(ERC)之一。我们使用社区参与连续体来考虑公众与资产管理公司之间不同程度关系的社区参与,包括外展、咨询、参与、合作和共同领导。继续教育、将学生与社区联系起来的课程以及多组织研究项目是RMCOEH与社区接触的方法。尽管像RMCOEH这样的社区管理机构有很多方式为社区服务,但社区管理机构仍有机会通过文化转变和社区参与项目来改善社区参与工作。我们专门为RMCOEH探索这样的机会。
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引用次数: 0
Reckoning with Our Racist Past: An Academic Health Center’s Engagement with History and Health 清算我们的种族主义过去:一个学术健康中心与历史和健康的接触
Pub Date : 2022-06-11 DOI: 10.18060/25731
Logan Vetrovec, A. Massey, Sally A. Santen, Cherie Edwards, Kathy Kreutzer, Kevin A. Harris
Academic health centers (AHC) both contribute to and are influenced by the communities they serve. As part of a central commitment to improving human health, there is a need for AHCs to acknowledge their history related to race and racism, the resulting impact on current health disparities, and the disparate treatment of racial and minoritized communities. As AHC’s care for Black and Brown communities, they have a unique responsibility to redress their respective legacies of bias, discriminatory practices, and experimentation without consent. One way to achieve this is to provide learning opportunities for in-depth engagement with students, faculty, staff, health care providers, and community members in conversations regarding racial equity, which are essential to shaping and impacting change at an individual and institutional level. Virginia Commonwealth University in Richmond, Virginia, launched a new initiative, History, and Health; Racial Equity, designed to (a) increase awareness of our institution’s history, impact, identity, and culture, and (b) support meaningful conversations around history, health equity, structural racism, and health sciences education. Urban and metropolitan universities may learn from and replicate this program and encourage such conversations in their communities.
学术健康中心(AHC)既为其服务的社区做出贡献,也受到社区的影响。作为改善人类健康的核心承诺的一部分,卫生保健中心有必要承认其与种族和种族主义有关的历史,对当前健康差距的影响,以及对种族和少数群体社区的差别待遇。作为AHC对黑人和棕色社区的关怀,他们有独特的责任来纠正各自遗留下来的偏见、歧视性做法和未经同意的实验。实现这一目标的一种方法是提供学习机会,让学生、教师、员工、医疗保健提供者和社区成员深入参与有关种族平等的对话,这对于在个人和机构层面塑造和影响变革至关重要。弗吉尼亚州里士满的弗吉尼亚联邦大学发起了一项新的倡议——历史与健康;种族平等,旨在(a)提高对我们机构历史、影响、身份和文化的认识,(b)支持围绕历史、健康平等、结构性种族主义和健康科学教育进行有意义的对话。城市和城市大学可以学习和复制这个项目,并在他们的社区鼓励这样的对话。
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引用次数: 1
Community Engagement and Learning at an Academic Medical Center 学术医疗中心的社区参与和学习
Pub Date : 2022-06-11 DOI: 10.18060/25696
Meghan K. Chin, J. DiBello, Sam Indresano, Rajay Dockery, Henrike Schmalfuss, Amanda Gao, Margaret Eshleman, Nesreen Shahrour
In light of the ongoing COVID-19 pandemic, the health disparities plaguing our communities are highlighted more than ever. Community-based learning (CBL) and community-based participatory research (CBPR) provide a highly relevant framework in addressing health problems, especially those related to the Social Determinants of Health (AHRQ, 2020). Throughout the COVID-19 pandemic, the team at the Community Health Division (CHD) within the Family Medicine Department of Georgetown University School of Medicine (GUSOM) maintained and deepened relationships with community partners through engagement activities, which not only actively addressed community needs but also acted as an educational tool for a growing number of interdisciplinary students. This paper explores the effectiveness of CBL and CBPR as a framework, even when presented with challenges of the COVID-19 pandemic. It further underscores how students at Georgetown University have become more intimately involved in community health engagement during the pandemic. This serves as an encouraging model for establishing a student-based research learning community.
鉴于COVID-19大流行正在持续,困扰我们社区的健康差距比以往任何时候都更加突出。基于社区的学习(CBL)和基于社区的参与性研究(CBPR)为解决健康问题,特别是与健康的社会决定因素有关的问题提供了高度相关的框架(AHRQ, 2020年)。在2019冠状病毒病大流行期间,乔治城大学医学院(GUSOM)家庭医学系社区卫生司(CHD)的团队通过参与活动与社区合作伙伴保持并深化了关系,这些活动不仅积极解决了社区需求,而且还成为越来越多跨学科学生的教育工具。本文探讨了CBL和CBPR作为一个框架的有效性,即使面临COVID-19大流行的挑战。它进一步强调了乔治城大学的学生如何在大流行期间更密切地参与社区卫生活动。这为建立一个以学生为本的研究性学习社区提供了一个鼓舞人心的模式。
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引用次数: 0
Social-Cultural Quantum Optics at a Predominantly White University: Refusing, Rebuffing and Undoing Racism through Collective Experiential Observation 以白人为主的大学的社会文化量子光学:通过集体经验观察拒绝、拒绝和消除种族主义
Pub Date : 2022-05-19 DOI: 10.18060/25286
Elizabeth L. Sweet, Kimmika Williams-Witherspoon, K. Turner, Elizabeth Fornaro
Racism is commonly defined as prejudice plus power, but in some contexts it can be practiced as a lack of diversity, equity and inclusion. These issues have been at the forefront of popular culture and academic research for some time now, but one could argue, interest has exploded in the U.S. consciousness since May of 2020 and the video recording of the extra-judicial killing of George Floyd in Minneapolis, mirroring that of Philando Castile four years earlier in the same city. In this paper we document the ways diversity, equity and inclusion are perceived, and how those perceptions render racism (un)visible. Within this context, we introduce a framework we are calling social-cultural quantum optics (SQO). With data from two large diversity symposia at a university on the east coast that is more diverse than many coupled with our experiences at three art exhibits, we begin to construct a path unlocking small scale, quantum, determinants of racism. We argue that understanding SQO can undo its links to racism on everyday life in cities and communities where universities are located, while at the same time urging the use collective experiential observation of artistic expression to aid in data analysis.
种族主义通常被定义为偏见加权力,但在某些情况下,它可以表现为缺乏多样性、公平和包容性。一段时间以来,这些问题一直是流行文化和学术研究的前沿,但有人可能会说,自2020年5月,乔治·弗洛伊德(George Floyd)在明尼阿波利斯(Minneapolis)被法外处决的视频记录,反映了四年前在同一城市发生的菲兰多·卡斯蒂尔(Philando Castile)的事件以来,美国意识中的兴趣已经爆发。在本文中,我们记录了多样性、公平和包容的感知方式,以及这些感知如何使种族主义(不)可见。在这种背景下,我们引入了一个框架,我们称之为社会文化量子光学(SQO)。根据东海岸一所大学的两场大型多样性研讨会的数据,再加上我们在三场艺术展览上的经历,我们开始构建一条解开种族主义的小规模、量子决定因素的道路。我们认为,理解SQO可以消除其与大学所在城市和社区日常生活中的种族主义的联系,同时敦促使用对艺术表达的集体经验观察来帮助数据分析。
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引用次数: 0
Embedded Inclusive Excellence at a Southern Metropolitan Public University 南方都市公立大学的嵌入式包容性卓越
Pub Date : 2022-05-07 DOI: 10.18060/25530
Franklin D. Gilliam, Jr., Andrea Hunter, Julia Mendez Smith, Tanya M. Coakley, Steve Haines
UNC Greensboro’s vision is to be a national model for how a public research university can achieve access and excellence to transform students, the institution, and the community. With origins as the segregated Woman’s College (WC), our evolution as a southern metropolitan public university reflects race, place, and their intertwined historical legacies. Embedded inclusive excellence, as a heuristic, frames the intentional, synergistic, and organic processes we engage to advance faculty diversity, and a more inclusive learning environment. Specifically, borrowing a central concept from economics, we illustrate cultural, structural/institutional, and social “embeddedness” that has supported significant and positive changes at our university.
北卡罗来纳大学格林斯伯勒分校的愿景是成为一所公立研究型大学如何实现入学机会和卓越性的全国典范,以改变学生、机构和社区。起源于种族隔离的女子学院(WC),我们作为南部大都市公立大学的演变反映了种族、地点及其相互交织的历史遗产。嵌入式包容性卓越,作为一种启发式,构建了我们参与的有意的、协同的和有机的过程,以促进教师的多样性和更具包容性的学习环境。具体来说,借用经济学的一个核心概念,我们展示了文化、结构/制度和社会的“嵌入性”,这些“嵌入性“支持了我们大学的重大和积极变化。
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引用次数: 1
Understanding Campus Space and Whiteness as Ontological Expansiveness 理解校园空间与白人的本体论扩张性
Pub Date : 2022-03-30 DOI: 10.18060/25332
Joseph Ratcliff
This paper discusses findings of a quantitative, causal-comparative study that sought to determine if a statistically significant difference existed between a rural predominantly White institution and an urban minority serving institution in terms of their White American male students’ perceptions of Whiteness as ontological expansiveness. As the demographic makeup of the United States of America continues to become more diverse, so too are the colleges and universities that support students of all backgrounds. Given this shift, and understanding the need for social justice awareness, it is important to grasp how White students understand and take part in this shift. The study found low effect sizes and statistically significant differences between the two institutions as assessed by the study instrument, finding minority serving institution’s White American male students are slightly more accepting of their White racial identity and have a slightly higher affinity for social equality. Higher education institutions can utilize this data to assist in improving campus-based student activism as a rejection of the assumptions of Whiteness within the ivory tower. Thus, there is a pressing need for critical interrogations of Whiteness in higher education.
本文讨论了一项定量、因果比较研究的结果,该研究旨在确定在以白人为主的农村机构和城市少数族裔服务机构中,美国白人男学生对白人的本体论扩张性的看法是否存在统计学上的显著差异。随着美利坚合众国的人口构成继续变得更加多样化,支持各种背景学生的学院和大学也变得更加多样化。考虑到这种转变,以及理解社会正义意识的必要性,了解白人学生如何理解和参与这种转变是很重要的。研究发现,通过研究工具评估,两所院校之间的效应值较低,统计上存在显著差异,发现少数民族服务机构的美国白人男学生对白人种族身份的接受程度略高,对社会平等的亲和力略高。高等教育机构可以利用这些数据来帮助改善以校园为基础的学生行动主义,以拒绝象牙塔内的白人假设。因此,迫切需要对高等教育中的白人问题进行批判性的质疑。
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引用次数: 0
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Metropolitan Universities
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