title: Community partnered projects: residents engaging with community health centers to improve care.
abstract: BACKGROUND
  Important residency curricular elements, including scholarship, quality improvement (QI), and community health, often exist as independent components. We developed a curriculum to train residents to become community-responsive physicians that included longitudinal care at a community health center (CHC) with a unique community-partnered project (CPP). We evaluated outcomes of one CPP and delineated challenges in implementing the curriculum.
  
  
  METHODS
  After performing a needs assessment, the resident-CHC team designed a QI intervention to improve documentation of smoking status and cessation counseling. A chart review of 100 random patients assessed pre- and post-intervention documentation. Patient focus groups were held to guide the development of the final intervention, which included medical assistant (MA) education, appropriate patient education materials, and a visual communication system for MAs and providers. Curriculum evaluation via interviews with residency and community partners was done periodically throughout the 2-year process.
  
  
  RESULTS
  Focus group participants saw clinicians as a resource for quitting but did not want to talk about quitting at every visit. We reviewed 317 patient visits pre-QI intervention and 191 post-QI intervention. There were no significant changes in the percent of visits where smoking status was documented (82% versus 79%); however, smoking cessation counseling during office visits increased significantly (19% to 54%). Key challenges included academic-community communication and resident scheduling and availability.
  
  
  CONCLUSIONS
  In this CPP curriculum, residents made a difference in practice outcomes, and ongoing attention to challenges assisted with the project's success, possibly enhancing residents' likelihood of incorporating QI and principles of community health into their future careers.
authors.affiliation: Department of Family and Community Medicine, University of Cincinnati and The Christ Hospital/University of Cincinnati Family Medicine Residency.
authors.forename: Erin
authors.initials: E
authors.lastname: Moushey
authors.forename: Anisa
authors.initials: A
authors.lastname: Shomo
authors.forename: Nancy
authors.initials: N
authors.lastname: Elder
authors.forename: Christy
authors.initials: C
authors.lastname: O'Dea
authors.forename: David
authors.initials: D
authors.lastname: Rahner
mesh_terms: D000328:Adult; D003151:Community Health Centers / Q000592:standards*; D003479:Curriculum; D037001:Directive Counseling; D005194:Family Practice / Q000193:education*; D005260:Female; D017144:Focus Groups; D006801:Humans; D007396:Internship and Residency / Q000379:methods / Q000458:organization & administration*; D008297:Male; D008485:Medical Audit; D008499:Medical Records / Q000592:standards*; D008875:Middle Aged; D020380:Needs Assessment; D010353:Patient Education as Topic; D016730:Program Development; D015397:Program Evaluation; D058996:Quality Improvement / Q000458:organization & administration*; D012907:Smoking; D016540:Smoking Cessation