1. CDC-AAMC-Duke Learning Collaborative on Population Health Tuesday, August 5, 2014 9:00-10:00 p.m.

2. AGENDA Milestones and population health, Kathryn Andolsek, 20 minutes ◦ Population health content across specialties ◦ Generic population health milestones “Pre-packaged” curricula, Mina Silberberg, Sarah Weaver, Gwen Murphy, and Morgan Passiment, 20 minutes Discussion of collaboration and dissemination methods going forward, Lloyd Michener, 15 minutes Next webinar. Lloyd, 5 minutes

3. MILESTONES AND POPULATION HEALTH

4. Population Health Milestones Across Specialties A review of milestones for 40 specialties/sub- specialties found population health content within the milestones of all 40. Some disciplines having milestones with population health content in more than a dozen sub-competencies.

5. Population Health Content in Milestones– Example from Family Medicine

6. Population Health Content in Milestones– Example from Plastic Surgery

7. Generic Milestones Generic milestones across the four population health competency domains Different specialties will aspire to different levels Process ◦ Begun at conference of Society of Teachers of Family Medicine ◦ Currently revising ◦ Review at I 3 Collaborative Face-to-Face meeting this fall ◦ Volunteers needed to review, provide feedback. Anybody interested? The I3 Population Health Collaborative is a learning collaborative of academic primary care programs in North Carolina, South Carolina and Virginia. Its mission is to create momentum for widespread ambulatory practice improvement

8. “Pre-packaged” Curricula The AAMC’s 6-Module Curriculum The Duke GME Population Health Innovation Modules Modified Duke Family Medicine Population Health Improvement Teamwork Curriculum Curricula based on identifying recommended materials to match generic milestones and primary care milestones(in process)

9. AAMC/Duke Learning Modules and Population Health Competencies Six modules including prep time and one-hour in- person sessions – based off of Duke PHIT curriculum

11. For more information: Morgan Passiment For more information: Morgan Passiment

12. GME Population Health Innovation Modules Two grants from the Duke GME Innovation Fund Goal is to cover all of the competencies in the Population Health Competency Map Developed in Qualtrics – allows for data collection Short—15-20 minutes Format ◦ Start with a situation—How would you engage community partners? ◦ A short lesson ◦ Revisiting the initial situation ◦ Take away Available at iCollaborative: https://www.mededportal.org/icollaborative

14. CULTURAL RESPONSIVENESS Warm-Up Imagine you are working in a pediatric practice. An immigrant couple brings in their 18 month-old daughter. You notice that the child is wearing the bracelet above. You are concerned that it may be a choking hazard for the little girl. Please write a brief paragraph explaining what you may say to, or ask, the parents about this issue.

15. Next Screen Here are two possible answers. Which one is more likely to be effective? Please explain your answer in a few sentences. Answer 1: ◦ I’m concerned that that bracelet might be a choking hazard. It could come loose as she chews on it and cause her to choke. You should remove it. She should not wear a bracelet or other jewelry until she is at least 3 years old. Answer 2: ◦ You: That’s a beautiful bracelet. Can you tell me more about it? Does it mean something special? ◦ Mother: It is an amulet to protect her from the evil eye. ◦ You: I understand. Does she ever play with it or chew on it? ◦ Mother: Sometimes. Not often. ◦ You: That’s good. I’m a little worried that, because she is so little, she might chew on the bracelet and that if it came loose she could choke. To keep her safe, could you check the bracelet every day to make sure the catch and charm are secure, and encourage her to keep it out of her mouth?

16. The exercise continues with a short reading about cultural responsiveness and two additional scenarios in which learners are asked to write culturally responsive solutions. The module concludes with a brief reading about the role of Motivational Interviewing in culturally responsive health care, and additional resources for the learner to explore.

17. Modified Duke Family Medicine PHIT Curriculum Presented previously. Attempts to combine didactic, reflective, and experiential learning. Has evolved over years. Will be available at iCollaborative: https://www.mededportal.org/icollaborative

20. MOVING FORWARD WITH DISSEMINATION AND SHARING

21. Next Steps Possible merger with Fullerton group Listserve Other approaches?

22. UPCOMING WEBINAR TOPICS? Next webinar scheduled for: September 9 th Tuesday 10am EST repeated September 16 th Tuesday 3pm EST