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Problem:
In the South, many children living in poverty have limited access to health care. This is especially true for children with chronic respiratory conditions. A need exists for health care leaders who are culturally competent, understand systems of care, and will work to eliminate disparities/barriers.
Goals and Objectives:
Goal 1: To provide interdisciplinary leadership training of health professionals at the graduate and post graduate levels in a model center of excellence in training, research, and service.
Objective 1: To recruit/select trainees for the long-term traineeship in each of the core disciplines annually (1 from each discipline of nursing, nutrition, and respiratory care; 2 from the discipline of social work) and for the medical fellowship (2 per grant cycle) with 25% from under-represented groups.
Objective 2: To train 5 long-term graduate-level (master or doctoral level) trainees annually (1 from each discipline of nursing, nutrition, and respiratory care; 2 from the discipline of social work) and 2 pediatric pulmonary fellows per grant cycle in a center of excellence in training, service, and research.
Objective 3: To evaluate the interdisciplinary leadership training program through trainee and fellow evaluations, faculty evaluations, and long-term follow-up of former PPC trainees (ongoing).
Goal 2: To develop/execute a training curriculum that emphasizes an interdisciplinary approach to family-centered, culturally competent care for CYSHCN that strengthens community-based systems of care.
Objective 1: To provide a didactic curriculum in 2-3 semesters with available course credit for trainees and ACGM-required didactic classes for the fellows(annually).
Objective 2: To provide a leadership practicum that encompasses the domains of academics, clinical, public health/public policy, and advocacy in 2-3 semesters (annually).
Objective 3: To provide a clinical practicum that includes institutional experiences on an inpatient and outpatient basis and experiences in community-based, remote sites in 2-3 semesters (annually).
Goal 3: To provide regional continuing education (CE) to MCH health professionals and related providers based on identified needs
Objective 1: To provide 2 substantive PPC-sponsored regional continuing education events per grant cycle based on identified needs (grant years 2 and 4).
Objective 2: To provide a minimum of 100 international, national, regional, state, and local continuing education activities which are responsive to identified needs (annually).
Objective 3: To require a PPC trainee-planned continuing education conference for a community agency (annually).
Goal 4: To provide technical assistance(TA)/consultation and collaboration sessions geared to the needs of MCH health professionals, policy makers, and families.
Objective 1: To provide a minimum of 15 technical assistance/consultation/collaborative sessions for state MCH/CSHCN and other agencies (annually).
Objective 2: To provide a minimum of 45 technical assistance/consultation/collaborative sessions for Title V training and other MCHB projects in the region and nationally (annually).
Objective 3: To provide a minimum of 40 technical assistance/consultation/collaborative sessions for MCH related programs in both the public and private sectors (annually).
Goal 5: To develop/disseminate educational resources/references in response to new research findings/developments in MCH to public health training programs, professional associations, and pediatric programs
Objective 1: To develop and disseminate a minimum of 2 distance learning resources based on identified needs and new findings (grant years 1 and 3).
Objective 2: To produce a minimum of 12 publications (annually).
Objective 3: To require one trainee-planned poster presentation on health disparities during an interdisciplinary meeting (annually).
Methodology:
The UAB PPC builds on 25 years of experience in graduate/post-graduate interdisciplinary leadership training. Long-term trainees and fellows are recruited/selected based on their MCH leadership potential, with an emphasis on minority recruitment/retention. Training occurs in a model environment of research and scholarly activities. Clinical training takes place in a robust service environment that fosters interdisciplinary education and includes inpatient, outpatient, and community settings. The training curriculum is comprised of 3 main components: Didactic Classes, Leadership Practicum, and Clinical Practicum. Regional continuing education is provided based on a needs assessment of providers in our geographic area and 2 substantive PPC-sponsored continuing education events will be held based on identified need. The UAB PPC faculty continues their active involvement in international, national, state, and local continuing education offerings and provides technical assistance to a variety of agencies at these levels. Two distance learning resources will be developed, marketed, and disseminated. UAB PPC trainees plan, host, and evaluate a continuing education offering to a community agency staff and plan/present a poster on health disparities during an interdisciplinary meeting. The UAB PPC faculty continue to publish new findings related to MCH core values.
Coordination:
The UAB PPC interacts with regional State Title V/MCH agencies by providing CE, short-term training, and TA for professionals from these agencies. Parent Consultants and external Regional and State Advisory Committees with representation from State Title V/MCH agencies, other MCHB-funded projects and other stakeholders review the activities of the UAB PPC. Collaboration among the 4 MCHB-funded leadership training projects at UAB is formalized through the UAB MCH Collaborative Network.
Evaluation:
Evaluation methods and time-framed, measurable outcomes for each objective have been identified. PPC-specific core competencies have been established and must be met by all long-term trainees/medical fellows. Information on trainees, training sessions, and technical assistance sessions is collected, entered into the AUCD Database or kept locally, and analyzed. Former trainees are surveyed at 5-year intervals to assess field leadership. Parent Consultants evaluate the PPC on family participation.
Experience to Date:
In year 1 the UAB PPC recruited and trained 5 long term trainees, 1 Med/Peds fellow completed his 4th (final) training year, and 1 fellow completed her 2nd year of training. Of the 7 trainees/fellows, 43% were from underrepresented groups. There were 33 medium and 14 short term trainees. A total of 92 CE activities were provided. These included "Pediatric Sleep Disorders" held 5/06 in Memphis TN, "Home Care for Children with Complex Respiratory Needs" held 3/06 in Birmingham, AL, a trainee-led conference held 5/06 for the JCDH pediatric nurses, and participation in two state-wide conferences (Early Intervention and HP2010 for CYSHCN). A total of 110 TA sessions were held. These included serving on AL’s Title V Block Grant Needs Assessment Advisory Committees, leadership of the national PPC Steering and Database Committees, and participation in the ChILD (Children’s Interstitial Lung Disease) Consortium. Other TA recipients included the AAP, ADA, and Assoc. of SW Boards. A total of 33 publications were produced, including a review article in the NEJM on Cystic Fibrosis and an article in "Academic Medicine" on teaching transition for CYSHCN. The PPC trainees’ health-disparities poster, "The Health Insurance Disparity of Latino Children in the US: A Data and Literature Review" was presented at the MCH Network Seminar, "Emerging Issues in Health Care: Latino Populations." Meetings of the Parent Consultants, State, and Regional Advisory Committees were held.
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