Maternal and Child Health Training Program

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Funded Projects

Grant Status: Completed

Grant Title: Interdisciplinary Leadership Training in Adolescent Health

Web Site: University of California, San Francisco Project Exit Disclaimer

Project Director(s):

Charles E. Irwin, MD
University of California, San Francisco
Division of Adolescent Medicine
Department of Pediatrics
3333 California Street, Suite 245
San Francisco, CA  94118-6215
Phone: (415) 476-2184
FAX: (415) 476-6106
Email: irwinch@peds.ucsf.edu

Problem:

Adolescents/young adults' needs require trained health professionals who are able to work across disciplines. Our project based in California with a changing demography provides an ideal site for the development of leaders who will be able to respond to emerging issues.

Goals and Objectives:

Goal 1: To develop leaders in adolescent/young adult health across 5 MCH disciplines in an interdisciplinary training that incorporates the MCH competencies, the goals of Healthy People 2010 & Bright Futures Objective 1: Train at least 10 long-term trainees per year, including trainees representing the 5 MCH core disciplines (Medicine, Nursing, Nutrition, Psychology, and Social Work) and Public Health Objective 2: Train at least 150 medium-term trainees per year that represent the 5 MCH core disciplines. Objective 3: Train short-term trainees: 20 trainees per year from MCH related university based programs; 250 health professional & graduate students in UCSF, the UC Berkeley, other Northern California universities, and national and international institutions; 2-4 established health professionals per year. Goal 2: To utilize an individualized development plan (IDP) and a curriculum to provide trainees with knowledge and skills necessary to become future leaders in the adolescent/young adult health field Objective 1: Establish an IDP for all long-term trainees during the first quarter of training. Objective 2: Provide trainees with a formalized curriculum that will be organized and implemented in 5 training cores: Biopsychosocial; Research, Evaluation & Epidemiology; Public Health/Health Policy; Leadership Development; and Clinical Practicum/Teachin Goal 3: Provide culturally competent adolescent/family-centered interdisciplinary models of health care services for adolescent/young adults consistent with the goals of Healthy People 2010 & Bright Futures Objective 1: Improve accessibility of primary care through tertiary healthcare for adolescents/young adults in San Francisco County and the surrounding region by providing at least 5,000 ambulatory visits and 300 inpatient days per year at the UCSF Children's Hospital. Objective 2: Expand and enrich clinical service-based partnerships between the LEAH Project and at least 8 community-based programs over the next 5-year period. Objective 3: Develop transition services for adolescents with special health care needs focused on the pivotal period from adolescence to young adulthood by providing 225 clinic visits per year. Goal 4: To further develop a knowledge base in adolescent/young adult health through research, evaluation and translation of findings into practice Objective 1: Begin new research initiatives, by submitting at least 10 grant proposals for extramural funding per year. Objective 2: Develop and conduct research leading to at least 15 scientific abstract submissions and 10 scientific presentations per year at professional meetings. Objective 3: Disseminate research and clinical findings through at least 18 manuscript submissions per year to peer-reviewed journals and to author at least 5 book chapters per year. Goal 5: To assist community, state, regional and national health care and policy organizations in developing and addressing the core public health functions for adolescent/young adult health Objective 1: Increase the capacity of health professionals and their respective programs, by implementing at least 3 continuing education programs per year. Objective 2: Support implementation of the adolescent health strategic plan developed by the California Adolescent Health Collaborative by providing at least 20 consultations at the state level and 15 at the local level per year. Objective 3: Improve the capacity of MCH-related programs at the local, state and regional level to address the core public health functions for adolescents and young adults, by providing at least 20 consultations per year to State Adolescent Health Coordinators and others.

Methodology:

We shall train 10 long term trainees, 30 medium term and 200 short-term trainees each year in a 5 core-curriculum including: biopsychosocial; research, evaluation & epidemiology; public health/health policy; leadership development; and clinical practicum/teaching. An IDP will drive the training for all the long-term trainees. University and Community services will be utilized to provide the training and a transition service will be developed to guarantee that our trainees gain the knowledge necessary to make certain that adolescents with special health care needs have a positive transition to young adulthood within the health care system. A conceptual model that incorporates the objectives of Healthy People 2010 and is consistent with recent NIH and IOM reports that recommend a multidisciplinary, youth development approach to adolescent/young adult health, will guide research. We will develop mechanisms to utilize databases in California for research and policy development. Continuing education and technical assistance will be provided to MCH-related activities in the community, region, state and nation. Within California, we will work closely with the California Adolescent Health Collaborative to improve access to health care for adolescents, with a special focus on young adults. At the national level, we shall work closely with the Office of Adolescent Health of MCHB, NIAH and Young Adult Health, and the State Adolescent Health Coordinators.

Coordination:

The faculty has developed collaborative relationships with the local, state; regional and national organizations focused on MCH populations and health professional organizations including SAM, AMCHP, and APHA. These organizations will play an advisory role in the ongoing operation of the project through the Professional Advisory Committee.

Evaluation:

The most important outcome is the success of our past trainees in providing leadership in Adolescent Health. We conduct a survey using the NIRS instrument. In area of clinical services, we monitor demographic data about utilization. In the area of consultation, CE & TA, we evaluate the effectiveness of our educational programs through pre- & post-measurements. In area of research, we measure outcomes through publications/presentations of findings & new initiatives through extramural awards.

Experience to Date:

Since the start of this cycle of our training program (2007), we have trained, 76 long-term trainees, 137 medium term trainees and 785 short-term trainees in five disciplines. We have provided 41,142 clinical encounters in both our university-based and community based clinical services. We have initiated the second phase of our transition service by developing a consultation service for adolescents/young adults. We have published 153 articles in peer-reviewed journals, 79 chapters, 1 book, and 18 non-peer reviewed monographs. We have submitted 45 grants for extramural funding. We have continued to provide CE and TA to the San Francisco/Bay Area Community, California, the region and the nation. We have worked closely with the Adolescent program of MCHB in providing TA to NIAH. In addition, we have provided consultation to the newly established Office of Adolescent Health within the Office of the Assistant Secretary for Health. We conducted a final review of the 2010 Critical Health Objectives of the nation for adolescents/young adults and have played a major role in choosing the 2020 Objectives.

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