Finalist

Community Engagement Initiative of the Year Award

Developing Empathic Physicians and Bettering Community Well-being through Engaged Practices and Sustainable Partnerships

Finalist of the Community Engagement Initiative of the Year Award

Texas Christian University - United States

"Empathetic Physicians Foster Community Equity and Healing "


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Summary

At Texas Christian University’s School of Medicine students develop empathy, cultural competency and social awareness while contributing to the quality of life of residents in historically underserved neighborhoods. The model, designed to promote sustainable partnerships, assigns students to a local neighborhood on Day 1 and creates opportunities for them to stay engaged throughout their medical training. Community leaders were approached early on and asked to provide guidance to staff, faculty and students regarding strengths and challenges of their neighborhoods, as well as their vision of a productive campus-community partnership. They provide guidance as students move from understanding their community to proposing health-related solutions. After four years, 240 students, representing four cohorts, have been assigned to one of three neighborhoods and have worked to promote health equity and community well-being, culminating in capstone service-learning projects. They have spearheaded various short and long-term initiatives, benefiting hundreds of community members, from material goods donated through drives (e.g., school supplies, winter clothing, uniforms, tennis shoes, books, hygienic products) to information provided during community fairs, and educational workshops on important issues such as gun safety, mental health, and menstruation. Residents have started to regard the School of Medicine as a constant presence in their communities, as students attend community events year-round, mentor at local schools and serve at health clinics locally. The medical students have been introduced to a model that emphasizes reciprocity and listening to community members, growing as empathetic healers who will promote equity in their communities, wherever their practice takes them.

Key People


Rosangela Boyd, Ph.D.
Director, Service-Learning and Academic Initiatives
Leadership and Student Involvement ,  Texas Christian University



Bill West, M.A.
Service-Learning Associate
Leadership and Student Involvement ,  Texas Christian University



Marybeth Mercatoris, Ph.D.
Director of Student Affairs
Burnett School of Medicine,  Texas Christian University



Ric Bonnell, M.D.
Assistant Professor and Director of Service-Learning and Community Engagement
Burnett School of Medicine,  Texas Christian University



Erin Nelson, PSY.D
Associate Professor of Medical Education and Preparation for Practice
Burnett School of Medicine,  Texas Christian University



Stacy Landreth Grau, Ph.D.
Professor of Entrepreneurship & Innovation and Associate Professor of Medical Education
Neeley School of Business & Burnett School of Medicine,  Texas Christian University



Korie Hawkins, M.S.
Assistant Director of Admissions, Outreach and Community Engagement
Burnett School of Medicine,  Texas Christian University



Carol Brown
Executive Director
Como Lions Heart, Inc



Clara Kirby, ABD/MBL/MSL
Coordinator
Como Community Center, Fort Worth



Terrence Butler
Vice-President of Development
Academy 4



Nakia Cole
Coordinator V, Family Action Center
Equity and Excellence Division,  Fort Worth Independent School District



Carlos L. Walker, Sr., Ed.D.
Director of Family Action Center
Equity and Excellence Division,  Fort Worth Independent School District



Rickie Clark
Speaker, Author, Educational Consultant and Executive Director
My Brother's Keeper,  Fort Worth Independent School District



Roxanne Martinez
President of Diamond Hill & Northside Youth Association and Elected Member of Board of Trustees
District 9,  Fort Worth Independent School District



Juan Daniel “Danny“ Garcia, MA, CHW
Manager of Community Marketing Health Plan
Cook Children’s Healthcare System


Acknowledgements

Our team would like to acknowledge all the students who have contributed to this initiative and all the staff and faculty who have mentored them throughout the process. We also thank the school administration and donors for supporting our endeavors. We are most grateful for the community members who have trusted us to come into them neighborhoods, and for all the lessons they have taught us.

Images

Aim for Safety Community Fair

Aim for Safety Workshop at Elementary School

Barbershop Therapy Session

Barbershop Therapy Participants Support Each Other

SOM Student and Child at Back to School Fair

Menstruation Workshop at Middle School

Middle Scholl Students Share Experiences at Menstruation Workshop

Dayna's Project Offers Kids Choice of Shoes and Increased Confidence

SOM Student Come Together to Beautify a Local School

SOM Students Help with Sports Clinic at Back to School Fair.

IMPACT STORY

Impacting lifes

“I’ve never told anybody this before, not even my wife. And I’m 65. So man, I just want to say thank yal.” A participant of one of the Barbershop Therapy Project sessions expresses the sentiment of so many other African American men, who find a safe place to be brave about mental health. Anthony Igbokidi, founder of the program is a first-generation American who saw that his community had been hurting from the impact of violence, discrimination and other daily stressors in a society that teaches males to find solutions on their own and often blames African Americans for not meeting expectations. He partnered with Dr Dixon, a psychiatrist on faculty, and took action to bring healing to different neighborhoods in Fort Worth. With assistance from community partners, barbers were identified, and invitations sent. The intergenerational space created in barbershops allows the men to come to a greater understanding of self and others, learning coping skills, building a support system and a sense of empowerment. Therapy sessions are coupled with screenings and resource sharing, for increased access to services. So far, over 350 people have attended sessions, often crossing neighborhoods to participate, many invited by previous attendees. The feedback has been overwhelmingly positive, and plans are on the way for expansion to other settings, including a female version of the program and one for minorized college students. Since other Medical Students have joined and the initiative is anchored within the Student National Medical Association, sustainability is ensured.

LEARNINGS

Lessons learned

After four years of implementing the partnership model, here are some recommendations for those wishing to undertake a similar path:
- Make sure the community liaisons chosen as partners are trusted within neighborhoods and can open doors.
- Develop a structure to allow students to gradually get immersed in their respective neighborhoods, starting with exposure, progressing to meaningful engagement, and culminating in service-learning experiences.
- Document outcomes, preferably establishing baselines and tracking change.
- Cultivate partners; do not assume they will remain involved hoping to see results eventually. This is not an overnight process and communities have seen many institutions come and go.
- Include reflection in service projects, whether or not they are connected to a course. Make sure students have an opportunity to process experiences, connect to their professional and personal goals, and the mission of the institution.
- Prepare students for community entry. Address inequities and encourage students to contemplate systemic solutions beyond the here and now approaches they may gravitate towards.
- Establish minimum requirements for engagement so that students have comparable experiences and are more knowledgeable about their communities when they enter their service-learning courses.
- Seek mechanisms to make all students aware of projects started by peers so that involvement is maximized, and continuity ensured.
- Align clinical experiences and peripheral service opportunities with neighborhoods and ensure all partners are receiving similar benefits.
- Ensure communication among team members and clarify roles so common goals are developed and no turf issues arise.

FUTURE PLANS

What's coming?

This year our first cohort graduates. Approximately 240 students have been working to impact three underserved neighbourhoods. As we prepare to welcome another group of students, we seek to anchor ourselves further in the existing neighbourhoods. For the future, a minimum number of engagement hours will be required each semester. As two cohorts already had their service-learning course over ten new projects have been proposed in collaboration with their community partners, ranging from nutrition to mental health. Institutionalizing these new initiatives is crucial to avoid future redundancy or abandonment. A project design specialist has been hired to support students during the planning process and to ensure continuity from initiatives started during the course. In addition, projects started by individual students or special interest groups beyond the classroom will be catalogued and considered for expansion to other neighborhoods. New staff and faculty members have been assigned to assist with institutionalization efforts. Given the recent decision to keep the school independent and subsequent investment in land to build new facilities within Fort Worth’s medical district, the team is approaching partners in the neighborhood where the new school will be housed. This neighborhood has been the focus of much public attention lately, since it has some of the worst health outcomes in Texas. In the future, we plan to split new classes into 4 different groups to accommodate the inclusion of this new partnership. The Outreach department has joined the team and is currently seeking external sources of funding to support community engagement.


KEY STATISTICS

3000+

Fort Worth residents engaged through community fairs, food distribution and vaccination events

400+

Families benefiting from donation drives (hygiene kits, school supplies, coats, nutrition bags, etc.)

350+

Adults participating in Barbershop Therapy sessions in the past year

6000+

Volunteer hours spent in local neighborhoods

250+

School-age children attended health-related workshops (e.g., nutrition, gun safety, menstruation) in the past two years

50%

Students starting and supporting co-curricular community projects, mentoring at local schools, or serving at clinics.

100%

Third-year medical students expected to partner with neighborhoods in service-learning projects

75+

Children received ongoing mentoring from medical students

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