Promoting Healthy and Active Communities: Medical Students and the Built Environment Jan K Carney MD...
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Transcript of Promoting Healthy and Active Communities: Medical Students and the Built Environment Jan K Carney MD...
Promoting Healthy and Promoting Healthy and Active Communities: Active Communities: Medical Students and Medical Students and the Built Environmentthe Built Environment
Jan K Carney MD MPHJan K Carney MD MPH
Lynn Zanardi Blevins MD MPHLynn Zanardi Blevins MD MPH
Kelly HuynhKelly Huynh
Background:Background:
Vermont Integrated Vermont Integrated Curriculum (VIC) Curriculum (VIC)
Implemented at the UVM College of Implemented at the UVM College of Medicine in fall 2003Medicine in fall 2003
Integrates sciences and clinical Integrates sciences and clinical medicinemedicine
Develops skills for life-long Develops skills for life-long learninglearning
Public health competencies Public health competencies
Project backgroundProject background
One of 13 public health projects 2004One of 13 public health projects 2004 Group of seven students (second Group of seven students (second
year)year) Faculty mentorFaculty mentor 2-3 hours/week; 16 weeks2-3 hours/week; 16 weeks Partnership between university and Partnership between university and
community community Timely area of public healthTimely area of public health
Public Health Projects:Public Health Projects:Educational GoalsEducational Goals
Understand the breadth and scope Understand the breadth and scope of public healthof public health
Understand current and emerging Understand current and emerging public health issuespublic health issues
Understand how public health Understand how public health interfaces with clinical medicineinterfaces with clinical medicine
Understand and apply public Understand and apply public health research methodshealth research methods
Public Health ProjectsPublic Health ProjectsEducational GoalsEducational Goals
Understand the role of the Understand the role of the community in improving community in improving individuals’ healthindividuals’ health
Learn practical ways to improve Learn practical ways to improve the health of both individuals and the health of both individuals and populationspopulations
Be creative and have fun!Be creative and have fun!
For each Public Health For each Public Health Project:Project:
1. must address a public health 1. must address a public health issueissue
2. must ask and answer a 2. must ask and answer a scientific scientific questionquestion
3. must show a public health 3. must show a public health benefitbenefit
Public Health Public Health FrameworkFramework
Healthy People 2010Healthy People 2010Overarching goalsOverarching goals
1. increase quality and years of 1. increase quality and years of healthy lifehealthy life
2. eliminate health disparities2. eliminate health disparities
Healthy People 2010Healthy People 2010Focus AreasFocus Areas Access to quality health Access to quality health
servicesservices ArthritisArthritis CancerCancer Chronic Kidney DiseaseChronic Kidney Disease DiabetesDiabetes Disability Disability Educational programsEducational programs Environmental healthEnvironmental health Family planningFamily planning Food SafetyFood Safety Health CommunicationHealth Communication Heart Disease and StrokeHeart Disease and Stroke HIVHIV Immunization and Infectious Immunization and Infectious
DiseasesDiseases
Injury and violence preventionInjury and violence prevention Maternal, infant and child Maternal, infant and child
health health Medical Product SafetyMedical Product Safety Mental healthMental health Nutrition and overweightNutrition and overweight Occupational healthOccupational health Oral healthOral health Physical activityPhysical activity Public Health InfrastructurePublic Health Infrastructure Respiratory DiseasesRespiratory Diseases Substance abuseSubstance abuse TobaccoTobacco Vision and HearingVision and Hearing
2004 Public Health 2004 Public Health Projects : HP 2010 Projects : HP 2010 areas areas Access to Quality Health ServicesAccess to Quality Health Services Health CommunicationHealth Communication Environmental HealthEnvironmental Health DiabetesDiabetes Immunizations and infectious Immunizations and infectious
diseasedisease Nutrition/Physical ActivityNutrition/Physical Activity Mental HealthMental Health
Promoting Healthy and Promoting Healthy and Active Communities: Active Communities: goalsgoals Educate medical students about Educate medical students about
the environment and healththe environment and health Engage community plannersEngage community planners Share and promote best practices Share and promote best practices
to promote healthy and active to promote healthy and active Vermont communitiesVermont communities
Chittenden County, VT: Chittenden County, VT: Project Communities Project Communities
BurlingtonBurlington WillistonWilliston WinooskiWinooski
Burlington, VermontBurlington, Vermont
Williston, VermontWilliston, Vermont
Project methods:Project methods:
Literature reviewLiterature review CDC, NIEHSCDC, NIEHS Development of questionnaireDevelopment of questionnaire Recruitment of local communitiesRecruitment of local communities ““promote the positive” strategy promote the positive” strategy
to engage community plannersto engage community planners
Project methods Project methods (cont’)(cont’) 3 towns in VT’s largest county3 towns in VT’s largest county Various development stagesVarious development stages Interview of town plannersInterview of town planners Pre-interview questionnairePre-interview questionnaire QuestionnaireQuestionnaire Identify and share “best Identify and share “best
practices”practices”
Pre-interview Pre-interview Questionnaire:Questionnaire: PopulationPopulation % residents with stores and % residents with stores and
recreation within ½ mile radius of recreation within ½ mile radius of homeshomes
% land for mixed use neighborhoods% land for mixed use neighborhoods Public spaces for physical activity (% Public spaces for physical activity (%
or acres)or acres) % budget for parks and recreation% budget for parks and recreation
Pre-interview Pre-interview questionnaire (cont’-2) questionnaire (cont’-2) % streets with sidewalks % streets with sidewalks
(residential)(residential) % streets with sidewalks % streets with sidewalks
(commercial and mixed use)(commercial and mixed use) Estimate of miles of bike pathEstimate of miles of bike path Documents or references used in Documents or references used in
planning to promote physical planning to promote physical activityactivity
Questionnaire Questionnaire
Introduction, summary, what Introduction, summary, what town will receive from project, town will receive from project, timelinetimeline
Definition of “built environment’Definition of “built environment’ Current infrastructureCurrent infrastructure Future developmentFuture development Goal to identify “best practices”Goal to identify “best practices”
Questionnaire (cont’-Questionnaire (cont’-2)2) Collaboration with health Collaboration with health
professionals in town planning? professionals in town planning? Town provides information to Town provides information to
residents on public spaces for residents on public spaces for physical activity?physical activity?
Recreation classes and programs?Recreation classes and programs? Accessible?Accessible?
Questionnaire (cont-3)Questionnaire (cont-3)
Guidelines for aesthetically Guidelines for aesthetically pleasing elements to encourage pleasing elements to encourage activity?activity?
Does town plan identify natural Does town plan identify natural resources? resources?
Requirement for sidewalks in new Requirement for sidewalks in new residential areas?residential areas?
Traffic calming measures in public Traffic calming measures in public recreation areas?recreation areas?
Questionnaire (cont’-Questionnaire (cont’-4)4) Traffic signals pedestrian-Traffic signals pedestrian-
controlled?controlled? Bypass of dangerous Bypass of dangerous
roads/intersections?roads/intersections? Bicycle parking?Bicycle parking? School crossing guards?School crossing guards? Practices to increase safety in Practices to increase safety in
public recreation areas?public recreation areas?
Questionnaire (cont’-Questionnaire (cont’-5)5) Education – signs to promote Education – signs to promote
stairs? stairs? Community outreach to promote Community outreach to promote
physical activity?physical activity? Planning new recreation areas?Planning new recreation areas? 3 top practices to promote 3 top practices to promote
physical activity? physical activity?
Questionnaire (cont’-Questionnaire (cont’-6)6) Town “Observations” Town “Observations”
– Student visits to best town assetsStudent visits to best town assets– PhotosPhotos– DescriptionsDescriptions
Promoting Healthy and Promoting Healthy and Active VT Active VT Communities:Communities: Progress to dateProgress to date Preliminary findingsPreliminary findings Timeline and format for sharing Timeline and format for sharing
“best practices”“best practices” Summary paperSummary paper Poster presentationPoster presentation Future directionsFuture directions
Questions ?Questions ?
Comments? Comments? Suggestions?Suggestions?
Jan K Carney, MD MPH,Jan K Carney, MD MPH,Associate Dean for Public Associate Dean for Public Health, Health, University of Vermont University of Vermont College of MedicineCollege of Medicine
371 Pearl St, Burlington VT 371 Pearl St, Burlington VT 0540105401
(802) 847-8268(802) 847-8268
[email protected]@uvm.edu