CHAT Goals
Recognizing that the determinants of child health are not limited to biomedical factors, but also encompass complex emotional, social, economic, and environmental influences, the pediatric medical home of the future will need to be more responsive to child and family needs in the context of community. The pediatric medical home must be better connected to community resources and more integrated in emerging community systems of care-giving and health promotion. Moving beyond the progressive changes in residency training that the “new morbidities” framework encouraged, future pediatricians must be trained to integrate individual/clinical and population/community approaches to care. To accomplish this, pediatric practice in the community and academic medical center must be fundamentally transformed.
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The UCLA CHAT program goals are to:
- Provide innovative educational experiences in community-based settings to prepare residents to assume roles as active community collaborators in future pediatric practices.
- Transform the academic generalist and specialist care model by integrating new knowledge, tools, and skill development that enhance the pediatrician’s ability to promote health and development and prevent disease and disability in the context of family and community needs.
- Equip residents, faculty and community practitioners with skills and competencies to act as effective leaders and agents of change in their respective communities.
- Development of an exemplary comprehensive, community-based pediatric training and care program.
Program Goals for Residents
PL-1
The goals for the PL-1 in the CHAT Track are to become familiar with the Mar Vista community and begin to think about ideas for a longitudinal project. The two-week PL-1 rotation covers an introduction to the community and community asset mapping, in which interns follow actual cases from our community partners and literally map (on foot) the resources around each family?s neighborhood. All residents complete this CHAT rotation.
PL-2
The goals for the PL-2 in the CHAT track are to start on their longitudinal projects. Second-year CHAT residents should identify a project by the first two-week CHAT II rotation in the fall. They will attend the quarterly project update seminars and present at least once to their peers. Finally, they should write up their project idea for submission for a resident CATCH grant during the second two-week CHAT II rotation in the spring. Three two-week rotations separated by about six months have been organized into distinct rotations in the following themes: (1) development services, (2) nutrition and breastfeeding, and (3) youth, adolescent, family, and community development. Residents in the CHAT track will complete all rotations. However, interested residents outside the CHAT track are welcome to take these rotations as individual electives.
PL-3
The goals for the PL-3 in the CHAT track are similar to the PL-2 year, which is to continue working on their longitudinal projects. In the third year, however, instead of a CATCH grant, their objective is to submit an abstract either to the regional or national APA conference. They may also present the final results of their project in a Grand Rounds forum to their fellow residents in the spring.
Finally, the PL-3s will participate in a one month Legislative Advocacy and Child Health Systems rotation in the spring.