Summits are the hallmark of the Clinical Public Health curriculum. These applied educational experiences comprise a series of unique multi-day real-world field projects across the four years of medical education. These Summits build on the medical curriculum, extending that knowledge to related important public health issues, while instilling foundational knowledge and skill-building in public health and population health, public health research techniques, critical and creative thinking, teamwork and leadership skills, community engagement, and translation of knowledge into action.
The Summit projects require students to collaborate with and be evaluated by local and national public health, policy, health system, research, and community experts and decision-makers uniquely available to GW SMHS given of our location in Washington, D.C. Working in teams, students must address topics chosen specifically to enrich students’ current curriculum or clerkship rotation work, and are intended to be instructive, aspirational, and innovative. As the curriculum progresses, the projects require increasingly complex real-world problem-solving, synthesis of basic and clinical science learning with population health and public health knowledge, and application of policy, advocacy, and leadership skills.
These Summits are at the forefront of Clinical Public Health curricular efforts within the field of medical education. The cutting edge nature of this novel program has caught the attention of medical schools, physicians, public health experts, and the media alike. The program was featured in a recent NPR Morning Edition story and NPR article!
The first two Summits are part of the PPS courses, while the third Summit takes place during an Intersession. The topics and focus of each Clinical Public Health Summit will continue to evolve to focus on contemporary issues of public health and community health. The 4th and final Clinical Public Health Summit is a longitudinal project that runs most of the 4th year of the MD curriculum. Recent Clinical Public Health Summits have included:
The School of Medicine and Health Sciences at the George Washington University is delighted to partner with the National Alliance of State and Territorial AIDS Directors (NASTAD) to create an opportunity for first-year medical students to study the federal "Ending the HIV Epidemic: A Plan for America" initiative and develop innovative proposals to address the HIV epidemic at the local level.
Students have the opportunity to work directly with senior officials and experts from different jurisdictions to learn firsthand about each jurisdiction's unique HIV epidemic. Over past years, NASTAD and GW have hosted HIV/AIDS officials from across the country - from Washington State to Washington DC - to work with GW medical students during this summit.
The Clinical Public Health Summit on HIV is the capstone event of the first semester. It is constructed as a scientific conference and problem-solving activity in which students are exposed to the latest data on HIV/AIDS, interact with scientific and public health experts in the field, and work in teams to develop a state- or city-level action plan to improve HIV/AIDS community health. The Summit will provide students with experience in the Clinical Public Health roles they will take on as physicians practicing 21st century medicine, and as community health leaders who can translate basic sciences, pharmacotherapy, epidemimology, and knowledge of health systems into population-level action.
Samples of Students Proposals:
- Development and dissemination of mobile apps for immediate direct-to-consumer delivery of HIV rapid test kit, linkage to access programs for PrEP (Pre-exposure prophylaxis medication) and promotion of HIV medication adherence.
- Continuing medical education incentives for improved primary care/family medicine/ob-gyn training in routine HIV medicine, with deployment of virtual/telemedicine HIV specialty back-up.
- Medical student loan forgiveness program or business tax incentives for physicians who provide broad HIV test counseling and testing for their patients.
- Programs for improved access to clean needles (i.e., in pharmacies or public vending machines) and medication assisted treatments for people who inject drugs.
After the spring semester, all students participate in a multi-day Summit to better understand their role, as future physicians, in controlling and mitigating asthma for children living in Washington, D.C. In collaboration with Stephen Teach, M.D., M.P.H., Chair of the Department of Pediatrics at GW SMHS and Director of IMPACT DC (a community asthma program dedicated to the care, research, and advocacy for under-resourced and minority children with asthma in Washington, D.C., recognized by President Obama as a model program), this Summit includes a panel of children with asthma and their families, who share their daily struggles of living with asthma.
Students work in groups to conduct field visits, consult experts, and create policy proposals on prevention and treatment of asthma. At the end of the Summit, student groups present their proposals to a panel of leading asthma and policy experts as well as families with asthma in the D.C. area.
Samples of Student Proposals:
- “AsthMama” - development and deployment of a "smart bracelet" capable of measuring a child's vital signs and blood oxygen level and communication device to alert parents, school nurses and clinicians about a possible asthma exacerbation.
- Teen Peer Educator Program to link high school students who have good asthma management skills to younger, newly diagnosed children with asthma.
- Air quality improvement programs that target changes in public transportation and highway tolls to reduce auto emissions in areas with high rates of childhood asthma and/or focused improvement in air quality in schools themselves, to reduce asthma attacks.
As students begin their 3rd year clinical clerkships they participate in a Summit that addresses the pressing public health issue of Obesity at the clinical and population levels. This Summit is divided into three phases that culminate in a final proposal to prevent, reduce, and/or mitigate obesity at the population level.
- The initial phase focuses on clinical aspects of obesity, led by William Dietz, MD, PhD, Director of the Sumner J. Redstone Global Center for Prevention and Wellness at GW’s Milken Institute School of Public Health, formerly the Director of the Division of Nutrition, Physical Activity, and Obesity at the Centers for Disease Control and Prevention.
- During their first clerkship, students conduct patient interviews and gain a stronger understanding of patients’ experience with obesity and barriers to healthier behaviors.
- Upon returning after their clerkship, students participate in a multi-day Summit where they integrate their knowledge of the clinical aspects of obesity with their own patient experiences to create proposals addressing population level dimensions of obesity in Washington, D.C.
Students are exposed to and apply tools they will utilize professionally in the future, including critical analysis of the literature, problem identification, and translation of evidence into action. Students also work with the GW Office of Innovation & Entrepreneurship to learn and practice skills in Human-Centered Design, which serves to enhance their experience of working alongside communities and sparking innovation. At the end of the Summit, students present their proposals to a panel of experts on obesity, nutrition, physical activity, and policy.
Team#3: DC Food Policy Council
Award: Innovation Award
In recognition of the academic team with the most novel design thinking community-based approaches to influence the health of their selected population
Activity: DC Food Policy Council Team worked closely with their Community Based Organization to help design a comprehensive toolkit to enhance clinicians‘ capacity to screen for and address food insecurity in their patient populations. Through this toolkit, they developed a multi-level campaign to connect clinicians to community food justice partners and further utilize existing community cornerstones to maximize healthy food access points in currently low food access areas in the district.
Team #2: American Heart Association/Step Afrika!
Award: Best Overall Presentation Award
In recognition of the academic team with the most outstanding presentation of a community-based program/policy intervention.
Activity: AHA/Step Afrika! Team worked closely with their Community Based Organization to help gather community resources to design a nutritional curriculum that can be included in Step Afrika!’s current youth summer camp. The team also proposed an expansion of Step Afrika!’s Step Xplosion events to involve monthly local events.
Samples of Student Proposals:
Team #4: Ward 8 Giant
Award: Implementation Award
Highest honor given at the Obesity Summit. In recognition of the academic team with the most outstanding community-based design selected as most likely for implementation.
Activity: Ward 8 Giant Team worked closely with their Community Based Organization, the Congress Heights Giant, to design a campaign that incorporated innovative marketing, community engagement, and environmental conservation to expand access to healthy food options to the community in Ward 8. The final proposal focused on building community capacity through “The Giant Mile” and “The Giant’s Kids Step Challenge” initiatives that will increase foot traffic to the newly opened Wellness Center, addressing obstacles to healthy eating through the “Simple Swaps” program that will offer approachable incremental changes in purchasing behaviors, and expanding access to healthy foods through “pop-up” grocery options, strategic marketing of nutritional programming at Giant, and implementation of “ugly” produce discounts.
Samples of Student Proposals:
- “Fresh and Fit” - A citywide social media challenge campaign to reward healthy behaviors.
- A public-private partnership between schools (in-school cooking classes and nutrition education) and local businesses and corner stores (healthy foods selections) to promote and incentivize healthy eating.
- "Good Hope Co-Op and Pump It Up" proposal and business plan for a cooperative food and service program for reproductive-aged women in D.C.'s Good Hope neighorhood, a region where need exist. The Co-Op would directly address the neighborhood's food insecurity and food desert problems by providing nutrition education and programs to increase both physical activity and breast feeding programs for the community's infants.
To succeed in any field of medicine, all physicians must be prepared to deliver the highest quality care to individuals while understanding – and advocating for improvement of – the myriad factors that influence patients’ health but lay beyond individual clinical encounters. To that end, physicians must be knowledgeable of – and able to work with others to address – factors in patients’ lives, hospitals and health systems, communities and governments and in their own area of specialization and practice that may positively or negatively impact patients and their health.
Likewise, in order to be successful in any field of medicine, all physicians must maintain good health and achieve a balance of professional and personal priorities. Physician burn-out is increasing and is directly linked to poor patient care, increased malpractice suits, exit from the field and physician suicide.
During this culminating longitudinal self-directed Clinical Public Health Summit, all students will address these dual realities through two assignments:
- Working with faculty experts, mentors, and relevant stakeholders, select and research a Clinical Public Health topic in their chosen medical specialty and develop a Clinical Pubic Health Action Plan to implement as a student, trainee or practitioner to address, improve, remediate, or advance your chosen topic.
- Assess their own wellness priorities with tools and resources provided by faculty, and develop and evaluate a personal Wellness and Resilience Action Plan for the 4th year of medical school.
Samples of Student Clinical Public Health Topics:
- Advancing Pre-exposure Prophylaxis Delivery among Latino MSM (men who have sex with men) in D.C.
- Climate Change and Health: Using Medical Education to Prepare and Empower Clinicians to Mitigate the Negative Effects of Climate Change on Health in the D.C. metro region
- Community Organization Factors Affecting Veteran Participation in Adaptive Sports
- Sexual Assault Training for Medical Providers
- Telemedicine Implementation to Improve Clinical Outcomes & Satisfaction in end-stage renal disease Patients on HD
- Understanding and Adherence of Glaucoma Medication Among Ophthalmology Patients