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Is there a discipline of community medicine?

Community Medicine is a distinct and definable discipline. Through Community Medicine Departments of medical schools and hospitals, patient care, teaching and research programs are conducted in an integrated fashion, concerned with a broad definition of health which is beyond the range of other clinical departments. Because Community Medicine is a developing field, and Departments of Community Medicine are not rigidly tied to traditional approaches, there exist unusual opportunities for new design and fresh insight. Community Medicine is in the fore of Medicine's ability to evolve with the society around us. Community Medicine both identifies the need for change, and acts as an agent for the change. There are obstacles. The most difficult challenges we face are obtaining curriculum time for a new discipline which, to those caught in "the vice-like irrational grip of tradition" (18), may not appear worthy; and ridding ourselves of the sterotype that the hospital can be the single unified source of health care for all community people. These problems are being resolved, however, and the inherent value of community medicine as a new body of theory and practice becomes increasingly clear.

Ambulatory Care↗

Involvement of family and community medicine professionals in community projects.

OBJECTIVE: Medical schools are being challenged to continue their excellence in education, research, and patient care while responding to the health needs of the public. The objective of our study was to determine the nature and type of community involvement of professionals in departments of family and community medicine. STUDY DESIGN: We mailed a 24-item structured survey to a random national sample of family medicine professionals. POPULATION: Survey recipients included 770 full-time physician and nonphysician active members of the Society of Teachers of Family Medicine. OUTCOMES MEASURED: Our survey assessed community activities, challenges and incentives to those activities, and desired resources for working in the community. RESULTS: A total of 446 usable surveys were returned (58% response rate). Ninety-five percent of respondents had participated in a community activity within the previous year. More male respondents precepted medical students or residents and educated faculty on topics regarding community education; more older respondents participated by sitting on community health boards or councils. Insufficient release time and lack of funding were the 2 most frequently cited barriers to community-based activities. CONCLUSIONS: Most faculty are involved in community-related teaching and service. Reasons for low levels of research and subgroup differences, especially among women and young faculty, merit further research.

Academic Medical Centers↗

Graduate training in community medicine at Mount Sinai: the development of the Master of Science in Community Medicine.

This paper describes the philosophy, process, and outcome of the integration of independent study and classroom training with existing clinical and research experiences in The Mount Sinai Medical Center Department of Community Medicine's general preventive medicine and occupational medicine residencies leading to the creation of the Master of Science in Community Medicine.

Community Medicine↗