Community Experiences

There must be structured educational experiences that prepare residents for the role of advocate for the health of children within the community. These should include both didactic and experiential components that may be integrated into other parts of the curriculum, eg, continuity, adolescent behavior/development, or they may be designed as distinct longitudinal or block rotations.

Residents must be supervised by pediatricians and other health professionals experienced in the relevant content areas. The curriculum should include but not be limited to the following subjects:

• Community-oriented care with focus on the health needs of all children within a community, particularly underserved populations
• The multicultural dimensions of health care
• Environmental toxicants and their effect on child health
• The role of the pediatrician within school and day care settings
• The role of the pediatrician in the legislative process
• The role of the pediatrician in disease and injury prevention
• The role of the pediatrician in the regional emergency medical system for children

These experiences should utilize settings within the community, such as

• Community-based primary care practice settings
• Community health resources and organizations, including governmental and voluntary
  agencies, eg, local and state public health departments, services for children with disabilities, Head Start
• Schools and day-care settings, including elementary school through college
• Home-care services for children with special health care needs
• Facilities for incarcerated youth

For more on ACGME, see An Untapped Resource: Collaborating with Pediatric Residency Programs.

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