Public Health

AEM Education and Training 15: Science Policy Training for a New Physician Leader

Welcome to the fifteenth episode of AEM Education and Training, a podcast collaboration between the Academic Emergency Medicine E&T Journal and Brown Emergency Medicine. Each quarter, we'll give you digital open access to AEM E&T Articles or Articles in Press, with an author interview podcast and links to curated supportive educational materials for EM learners and medical educators.

Find this podcast series on iTunes here.

AEM E and T Podcasts logo[1].png

DISCUSSING (CLICK ON TITLE TO ACCESS):

Science Policy Training for a New Physician Leader: Description and Framework of a Novel Climate and Health Science Policy Fellowship. Jay Lemery, MD, Cecilia Sorensen, MD, John Balbus, MD, MPH, Lee Newman, MD, MA, Christopher Davis, MD, Elaine Reno, MD, Renee Salas, MD, MPH, MS, Emilie Calvello Hynes, MD, MPH

LISTEN NOW: INTERVIEW WITH FIRST AUTHOR Jay Lemery, MD, FACEP, FAWM

jay.jpg

Jay Lemery, MD, FACEP, FAWM

Professor of Emergency Medicine

University of Colorado School of Medicine

Abstract

The accelerating health impacts of climate change are undermining global health, and the roles of the health sector in addressing the many challenges of climate change are being articulated by governments, multilateral institutions, and professional societies. Given the paucity of physician engagement on this issue to date, there now exists a clear need for health professionals to meet this new challenge with the development and cultivation of new knowledge and skill sets in public health, environmental science, policy, and communication. We describe a novel GME fellowship in climate and health science policy, designed to train a new generation of clinicians to provide the necessary perspective and skills for effective leadership in this field. This fellowship identifies available university resources and leverages external collaborations (government, medical consortiums, affiliate institutions in public health, and environmental science), which we describe as being replicatable to similar training programs of any number of medical specialties and likewise bring meaningful opportunities to their respective training programs and academic departments. The creation of this novel fellowship in climate and health policy provides a roadmap and potential path for similar programs to join us in addressing the defining health issue of this generation and many to follow.

AEM Education and Training 15: Science Policy Training for a New Physician Leader

Welcome to the fifteenth episode of AEM Education and Training, a podcast collaboration between the Academic Emergency Medicine E&T Journal and Brown Emergency Medicine. Each quarter, we'll give you digital open access to AEM E&T Articles or Articles in Press, with an author interview podcast and links to curated supportive educational materials for EM learners and medical educators.

Find this podcast series on iTunes here.

AEM E and T Podcasts logo[1].png

DISCUSSING (CLICK ON TITLE TO ACCESS):

Science Policy Training for a New Physician Leader: Description and Framework of a Novel Climate and Health Science Policy Fellowship. Jay Lemery, MD, Cecilia Sorensen, MD, John Balbus, MD, MPH, Lee Newman, MD, MA, Christopher Davis, MD, Elaine Reno, MD, Renee Salas, MD, MPH, MS, Emilie Calvello Hynes, MD, MPH

LISTEN NOW: INTERVIEW WITH FIRST AUTHOR Jay Lemery, MD, FACEP, FAWM

jay.jpg

Jay Lemery, MD, FACEP, FAWM

Professor of Emergency Medicine

University of Colorado School of Medicine

Abstract

The accelerating health impacts of climate change are undermining global health, and the roles of the health sector in addressing the many challenges of climate change are being articulated by governments, multilateral institutions, and professional societies. Given the paucity of physician engagement on this issue to date, there now exists a clear need for health professionals to meet this new challenge with the development and cultivation of new knowledge and skill sets in public health, environmental science, policy, and communication. We describe a novel GME fellowship in climate and health science policy, designed to train a new generation of clinicians to provide the necessary perspective and skills for effective leadership in this field. This fellowship identifies available university resources and leverages external collaborations (government, medical consortiums, affiliate institutions in public health, and environmental science), which we describe as being replicatable to similar training programs of any number of medical specialties and likewise bring meaningful opportunities to their respective training programs and academic departments. The creation of this novel fellowship in climate and health policy provides a roadmap and potential path for similar programs to join us in addressing the defining health issue of this generation and many to follow.

AEM Early Access 20: Tracking Assault-Injured, Drug-Using Youth in Longitudinal Research

Welcome to the twentieth episode of AEM Early Access, a FOAMed podcast collaboration between the Academic Emergency Medicine Journal and Brown Emergency Medicine. Each month, we'll give you digital open access to an recent AEM Article or Article in Press, with an author interview podcast and suggested supportive educational materials for EM learners.

Find this podcast series on iTunes here.

DISCUSSING (click on link for full text, open access through november 30):

Tracking Assault-Injured, Drug-Using Youth in Longitudinal Research: Follow Up Methods. Jessica S. Roche, MPH, Michael J. Clery, MD, MPP, Patrick M. Carter, MD, Aaron Dora-Laskey, MD, MS, Maureen A. Walton, MPH, PhD, Quyen M. Ngo, PhD, and Rebecca M. Cunningham, MD.

LISTEN NOW: FIRST AUTHOR INTERVIEW WITH JESSICA ROCHE, MPH

Roche.JPG

Jessica Roche, MPH

Managing Director

University of Michigan Injury Prevention Center

Abstract

Objectives: Violence is one of the leading causes of death among youth ages 14-24. Hospital and ED-based violence prevention programs are increasingly becoming a critical part of public health efforts; however, evaluation of prevention efforts is needed to create evidence-based best practices. Retention of study participants is key to evaluations, though little literature exists regarding optimizing follow-up methods for violently-injured youth. This study aims to describe the methods for retention in youth violence studies and the characteristics of hard-to-reach participants.

Methods: The Flint Youth Injury (FYI) Study is a prospective study following a cohort of assault-injured, drug-using youth recruited in an urban ED, and a comparison population of drug using youth seeking medical or non-violence-related injury care. Validated survey instruments were administered at baseline and four follow-up time points (6, 12, 18, 24 months). Follow-up contacts used a variety of strategies and all attempts were coded by type and level of success. Regression analysis was used to predict contact difficulty and follow-up interview completion at 18 24 months.

Results: 599 patients (ages 14-24) were recruited from the ED (mean age=20.1 years, 41.2% female, 58.2% African American), with follow-up rates at 6, 12, 18, and 24 months of 85.3%, 83.7%, 84.2%, and 85.3%, respectively. Participant contact efforts ranged from 2 to 53 times per follow-up timeframe to complete a follow-up appointment, and more than 20% of appointments were completed off-site at community locations (e.g., participants' homes, jail/prison).Participants who were younger (p<.05) and female (p<.01) were more likely to complete their 24-month follow-up interview. Participants who sought care in the ED for assault injury (p<.05) and had a substance use disorder (p<.01) at baseline required fewer contact attempts to complete their 24-month follow-up, while participants reporting a fight within the immediate 3 months before their 24-month follow-up (p<.01) required more intensive contact efforts.

Conclusions: The FYI study demonstrated that achieving high follow-up rates for a difficult-to track, violently-injured ED population is feasible through the use of established contact strategies and a variety of interview locations. Results have implications for follow-up strategies planned as part of other violence prevention studies.