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MISSION STATEMENT
The Center for Community Health promotes the
public's health through community partnerships.

Marianne McKennett and Ahmed Calvo
Community Health Forum Newsletter
February 25, 2000


Ahmed Calvo, MD
Co-Chair, San Diego County Latino Health Partnership (LHP), Scripps Family Residency Program
TOPIC: Latino Health Partnership (LHP)

One of the models used by the LHP is the Community Orientated Primary Care (COPC). The goal of LHP is to improve advocacy, service, research, and education within the Latino community. The key issues of work done by LHP include, 1) develop a formal Latino health agenda, 2) address demands related to data, 3) analyze access to health care, and 4) develop a regional network of health care professional and community organizations.

Partners in LHP include physicians, nurses, public health professionals, and leaders in community groups. Other projects that have collaborated with LHP include the San Ysidro Health Center. Much of the development of LHP is to establish organizational goals that will improve the long-term work of LHP. LHP has established four organizational goals 1) increase access to care for Latino populations, 2) develop an infrastructure, 3) use of advocacy to further the objectives of LHP, and 4) assess the feasibility in creating such a partnership.

Furthermore, LHP includes the community in its development and future projects by simply asking the community what they need. The approach with LHP is to integrate many groups and organizations interested in Latino health to work together. An area of research that is a current focus of LHP is to obtain a better understanding of outcomes in surveys and focus groups and how to integrate these into the objectives of LHP.

Pilot Project:
Methods to train physicians in issues related to running a research team.

Additional information on Latino Health can be obtained from:
  • The Commonwealth Fund. A Call to Action Bridging the Gap between Hispanics and the American Health Care System, National Hispanic Medical Association Annual Conference: February 20, 2000.


Marianne McKennett, MD
Program Director, Scripps Family Practice Residency Program
TOPIC: Establishing Residency Education within a Community Health Center

The work done by residents in the Scripps Family Residency Program education component takes place in part at the San Ysidro Health Center (SYHC), Scripps Chula Vista, UCSD, and Chula Vista Family Clinic. In1994 the vision of the program was developed but some difficulties in starting the teaching program were apparent. The mission of the residency program is to care for the undeserved and outreach to Latino populations. The impetus in the development and implementation of the program is the coordination with different groups.

SYHC has provided pediatric, OB/GYN, and mental health services to the community for 30 years. Residents go to continuity clinic at Chula Vista Family Clinic. At Scripps Hospital in Chula Vista with one of the newest Intensive Care Units (ICU's) and Emergency rooms in the county have been very cooperative in implementing the residency-training program.

The first year of the residency program consists of a one-month block in community medicine, which consist of speakers, field trips, didactic sessions, and public health services. The second year consists of one month of elective that allows residents to gain experience on the other side of the border. The Spirit of Caring in cooperation with Scripps Chula Vista, Sharp, Chula Vista, and the Chula Vista Elementary School District is a mobile pediatric van. The residents provide acute visits to children at community sites in Chula Vista.

Funding for the Scripps Family Residency Program is from Medicare (GME funding), The California American Health Education Centers, and additional funding sources. The program does not generate any clinical revenue. Salary Support for Dr. McKennett is provided by UCSD and for Dr. Calvo by Scripps. Scripps provides additional funding for space.

Some advantages of the program are:
  • Continuity clinic and family practice at a community health center
  • Exposure to undeserved communities