Population Health Clerkship
More than an ounce of prevention- Family centered programs to prevent injury from trauma in all age groups
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1. Team faculty:
a. Academic faculty:
Michael P. Hirsh, MD, FACS, FAAP
Surgeon-in-Chief, UMASS Memorial Children's Medical Center (UMMCMC)
Professor of Surgery and Pediatrics
UMASS Medical School (UMMS)
Chief, Division of Pediatric Surgery and Trauma (UMMCMC)
UMASS Memorial Health Care System (UMMHC)
Past-President, Injury Free Coalition for Kids (IFCK)
Co-Principal Investigator, Injury Free Coalition for Kids of Worcester (IFCKW)
E-Mail: michael.hirsh@umassmemorial.org
Office: 774-443-2189
Fax: 508-856-2043
Pager: 508-426-8095
Mobile: 508-523-9634
Mariann Manno, MD
Associate Professor of Clinical Pediatrics and Emergency Medicine
UMASS Medical School (UMMS)
Chief, Division of Pediatric Emergency Medicine
UMASS Memorial Children's Medical Center (UMMCMC)
Associate Chief Quality Officer
UMASS Memorial Health Care System (UMMHC)
Co-Principal Investigator, Injury Free Coalition for Kids of Worcester (IFCKW)
E-Mail: mariann.manno@umassmemorial.org
Office: 774-442-2599
Fax: 774-442-2510
Pager: 2244
b. Community faculty:
Esther Borer
Injury Prevention Coordinator
Trauma Service
UMass Memorial Health Care
55 Lake Ave North
Worcester, MA 01655
Room H3-507
Office # 774-443-8627
Fax # 774-441-6630
Esther.Borer@umassmemorial.org
Carol Carpenter, CPST
UMass Memorial Medical Center
Injury Prevention Office
Department of Surgery/Trauma Service
55 Lake Avenue North
Worcester, MA 01655
774-443-8626 - Office
774-441-6630 - Fax
carol.carpenter@umassmemorial.org
Allison Rook Burr, EdM
Injury Prevention Educator
UMass Memorial Medical Center
55 Lake Avenue North, H3-507
Worcester MA 01655
(o): 774-443-8629
(c): 716-860-7864
allison.rook@umassmemorial.org
2. Defining characteristics
a. The population of primary interest for this team is:
Children and families
b. The health issue affecting this population on which this team will focus is:
Unintentional injuries, what many call accidents, are the reason for many of the over 30,000 annual visits to the Pediatric Emergency Department here at UMass. The goal of our Injury Prevention Program is to keep our community healthy by reducing injury and death from predictable and preventable events.
c. The primary sites and locations at which the team will spend their time are:
Older (Ages 14-17) Pediatric and Family Injury Prevention
Teen R.I.D.E. (Reality Intensive Drivers Education) is a collaborative effort with the Worcester Juvenile Court for teens who have been arrested for illegal and dangerous driving. Teen R.I.D.E. is a day long program held at our University Campus where teens interact with medical professionals to learn about the impact of injuries resulting from motor vehicle crashes. Teens attend lectures on the seriousness of injuries, see a re-enactment of what happens when an ambulance arrives at the trauma center and meet with a trauma victim survivor. Teen R.I.D.E. has expanded to Drivers’ Education classes at South High School and a program with 9th graders called Safe RIDE/Safe DRIVE. Another teen driving initiative new this year is Teen D.R.I.V.E. (Distracted Reality an Interactive Virtual Education) which consists of a vehicle containing two driving simulators. Students have the opportunity to participate a program, One Simple Decision, which simulates the perils of distracted driving, for example the use of cell phones, playing around with the radio and driving under the influence. Teen D.R.I.V.E. also promotes peer to peer learning by getting the students who have gone through our Teen R.I.D.E. program to help lead and promote Teen D.R.I.V.E. among their fellow students.
Younger (Ages 0-13) Pediatric and Family Injury Prevention
Mobile Safety Street
Mobile Safety Street is an interactive, safety curriculum that travels throughout Central Massachusetts and teaches children and families about safety. It resembles real life situations both inside the home and on the streets. The program covers many topics including pedestrian safety, bike helmets, stranger safety, school bus safety, and burns and poisoning.
Other possible programs include Child Passenger Safety, Goods for Guns and Guns for Art, ski and bicycle helmet distribution, the community immunity program and work with young teenage parents.
d. Primary Student Activities:
Students will use clinical and community experience to determine gaps in existing programs (Mobile Safety Street and Teen RIDE) and create and implement an appropriate intervention. Activities will include clinical shadowing of both the Pediatric and Adult Trauma Surgeons, Mobile Safety Street events and Teen RIDE/DRIVE events, with additional activities in child passenger safety, helmet distribution, disaster preparedness, gang taskforce, and Goods for Guns/Guns for Art.
We will offer the students a choice of either track; the Younger Pediatric Group or the Older Pediatric Group. The group they choose will reflect which final project they create but does not prevent them from attending activities of either group.
Younger pediatric and family injury prevention
Mobile Safety Street
Students will study the prevalence of injuries in the 0-13 y.o. population
Students will shadow clinical trauma cases
Students will use existing injury reports and experiences to determine gaps in current IP educational programs
Students will shadow clinical social workers and interact with families to develop an intervention for the selected population
Ex. Students will design a learning station and lesson plan to be implemented at Mobile Safety Street
Older pediatric and family injury prevention
Teen Driving
Students will study the prevalence of injuries in the 14-17 y.o. population
Students will shadow clinical trauma cases
Students will use existing injury reports and experiences to determine gaps in current IP educational programs
Students will shadow clinical social workers and interact with families to develop an intervention for the selected population
Ex. Students will design a video/PSA to accompany the various teen driving presentations
e. Any specific logistical provisions:
Students will need transportation to attend various community events and many events take place outside of regular business days/hours (i.e. Saturdays and early mornings/evenings). Students will be expected to have a flexible approach to scheduling and time off. Our preference for group size is 6 students with a maximum of 8
3. Resources:
a. Web resources relevant for this population and/or health issue
www.injuryfree.org
http://injuryprevention.bmj.com/
http://www.injuryprevention.org/
b. Links to relevant agency reports
UMass Memorial Trauma Registry Data
Journal of Trauma – Injury Free Coalition for Kids Annual Supplement