• Community-Oriented Primary Care

  • Topic outline

  • Course Home Page

    Mass-Community_Health_Teaching.JPG

    EnrollCommunity-Oriented Primary Care (COPC) provides a model for integrating health care services into communities, and targets health-related concerns with active community participation.

    This course teaches about COPC principles and the process of involving local communities in primary care initiatives (through online didactics), and includes activities that guide learners through implementing such initiatives with locally and globally-available peers and mentors. The course is geared towards primary care providers in training and practice, and we assume that all students have a basic understanding of primary care prior to enrolling in this course. All components of this training (like all NextGenU trainings) are free, including registration, learning, testing, and a certificate of completion

    In order to receive a certificate of completion, you will need to identify a local community of your choice (such as where you live or work) and establish a relationship with one of its community mentors. This relationship should be maintained throughout the entire course. With this mentor, you will create a proposal for a community-based intervention; when you have completed this COPC introductory course, you may choose to enrol in a free NextGenU follow-up program with your mentor so that together you may enact the project proposal. The community mentor should be someone who works in health services and knows your community of choice, but s/he does not necessarily have to have prior experience with COPC. A COPC guide and this course will be provided to the mentor. In the Sidebar on the right-hand side, you will find a link to a helpful resource for the community mentor called the 'Community Mentor Guide'.

    There are 6 modules to complete through online study and peer activities. These modules provide: (1) a basic introduction to COPC principles and practice, (2) a set of strategies to define and characterize the community, (3) a rationale for prioritization and for assessing the community in detail, (4) a plan for a COPC intervention and evaluation, (5) an exploration of the skills involved with community organizing, and (6) an understanding of COPC in the contemporary, globalized world.

    There are practice quizzes in each module, and at the end of the course you will have a final exam and be asked to provide your assessment of this training. We will provide you with all the results of your assessments, such as your passage at 60% of the required final exam and at 100% of the required peer and mentored activities. We can report your testing information and share your work with anyone (your school, employer, etc.) at your request. We hope that you will find this a rewarding learning experience, and we count on your assessment and feedback to help us improve this training for future students.

    Select the “Next” button to begin Module 1: Introduction to COPC Principles and Practice

    This course is co-sponsored by: the American Association of Public Health Physicians, the American College of Preventive MedicineGlobal Health through Education, Training and Service (GHETS), and the University of Gezira. The course uses competencies adapted from the University of Nebraska and the George Washington University COPC MPH concentrations. The course uses resources from accredited, world-class organizations such as the American Journal of Public Health, the DC Area Health Education Center, the University of Kansas Community Tool Box, and the World Health Organization. The course was inspired from the vision of David Egilman, MD, MPH and the course developers are: Tess Bird, MSc; and Nicolas Druar. Our Advisory Group is: Pyser Edelsack, MSW; David Egilman, MD, MPH; Jack Geiger, MD, MSciHyg; Jaime Gofin, MD, MPH; Ravinder Mehta, MD; and Jane Frances Namatovu, BDS, MMED, FAMMED/COMM PRACT.

  • Module 1: Introduction to COPC Principles and Practice

    The_Stethoscope%2C_Peru.jpg

    Module 1 will act as a foundation for the rest of the course, providing you with an introduction to the principles and philosophy of COPC. You will first learn about the history and the experience of COPC through resources written by leading experts in the field. You will then learn to identify and discuss the meaning as well as the scope of the five COPC principles. In addition, you will be able to recognize the six steps in the COPC process*. The five principles form the underlying practice of COPC and should be engaged with in every step of the process. Although subsequent modules will take you through the six steps in the COPC process, it is through their associated peer and mentored activities that you are encouraged to consider the implementation of these principles in your practice.

    This module requires that you identify a local community of your choice and establish a relationship with one of its members, who will become your community mentor.  This relationship should be maintained throughout the entire course. The community mentor should be someone who works in the field of health services within the community you have chosen, but s/he does not necessarily have to have prior experience with COPC.

    Please note that the five principles and six steps in the COPC process may vary slightly between resources. For the purpose of this training, the principles and steps in the COPC process are as follows:

    THE FIVE PRINCIPLES OF COPC 

    1. Responsibility for a defined population
    2. Care based on identified health needs at the population level
    3. Prioritization of health needs
    4. Implementation of an intervention program covering all stages of the health/illness continuum and impacting on the prioritized conditions
    5. Community involvement

    * From The Social Medicine Portal). A full description of the principles of COPC from Dr. Jaime Gofin and Dr. Rosa Gofin can be found in the book, The Essentials of Global Community Health.

    THE SIX STEPS OF COPC 

    1. Community definition
    2. Community characterization
    3. Prioritization
    4. Detailed assessment of the selected health problem
    5. Intervention
    6. Evaluation

    * From AHEC Curriculum, Program Office of the District of Columbia Area Health Education Center. 

    Competency covered in this module:

    • Describe, analyze, and integrate the conceptual framework, methodology, and principles of COPC
    Click next to continue
  • Lesson 1

    clinic

    Learning Objectives:

    Upon completion of this module, students should be able to:

    • Understand the history and practice of COPC
    • Discuss the meaning and scope of the Five Principles of COPC
    • Analyze the methodology of the Six Steps of COPC
    • Understand the definition and meaning of community and the value of community participation within the COPC process
    Click next to continue
  • Module 2: Defining and Characterizing the Community: Identifying Needs and Resources

    NIRMAN_Discussion.JPG

    Module 2 will provide an overview, of how to define and characterize communities as well as of how to assess health needs, through online readings and community involvement. You will also develop an understanding of what constitutes a community with regard to a health intervention. You will then learn about community diagnosis, the utility of geographic information systems, and the essential role of epidemiology in COPC. You will likewise develop an understanding of what types of health problems a community might face, including the social, political, and environmental determinants of health. Finally, you will engage with your community mentor and other members of the community to define and characterize your community. By the end of this module, you should feel comfortable identifying community concerns and needs based on community input and mapping the available resources for addressing those concerns.

    Competencies covered in this module:

    • Define a community for the purpose of clinical care at the community level
    • Plan an assessment of health needs in a community, using available data for the collection and analysis of health information
    Click next to continue
  • Lesson 1

    planning_meeting_with_cards

    Learning Objectives:

    Upon completion of this module, students should be able to:

    • Learn how to define and characterize communities using various techniques and resources
    • Understand the use of epidemiology in the assessment of health conditions
    • Learn how to identify problems as well as how to locate assets and resources within a community
    • Consider why and how initiatives should address the social, environmental and other determinants of health
    Click next to continue
  • Module 3: Prioritization and Detailed Assessment: Preparing for your Intervention

    Polio-Vaccination-Conakry.jpg

    Module 3 will continue with the COPC process following your definition and characterization of your chosen community. You will begin to understand the importance of prioritizing health concerns in the COPC process. The COPC process is a cyclical progression involving repetition of each of its six steps. Each step tends to focus on a single priority health issue or several closely related ones. You will engage with your community mentor to prioritize health concerns and provide a detailed assessment of the selected health issue. By the end of this module, you should feel quite comfortable prioritizing a health concern in a community as well as using the necessary qualitative and quantitative information to design a community-based intervention.

    Competencies covered in this module:

    • Justify the need for the prioritization process in COPC, and define objective criteria to be used for the selection and determination of methods to discuss process and decision
    • Gather best-practices models for community-based interventions and the necessary quantitative and qualitative information for implementation in the focus community
    Click next to continue
  • Lesson 1

    best_practices

    Learning Objectives:

    Upon completion of this module, students should be able to:

    • Understand the prioritization process of health conditions in the development of COPC
    • Provide a detailed assessment of the selected health condition
    • Consider the COPC process in action (as in the Jerusalem example)
    • Gather information to design a promising intervention utilizing community input
    Click next to continue
  • Module 4: Implementing the COPC Approach

    American_physicians_hold_clinic_Patain_Myanmar_.JPG

    Module 4 prepares you to design and possibly implement a COPC project in the community that you have been working with. Implementation of the project is not required for completion of this course, but it is encouraged. In order to complete the course, you will only be asked to write a project proposal for an intervention in your community. Before you write your project proposal, you are encouraged to think critically about your role as a healthcare provider and identifying key community members as well as available resources. Consider all that you have learned in the course so far, and reference back to the readings and learning activities from prior modules. Some of these learning activities will be used in your proposal. You will also learn methods for evaluating and reassessing your initiative. Finally, you will write a project proposal with the help of your community mentor and NextGenU peers.

    Competency covered in this module:

    • Demonstrate the ability to plan and develop all the stages of a systematic COPC intervention considering evidence based interventions
    Click next to continue
  • Lesson 1

    FEMA_public_information_officer_at_a_meeting_with_the_Asian_community_in_Texas.jpg

    Learning Objectives:

    Upon completion of this module, students should be able to:

    • Understand COPC intervention design and setup
    • Consider your role as a health care provider within the community
    • Identify key community members
    • Use available resources to develop a plan that follows the six steps of the COPC process
    • Consider methods for evaluating your initiative and the importance of reassessment
    • Required Learning Resources and Activities

    • Additional Learning Options

    Click next to continue
  • Module 5: Explore the Skills Involved in Community Organizing

    Women_singing_and_dancing_at_a_community_meeting_in_Kananga%2C_DRC_%288689374590%29.jpg

    In Module 5 you will learn about community organizing. Although “community organizing” as presented herein is not necessarily a part of the classical COPC model, this information is valuable for involving the community (and others) in the COPC process. In this module, you will (i) develop an understanding of community organizing, (ii) consider the values and motivations behind organizing, and (iii) learn about community organizing strategies. This module does not include a peer/mentored activity; instead it proposes questions for discussion in the optional online forum.

    Competency covered in this module:

    • Apply appropriate methods to promote community participation in the development of COPC.
    Click next to continue
  • Lesson 1

    handshake

    Learning Objectives:

    Upon completion of this module, students should be able to:

    • Understand the basics of community organizing
    • Consider the values and motivations for organizing
    • Understand the methods of community organizing
    Click next to continue
  • Module 6: Considering COPC in Global Health

    Globe.svg

    In Module 6, you will learn about the benefits of COPC in the contemporary, globalized world and the integration of COPC into a larger health system. You will also learn about the various forces that affect global health and may influence COPC practice. In addition, you will develop methods to communicate the principles and stages of COPC to lay populations, other students, and health professionals through the analysis of case-studies and the preparation of a presentation summarizing what you have learned in the course.

    Competencies covered in this module:

    • Evaluate and analyze the challenges on COPC programs
    • Assess the conceptual and practical factors to take into account the applicability of COPC
    • Recognize the socio-economic, cultural, environmental, political and health policy elements that could challenge the application of COPC and develop alternative community-oriented application solutions
    • Communicate the principles and features of the practice of COPC to lay populations, to health professionals, and to other related audiences
    Click next to continue
  • Lesson 1

    Makindu_clinic

    Learning Objectives:

    Upon completion of this module, students should be able to:

    • Consider contemporary COPC in a globalized world
    • Understand the importance of integrating community-oriented interventions into larger health systems
    • Recognize the social, economic, cultural, environmental, political, and health policy elements that may influence COPC practice
    • Develop an understanding of case-studies and reviews of community-oriented health services
    Click next to continue
  • Final Exam

    Click next to continue
  • Course Evaluation

    Your feedback will help us make NextGenU better.

    Click next to continue

  • x
    img