Family and Community Medicine

The following programs/research are currently under way in the Department of Family and Community in the School of Medicine at Meharry Medical College.

Residency Training in Primary Care
Researcher: Millard D. Collins, M.D.
Funding Source: Health Resources and Services Administration (HRSA)
Project Summary: The program will improve and transform two residency programs --Public Health/General Preventive Medicine (PH/GPM) and Occupational Medicine (OM) at Meharry Medical College. Both programs are Accreditation Council for Graduate Medical Education (ACGME) -accredited, and the OM program is the only such residency at a Historically Black College or University in the United States. The program has 16 specific objectives, the sum of which will assure that over a five-year period, 26 residents acquire all ACGME required competencies. The goal of improvement will be accomplished, in part, by providing broader opportunities for residents to work in community health centers, community hospitals, and state and local health departments with emphasis on integrating primary care and preventive medicine. The goal of transformation will address the need for preventive medicine physicians to become better advocates for their role as professionals. Prevention Leadership Advocacy Rotations will result in improved understanding of how the totality of medical evidence is currently managed by legislators and public health physicians, how unintended adverse effects of legislative decisions are currently communicated to populations at risk, and what implications this holds for both preventive medicine practice and residents' choices regarding their own career paths. Residents will also attend intensive training in Bioethics at the National Center for Bioethics at Tuskegee University in Tuskegee, Alabama.

Pre-doctoral training in Primary Care
Researcher: Millard D. Collins, M.D.
Funding Source: Health Resources and Services Administration (HRSA)
Project Summary: This program will enhance the student training experience in primary care by creating a student health disparity scholar track, adding adolescent medicine curriculum, and introducing evidence based medical education.

Southeast Fetal Alcohol Spectrum Disorders Regional Training Center Researcher: Heather O'Hara, M.D.
Funding Source: Centers for Disease Control and Prevention (CDC)
Project Summary: The major goal of this project is to establish and operate a center for the recognition, training and prevention of fetal alcohol syndrome, and research on this subject.

Mammographic breast density in a cohort of medically underserved women.
Researcher: Maureen Sanderson, MPH, RD, PhD
Funding Source: Department of Defense (DOD)
Project Summary: This study will strengthen the collaborative relationship between Meharry Medical College and Vanderbilt University through the joint conduct of a clinic-based case-control study of mammographic breast density.

Nashville Children Eating Well (CHEW) for Health
Researcher: Robert Levine, MD
Funding Source: United States Department of Agriculture (USDA)
Project Summary: The goal of this program is to generate new knowledge of the behavioral factors that influence childhood obesity and use this information to develop and implement effective family-based, culturally appropriate interventions for preventing overweight and obesity in preschool age children (ages 2-5).

The Role of Federal Legislation on Breast Cancer Disparities
Researcher: Robert Levine, MD
Funding Source:
National Institutes of Health (NIH)
Project Summary: The goal of this research project is to test the hypothesis that the Medicare law (which defines medical assistance/health insurance) as a cash benefit regardless of the extent to which cash is a barrier to service acquisition) and administrative policies of the food and Drug Administration (basing drug marketing decisions on biological safety/efficacy without considering possible adverse social effects, contribute to disparities in black/white mortality, helping to ensure that the benefits of life-saving innovations are more likely to accrue to persons of higher socioeconomic status. This is not deny the beneficial effects of these programs, but rather to suggest that any health-related intervention may have unintended, adverse effects.  The present study focuses on breast cancer in order to address the overarching hypotheses as they pertain to Medicare law. We will purchase Medicare claims data from the Center for Medicare and Medicaid Services (CMS) and SEER-Medicare data. We shall also use data from the Area Resource File and the National Cancer Institute's Cancer Information System (CIS) to locate medical resources and programs that support utilization of screening mammography.

The Tennessee Child Passenger Safety Center at Meharry
: Irwin Goldzweig, MSc
Funding Source: Tennessee Department of Transportation Governor's Highway Safety Office and the Tennessee Department of Health
Project Summary: This project started in 2006 as the Middle Tennessee Child Passenger Safety Center - to reduce the impact of automobile crashes on children. In October 2012, the Middle TN Child Passenger Safety Center at Meharry became the Tennessee Child Passenger Safety Center at Meharry. The Center is now responsible for child passenger safety for the entire state of Tennessee. We offer a 4-day nationally approved curriculum for certification as a child passenger safety technician. We provide child safety seats and installation for low-income families through our network of over 125 fitting stations, across the state. In addition, we provide education for families, expectant mothers, and training for technicians wishing to become child passenger safety Instructors. We also have education and recertification classes for technicians wishing to keep their certification current.