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: Roger Zoorob, MD, MPH, FAAFP
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: Roger Zoorob, MD, MPH, FAAFP
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
: Roger Zoorob, MD, MPH, FAAFP
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.


 

Appropriate Childhood Obesity Prevention Program for Hispanic Families
Researcher: Roger Zoorob, MD, MPH, FAAFP
Funding Source: National Institutes of Health (NIH)
Project Summary: The major goal of this project is to conduct a randomized controlled trial to assess the efficacy of a culturally appropriate childhood obesity intervention in Hispanic families.



Statistical analysis services for the mCare cell phone research project

Researcher: Vincent A. Agboto, Ph.D.
Funding Source: Department of Defense (DOD)
Project Summary: The goal of this project is to conduct statistical analysis services for the mCare Cell Phone research project that provides designated Army Medical Department (AMEDD) Regional Medical Commands (RMC) and Community Based Warrior in Transition Units (CBWTU) with secure messaging services directly to the personal cell phones of Warriors-in-Transition. It allows authorized Army Medical Department personnel to provide appointment reminders, health and wellness tips, unit announcements and questionnaires directly to the soldiers. Key outcomes such as the General Well Being Schedule (GWS), Neurobehavioral Symptom Inventory (NSI), Case Management Quality Questionnaire (CMQQ) were assessed between standard care group and the experimental group (mCare) at different time periods. An important item such as the System Usability Scale was assessed among the participants of the mCare group.


 
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
Researcher
: 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.


Ready, Safe, Drive!
Researcher
: Irwin Goldzweig, MSc
Funding Source: Ford Motor Company
Project Summary: This project will teach high school and college aged young women about motor vehicle safety as well as car care essentials, empowering them to maintain their own vehicles for safety. The program will be conducted at Ford Dealerships in a variety of cities, e.g., Nashville, San Diego, and Puerto Rico. Each program will have approximately 50-60 young women from local schools, safety presentation by Meharry team members, car care training by Ford technicians, and additional safety information from local law enforcement officers.


 

Walk and Bike Safely
Researcher
: Irwin Goldzweig, MSc
Funding Source: National Highway Traffic and Safety Association (NHTSA) and Preusser Research Group (PRG)
Project Summary: This project will test a 6 week curriculum on pedestrian and bicycle safety with approximately 1,000 non-English speaking Latino participants/students who are recent immigrants to the United States. The education program will be conducted in at least 8 cities at community-based organizations such as churches and other local organizations with high populations of non-English speaking immigrants.