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The Community Partnerships Program, sponsored by the W. K. Kellogg Foundation, served as a catalyst for significant changes within East Tennessee State University (specifically its schools of medicine, nursing, and public and allied health) and the rural communities involved. The authors describe the development and implementation of the program and its effects on the students, faculty, communities, and the three participating schools over the period 1992-1999. They also review the changes the program fostered in health professions education and the resulting institutional changes at their university. The primary motivation for change at East Tennessee State University was the desire to develop primary care providers who could more effectively function in an interdisciplinary and interprofessional health care system and who would be sensitive to community needs in rural and underserved areas. The planning process, curricular transformation, implementation of inquiry-based learning, community collaboration, and interdisciplinary education involving students from the three health professions schools are described, including challenges and difficulties (e.g., student attrition; retention of volunteer community-based clinical preceptors; initial faculty resistance; a climate of competition rather than cooperation). Outcomes are described, including students' enrollment and attrition in the program over time, performances on the U.S. Medical Licensing Examination, program graduates' career choices, and the types and locations of their practices. The program's students performed as well on professional licensing examinations as did their peers enrolled in traditional programs. Program graduates have been much more likely to select primary care careers and to practice in rural locations than have their non-program peers. The development strategies and experience gained could give useful insights to other universities contemplating a community-based component for health professionals within their existing curricula.

Book summary: The book has a total of 34 chapters, focusing on more than 30 common clinical symptoms, such as fever, cough, dyspnea, nausea, vomiting, abdominal distension, pain, etc., and is divided into two parts: "Medical Key Points" and "Nursing Key Points". There are small windows for "emergency treatment of symptoms" and "Chinese medicine diet therapy". The former explains the key points of care, and the latter introduces the Chinese medicine conditioning of each symptom. The chapter "Acupoint Massage" provides a comprehensive explanation of the acupoint therapy for clinical symptoms throughout the book. The content is easy to understand, suitable for nursing students and clinical nurses to learn and use.

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Background:The ETSU HealthBridge is a community of interprofessional faculty and students who affirm the inherent worth of unhoused people experiencing homelessness by meeting them where they are, and by providing care with compassion, trust, and excellence whose vision is to bridge barriers so that health care reaches everyone in our community, especially those who are unsheltered. This group was intentionally formed as an interprofessional collective recognizing the twin needs for a team-based approach to caring for this population and for strong community partnerships, leveraging their longstanding, preexisting relationships with persons experiencing homelessness. An internal study of ETSU health professions students showed that 96% agreed or strongly agreed that homeless people have a right to basic healthcare and 97% agreed or strongly agreed that health professionals have a duty to care for the homeless. We describe an outreach of this IP community to provide Covid-19 immunizations to people experiencing homelessness. Process:A two-pronged approach was designed to accomplish the goal of providing Covid-19 immunizations to this population: 1) develop and require appropriate training for students and faculty in the unique skills required to care for people experiencing homelessness AND 2) develop and deepen relationships with community partners in our area who had preexisting relationships with this population. To accomplish the first task, an online curriculum with seven modules was created and required of all student and faculty prior to any outreach engagement. To accomplish the second task, a working group with partners in the clinical, service, behavioral, and faith communities was crafted. This working group provided insight into needs and obstacles to care for this population. A grant through the Tennessee Department of Health provided Covid-19 vaccine available to ETSU HealthBridge. Conclusions:Vaccinations were provided to people experiencing homelessness in partnership with a local church during a breakfast outreach.

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