1. Expands or adapts skills and methods to meet community health and health care needs	Didactics and Modules
	Online modules on community assessment: The EveryONE Project: Assessment and Action Certificates and Continuing Education: Basic Certificate in Quality & Safety The Family Medicine Population Health Milestone-Based Curriculum Population Health Assessment Engine (PHATE) Curriculum ECHO/CME on various topics (procedures, family centered maternity care, MAT, Hep C, Behavioral Health, Hospital Med, Peds, etc.) Presenting Your Case: Making Use of Telehealth in Rural Practice – a teaching kit on using telehealth and ECHO via RuralPREP Ethics and scope of practice: Rural Primary Care: Working Outside the Comfort Zone
	Workshops
	Procedural workshops Enhanced skills training – RuralPREP teaching toolkits Surgical Skills Training Rural Newborn Care Mental Health in Rural Communities Local Access to Labor and Obstetrical Delivery and Prenatal Care Addressing Maternity Deserts: A Role for Operative Obstetrics in Family Medicine
	Community Projects and Clinic/Health Systems Projects
	Completion of a community and population needs and capabilities assessment (this could be reading an already available CHNA rather than completing their own) The Community Tool Box: Assessing Community Needs and Resources Analyze referral patterns and access needs Practice and panel review
	Reflection and Coaching
	Individual education plan for the resident to address and include skills needed for future practice ITE review - ABFM MOC/KSA reflection and coaching Procedure documentation review/portfolio review Reflection and Coaching: Individual education plan for the resident. Reflection in Medicine The Reflective Practitioner: Guidance for Doctors and Medical Students Biosketch, 1:1 meetings with advisor and mentor Coaching during precepting or rounding to reflect on personal skills and community needs. Academic Coaching for Learners in Medical Education: Twelve Tips for the Learning Specialist
2. Partners with the community to address challenges and barriers to health	Didactics (synchronous/asynchronous)
	Active learning modules regarding community organizing in rural or tribal settings. IAF/MACG leadership trainings Rural Health Information Hub: Community Organization Model Podcast – Public Health Training for Equitable Systems Change Population Health Assessment Engine (PHATE) Curriculum Principles of community engagement Virginia Commonwealth University: Center on Society and Health – Completed Projects The Physician Advocate: Advancing Policies That Support Health Equity AHA Community Health Improvement: Community Health Assessment Toolkit Principles of Community Engagement Didactics on community based participatory research/community engaged scholarship Agency for Healthcare Research and Quality (AHRQ): Tools and Resources for Research and Evaluation AHRQ Activities Using Community-Based Participatory Research to Address Health Care Disparities Community-Based Participatory Research (CBPR) Didactics/modules: social determinants, implicit bias, power/privilege, health literacy, historical trauma Social Determinants of Health 101 for Health Care Rural Health Information Hub: Social Determinants of Health in Rural Communities Toolkit
	Workshops
	Health Equity Rural Workshop Health Equity Summit Curriculum Toolkit: Why Rural Matters Team based care workshops Workshops and Role-playing communications skills and crucial conversations Relational leadership workshops Health Equity Rounds: An Interdisciplinary Case Conference to Address Implicit Bias and Structural Racism for Faculty and Trainees Workshops/small groups: Implicit bias, power/privilege, health literacy, historical trauma The EveryONE Project: Advancing Health Equity through Family Medicine toolkit Structural Competence Workshops Structural Competency: Curriculum for Medical Students, Residents, and Interprofessional Teams on the Structural Factors That Produce Health Disparities Structural Competency: Curriculum for Medical Students, Residents, and Interprofessional Teams on the Structural Factors That Produce Health Disparities
	Community Health Projects and Clinic/Health Systems Projects
	Community projects and clinic/health system projects: The EveryONE Project: Advancing Health Equity through Family Medicine toolkit Community based projects with documented community engagement strategy The Community Pediatrics Training Initiative Project Planning Tool: A Practical Approach to Community Based Advocacy Participating in/Reflecting on community structures (school board, town council, etc.) that influence health Making a community relational mapping/org chart Community Windshield Tour/Asset Mapping Health policy debates/debriefs Clinic access analysis (from multiple lenses - language, gender, ability, parents, breastfeeding moms, etc.) Community organizing listening assemblies/meetings, research actions, 1:1’s with community members
	Reflection and Coaching
	Reflection/journaling on community participation activities Community coach
3. Collaborates across the health care system to improve health for all	Didactics
	Online modules on community assessment Professional ethics and responsibilities Understanding budgets and informatics Simulated Health System Science Curriculum Integrating Public Health and Primary Care
	Workshops
	Role playing negotiation skills Crucial Conversations and Conflict Resolution Interprofessional Simulation Relational Leadership Skills Equity Lens Application of the Equity and Empowerment Lens What Is The Equity and Empowerment Lens? Meeting Management Leading through Change Conflict Management QI Presentation skills
	Community Projects and Clinic/Health Systems Projects
	Interprofessional/System wide QI projects Community project with local public health authorities: The Practical Playbook Develop a list of all community health system resources and the relationships between them (Org Chart) Membership on committees Participation in ORPRN projects to further research in rural communities
	Reflection and Coaching
	Reflection on balance between community needs, professional responsibilities and personal needs. Reflection on importance of being at the table Request feedback from three different members of teams that you are on and reflect on this with a coach
4. Mentor and invest in future rural/tribal/underserved health care professionals	Didactics
	Didactics on instructional techniques (see below) Meaning in medicine Reflective practice
	Workshops
	Clinical teaching strategies (Chalktalks, Teaching on rounds, etc.) One Minute Preceptor SNAPPS Resource Library: Clinical Teaching Optimizing the learning environment Stereotype threat, Imposter Syndrome, and Growth Mindset Giving feedback Didactics on mentorship in the health professions: a review (Burgess, 2018) RuralPREP: Why Do I Teach in Rural Practice? A Day in the Life of a Rural Preceptor Life- long learning strategies Career anchors Coaching Want to get great at something? Get a coach via Atul Gawande The Coach in the Operating Room: Personal Best Antidotes to burnout Beloved Communities Storytelling/narrative medicine Healer’s Art
	Community Projects and Clinic/Health Systems Projects
	Engagement with learners at other levels or professions i.e. high school, college, elementary Participation in rural provider networks
	Reflection and Coaching
	Development of a personal learning plan Reflection on what meaning underserved practice has for the resident Hidden Curricula, Ethics, and Professionalism: Optimizing Clinical Learning Environments in Becoming and Being a Physician: A Position Paper of the American College of Physicians Creating their own mentoring network Establishing Effective Mentoring Networks: Rationale and Strategies
5. Balances personal and community needs in a defined community context that demands accountability and transparency.	Didactics
	Active learning modules regarding professionalism in medicine Ethics curriculum Justice, Courage, and Truthfulness: Virtues That Medical Trainees Can and Must Learn Why work-life balance isn’t the right frame: “The fallacy of chasing after work-life balance”
	Workshops
	Small group discussion of dilemmas that emerge in practice (clinical jazz) RuralPREP Toolkit: Live where you work Leading Near peer facilitated professionalism workshops for junior residents/med students Medical Professionalism: A Series of Near-Peer Facilitated Workshops for First-Year Medical Students Professional Competencies Toolkit: Using Flash Cards to Teach Reflective Practice to Medical Students in Clinical Clerkship Time management, prioritization, and boundary setting
	Community Projects and Clinic/Health Systems Projects
	Interviews with community preceptors on finding balance and meaning and what accountability/transparency means to them
	Reflection and Coaching
	Reflection on Justice, Courage, and Truthfulness: Virtues That Medical Trainees Can and Must Learn Twelve tips for teaching reflection at all levels of medical education Book club Database of Popular literature on Medical Ethics Medical Ethics and Living a Life
6. Negotiates dual relationships with integrity and role fidelity	Didactics
	Ethics and Professionalism of Role fidelity for physicians in defined communities: A proposed rural healthcare agenda An Office on Main Street: Health Care Dilemmas in Small Communities Setting the Agenda for Urban Bioethics Recognizing and Resolving Ethical Dilemmas in Rural Medicine
	Workshops
	Small group discussion of the cases in: The Overlapping Roles of the Rural Doctor Patient Privacy and Mental Health Care in the Rural Setting RuralPREP toolkit: Good Fences Role play scenarios utilizing difficult/crucial conversation skills
	Community Projects and Clinic/Health Systems Projects
	Engage community members to understand their expectations when physician participate as members of the community. Engage local health system ethics committee in dialogue or event on ethical dilemmas of small communities
	Reflection and Coaching
	Reflection on professionalism in non-clinical settings. Reflective writing on expected dual roles and how a professional would act in those situations. Book club/journal club on above articles
7. Demonstrates the ability to face adversity and use difficult situations to grow personally and professionally and sustain wellness in concert with the community	Didactics
	Wellness team developed modules – Moffit slides on importance of stories Improving Emotional Intelligence (EQ) Strengths Finders/5 Dynamics Imposter Syndrome/Growth Mindset Stereotype threat Beloved Communities: The King Philosophy
	Workshops
	Serial iterative scenario role-play assessment and peer feedback Debriefing workshops following critical incidents: Empowering Residents to Process Distressing Events: A Debriefing Workshop Resilience training: Everyday Resilience: Equipping Faculty with Practical Exercises to Promote Resilience Among Medical Students Role-playing with an emphasis on creative problem solving. Improvisation practices/ theater as a tool: Active Learning on Center Stage: Theater as a Tool for Medical Education Relational 1:1’s meetings Peer Mentoring Establishing Effective Mentoring Networks: Rationale and Strategies
	Community Projects and Clinic/Health Systems Projects
	Engage community to identify facilitators and impediments to resilience in previous crises or challenges. Involvement in rural medicine networks to increase resiliency
	Reflection and Coaching
	Reflective writing Coaching in authentic settings Mentor/coach meetings: Optimizing Your Mentoring Relationship: A Toolkit for Mentors and Mentees
8. Recognizes knowledge, power, and wisdom from people in the community.	Didactics
	Concepts on colonizing and decolonizing Rupa Marya – Health and Justice: The Path of Liberation through Medicine Racial Equality Tools: Decolonizing Theory and Practice What is decolonization? What is Indigenization? History of colonization/oppression of Indigenous people Social and Structural Determinants of Urban American Indian and Alaska Native Health: A Case Study in Los Angeles The Development of an Indigenous Health Curriculum for Medical Students Intergenerational trauma General curriculum resources and readings: Decolonising and Diversifying the (Medical) Curriculum Decolonising ideas of healing in medical education
	Trauma Informed Care
	Trauma informed care Community engagement and organizing: The Community Tool Box Implicit bias: Racism, Sexism, and Unconscious Bias Power/privilege/intersectionality and identity: Intersectionality—The Interconnectedness of Class, Gender, Race and other Types of Vulnerability
	Community Projects and Clinic/Health Systems Projects
	Relational meetings with community members Community feedback/advisory panel/etc. (for programmatic EPAs) Service learning
	Reflection and Coaching
	Empathy experiences – AA/NA meetings, police ride-alongs, shelter sign ups, transportation activity Book/media club – Braiding Sweet Grass Patient as teacher, Community as teacher Dialogues: How do different ways of knowing, being, doing show up here?
9. Incorporates ways of inhabiting a place into identity and health of self, patients, and communities.	Didactics
	The pedagogy of place-based medical education using The Emergence of Place in Medical Education Health equity toolkit: Why Rural Matters End of life care – how to respect patient values around place in end-of-life care planning, how to attend to structurally vulnerable populations at the end of life Hospitals, clinics, and palliative care units: Place-based experiences of formal healthcare settings by people experiencing structural vulnerability at the end-of-life Forging a New Frontier: Providing Palliative Care to People with Cancer in Rural and Remote Areas Examples of place-based health initiatives: Moving to Action on Place-Based Health Addressing Health Disparities Is a Place-Based Issue
	Workshops
	NCES curriculum resource: Social and Structural Determinants of Urban American Indian and Alaska Native Health: A Case Study in Los Angeles Place-based Med Ed article reading/discussion and workshop PGY level place-based goals for their residency Place contextualized case based small group sessions (source: place-based med ed)
	Community Projects and Clinic/Health Systems Projects
	Relational meetings with community members Community feedback/advisory panel/etc. Incorporating place-based history into social history: Modeling Clinical Context: Rediscovering the Social History and Evaluating Language from the Clinic to the Wards Discharge planning with importance of place in mind Outdoor/community/cultural immersion retreats: Identify/visit a significant place in the community and reflect on who has been in that place over time. Invite speakers from the community to discuss places in the community and what it means to them Listen to stories of people who lived somewhere a really long time; what are the strengths of this approach to a place, what are the alternatives, what
	Reflection and Coaching
	Book club and reflective writing using Braiding Sweet Grass by Robin Wall Kimmerer Discussion prompt: How has place influenced your sense of professional and personal identity? Photo essay of important places to the resident, to a patient, to the clinic, to the community Reflect on what it means to be in respect to a significant place and to the people inhabiting it since time immemorial. Twelve Tips for Teaching Reflection at All Levels of Medical Education
10. Engages with community in anti-racist ways	Didactics
	Health equity modules: Structural Competency, Structural Racism, Intergenerational Trauma, Community-Specific and Health System History, Food Insecurity, Housing, Education, Transportation, Corrections, Built Environment, Poverty Great resources: AAFP Health Equity Curricular toolkit Childhood Food Insecurity Course: Health Impacts, Screening & Intervention Intersection between Health and Education Racism as a unique social determinant of Mental Health
	Workshops
	Identity/Intersectionality /Power/Privilege (activities privilege pie, cross the line, etc.) Critical Consciousness as a Framework for Health Equity–Focused Peer Learning Tools for Discussing Identity and Privilege Among Medical Students, Trainees, and Faculty Implicit Bias workshop (resource AAFP/OAFP curriculum) Words Matter: An Antibias Workshop for Health Care Professionals to Reduce Stigmatizing Language Implicit bias M/M Health Equity Rounds: An Interdisciplinary Case Conference to Address Implicit Bias and Structural Racism for Faculty and Trainees Cases Conference Looking inward: building a beloved community Framework for addressing microaggressions Speak Up: Responding to Everyday Bigotry “I Didn't Know What to Say”: Responding to Racism, Discrimination, and Microaggressions with the OWTFD Approach Addressing Microaggressions in Academic Health: A Workshop for Inclusive Excellence Structural Competency: Curriculum for Medical Students, Residents, and Interprofessional Teams on the Structural Factors That Produce Health Disparities Samuel Merritt University Modules Structural Competency: Part 1 Structural Competency: Part 2 Structural Competency: Part 3 Sakai OHSU
	Community Projects and Clinic/Health Systems Projects
	The Community Tool Box: Windshield and Relationship Building o Food, education, transportation, housing, corrections, etc. Examining residency program policies, rotations, educational goals/objectives using equity lens: What Is The Equity and Empowerment Lens? Systematic project to include topics intergenerational trauma, racism, and other forms of oppression in history taking and electronic health record Incorporating Structural Vulnerability Checklist Presenting/attending the National Center for Education to Address the Social Determinants of Health (NCEAS) annual conference A Multielement Community Medicine Curriculum for the Family Medicine Clerkship
	Reflection and Coaching
	Empathy experience/writing Book/media club (how to be an antiracist, medical apartheid, etc.) Interdisciplinary meetings with community partner/behavioral Infusing into clinical rotations, committees, and the day to day… “How is racism showing up….” Reflection over the last 24 hours of inpatient or clinic week, working it into the sign-out or the wrap-up “Confessions of the oppressor” writing Racial caucusing