Advocating with Community: A Community-Engaged Advocacy Curriculum for Internal Medicine Residents.
community engagement
curriculum development
graduate medical education
health policy advocacy
Journal
Journal of general internal medicine
ISSN: 1525-1497
Titre abrégé: J Gen Intern Med
Pays: United States
ID NLM: 8605834
Informations de publication
Date de publication:
23 Sep 2024
23 Sep 2024
Historique:
received:
11
03
2024
accepted:
13
09
2024
medline:
24
9
2024
pubmed:
24
9
2024
entrez:
23
9
2024
Statut:
aheadofprint
Résumé
In 2022, the Accreditation Council for Graduate Medical Education updated its competencies for residents in all specialties to include health policy advocacy. A recent systematic review shows that while a growing number of residency curricula include policy advocacy, few programs join in policy advocacy efforts with community partners. To create a community-engaged advocacy curriculum for residents that is part of a mutually beneficial partnership with community-based organizations (CBOs). A university-affiliated residency program and CBOs within a large US city. Eighty internal medicine residents and local CBO clients and staff. The curriculum was delivered over 2 years and included advocacy skills sessions, service learning and reflection at the CBOs, and direct policy advocacy. Residents and CBO partners were surveyed to gather quantitative and qualitative data. Residents perceived that the program enhanced their confidence and skills in community engagement and policy advocacy. All CBO staff agreed that the partnership advanced the CBO's mission, residents' volunteering provided beneficial service, and residents had a meaningful impact on their advocacy efforts. Our community-engaged advocacy curriculum successfully met its aims and has contributed to policy change. Future directions include building a statewide coalition of residents and CBOs.
Sections du résumé
BACKGROUND
BACKGROUND
In 2022, the Accreditation Council for Graduate Medical Education updated its competencies for residents in all specialties to include health policy advocacy. A recent systematic review shows that while a growing number of residency curricula include policy advocacy, few programs join in policy advocacy efforts with community partners.
AIM
OBJECTIVE
To create a community-engaged advocacy curriculum for residents that is part of a mutually beneficial partnership with community-based organizations (CBOs).
SETTING
METHODS
A university-affiliated residency program and CBOs within a large US city.
PARTICIPANTS
METHODS
Eighty internal medicine residents and local CBO clients and staff.
PROGRAM DESCRIPTION
METHODS
The curriculum was delivered over 2 years and included advocacy skills sessions, service learning and reflection at the CBOs, and direct policy advocacy.
PROGRAM EVALUATION
RESULTS
Residents and CBO partners were surveyed to gather quantitative and qualitative data. Residents perceived that the program enhanced their confidence and skills in community engagement and policy advocacy. All CBO staff agreed that the partnership advanced the CBO's mission, residents' volunteering provided beneficial service, and residents had a meaningful impact on their advocacy efforts.
DISCUSSION
CONCLUSIONS
Our community-engaged advocacy curriculum successfully met its aims and has contributed to policy change. Future directions include building a statewide coalition of residents and CBOs.
Identifiants
pubmed: 39313667
doi: 10.1007/s11606-024-09049-2
pii: 10.1007/s11606-024-09049-2
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : Mount Zion Health Fund
ID : 20200963
Organisme : California Department of Health Care Access and Information
ID : GA19-SBPCR-EXT-1000225
Informations de copyright
© 2024. The Author(s), under exclusive licence to Society of General Internal Medicine.
Références
American Medical Association. AMA Declaration of Professional Responsibility, duty VIII. https://www.ama-assn.org/delivering-care/public-health/ama-declaration-professional-responsibility . Accessed November 1, 2023.
Frank JR, Snell L, Sherbino J, editors. CanMEDS 2015 Physician Competency Framework. Ottawa: Royal College of Physicians and Surgeons of Canada; 2015.
American Board of Internal Medicine. Medical Professionalism in the New Millennium: A Physician Charter. https://abimfoundation.org/wp-content/uploads/2015/12/Medical-Professionalism-in-the-New-Millenium-A-Physician-Charter.pdf . Accessed November 1, 2023.
Gruen RL, Campbell EG, Blumenthal D. Public roles of US physicians: community participation, political involvement, and collective advocacy. JAMA. 2006;296(20):2467-2475. https://doi.org/10.1001/jama.296.20.2467
doi: 10.1001/jama.296.20.2467
pubmed: 17119143
Accreditation Council for Graduate Medical Education. ACGME Common Program Requirements, section IV.B.1.f).(1).(c). https://www.acgme.org/globalassets/PFAssets/ProgramRequirements/CPRResidency_2022v2.pdf . Accessed November 1, 2023
Accreditation Council for Graduate Medical Education. Emergency Medicine Milestones, section SBP 3 and SBP 4. https://www.acgme.org/globalassets/pdfs/milestones/emergencymedicinemilestones.pdf . Accessed November 1, 2023.
Accreditation Council for Graduate Medical Education. Family Medicine Milestones, section SBP 3 and SBP 4. https://www.acgme.org/globalassets/pdfs/milestones/familymedicinemilestones.pdf . Accessed November 1, 2023.
Accreditation Council for Graduate Medical Education. General Surgery Milestones, section SBP 3. https://www.acgme.org/globalassets/pdfs/milestones/surgerymilestones.pdf . Accessed November 1, 2023.
Accreditation Council for Graduate Medical Education. Internal Medicine Milestones, section SBP 2 and SBP 3. https://www.acgme.org/globalassets/pdfs/milestones/internalmedicinemilestones.pdf . Accessed November 1, 2023.
Accreditation Council for Graduate Medical Education. Neurology Milestones, section SBP 3. https://www.acgme.org/globalassets/pdfs/milestones/neurologymilestones.pdf . Accessed November 1, 2023.
Accreditation Council for Graduate Medical Education. Orthopedic Surgery Milestones, section SBP 3. https://www.acgme.org/globalassets/pdfs/milestones/orthopaedicsurgerymilestones.pdf . Accessed November 1, 2023.
Accreditation Council for Graduate Medical Education. Pediatrics Milestones, section SBP 5. https://www.acgme.org/globalassets/pdfs/milestones/pediatricsmilestones.pdf . Accessed November 1, 2023.
McDonald M, Lavelle C, Wen M, Sherbino J, Hulme J. The State of Health Advocacy Training in Postgraduate Medical Education: a Scoping Review. Med Educ. 2019;53(12):1209-1220. https://doi.org/10.1111/medu.13929
doi: 10.1111/medu.13929
pubmed: 31430838
Agrawal N, Lucier J, Ogawa R, Arons A. Advocacy Curricula in Graduate Medical Education: an Updated Systematic Review from 2017 to 2022. J Gen Intern Med. 2023;38(12):2792-2807. https://doi.org/10.1007/s11606-023-08244-x
doi: 10.1007/s11606-023-08244-x
pubmed: 37340255
pmcid: 10507002
Hubinette M, Dobson S, Scott I, Sherbino J. Health Advocacy. Med Teach. 2017;39(2):128-135. https://doi.org/10.1080/0142159X.2017.1245853
doi: 10.1080/0142159X.2017.1245853
pubmed: 27866451
GLIDE. June 2024. Harm Reduction Client Demographics Report. Internal survey data provided by GLIDE.
Griffiths EP, Tong MS, Teherani A, Garg M. First Year Medical Student Perceptions of Physician Advocacy and Advocacy as a Core Competency: A Qualitative Analysis. Med Teach. 2021;43(11):1286-1293. https://doi.org/10.1080/0142159X.2021.1935829
doi: 10.1080/0142159X.2021.1935829
pubmed: 34151706
Andrews J, Jones C, Tetrault J, Coontz K. Advocacy Training for Residents: Insights From Tulane’s Internal Medicine Residency Program. Acad Med. 2019;94(2):204–207. https://doi.org/10.1097/acm.0000000000002500 .
doi: 10.1097/acm.0000000000002500
pubmed: 30334843
Neff J, Holmes SM, Knight KR, et al. Structural Competency: Curriculum for Medical Students, Residents, and Interprofessional Teams on the Structural Factors that Produce Health Disparities. MedEdPORTAL. 2020;16:10888. https://doi.org/10.15766/mep_2374-8265.10888 .
doi: 10.15766/mep_2374-8265.10888
pubmed: 32342010
pmcid: 7182045
Knox KE, Lehmann W, Vogelgesang J, Simpson D. Community Health, Advocacy, and Managing Populations (CHAMP) Longitudinal Residency Education and Evaluation. J Patient Cent Res Rev. 2018;5(1):45–54. https://doi.org/10.17294/2330-0698.1580 .
doi: 10.17294/2330-0698.1580
pubmed: 31413996
pmcid: 6664337
Krishnaswami J, Jaini PA, Howard R, Ghaddar S. Community-Engaged Lifestyle Medicine: Building Health Equity Through Preventive Medicine Residency Training. Am J Prev Med. 2018;55(3):412–421. https://doi.org/10.1016/j.amepre.2018.04.012 .
doi: 10.1016/j.amepre.2018.04.012
pubmed: 29954645
Goss E, Iyer S, Arnsten J, Wang L, Smith CL. Liberation Medicine: a Community Partnership and Health Advocacy Curriculum for Internal Medicine Residents. J Gen Intern Med. 2020;35(10):3102–3104. https://doi.org/10.1007/s11606-019-05518-1 .
doi: 10.1007/s11606-019-05518-1
pubmed: 31768904
Emery EH, Shaffer JD, McCormick D, et al. Preparing Doctors in Training for Health Activist Roles: a Cross-institutional Community Organizing Workshop for Incoming Medical Residents. MedEdPORTAL. 2022;18:11208. https://doi.org/10.15766/mep_2374-8265.11208 .
doi: 10.15766/mep_2374-8265.11208
pubmed: 35106380
pmcid: 8763867