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
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.

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Auteurs

Kathleen Raskob (K)

Division of General Internal Medicine, University of Washington, 1959 NE Pacific St., Seattle, WA, 98195, USA. kraskob@uw.edu.

Radhika A Ramanan (RA)

Division of General Internal Medicine, University of California San Francisco, San Francisco, USA.

Michael Lezak (M)

GLIDE, San Francisco, USA.

John E Negrete (JE)

GLIDE, San Francisco, USA.

Eleana Binder (E)

GLIDE, San Francisco, USA.

Joan Addington-White (J)

Division of General Internal Medicine, University of California San Francisco, San Francisco, USA.
Division of General Internal Medicine, Zuckerberg San Francisco General Hospital, San Francisco, USA.

Ryan Laponis (R)

Division of General Internal Medicine, University of California San Francisco, San Francisco, USA.

Elizabeth P Griffiths (EP)

Division of General Internal Medicine, University of California San Francisco, San Francisco, USA.

Classifications MeSH