Resident Advocacy Training
Advocacy Staff and the hospital Government Relations Director travel to the 2004 NACHRI (National Association of Children's Hospitals and Related Institutions) Conference in Washington, DC.
Overview
The resident training program at Lucile Packard Children's Hospital (LPCH) provides residents with several opportunities to work in the community, and to develop and practice advocacy skills.
All pediatric residents participate in a month long Community Pediatrics and Child advocacy rotation PGY1. During PGY2, residents gain more advocacy skills through the Adolescent Medicine and Advocacy Rotation. Both rotations have a lognitudnal class advocacy project.
Residents with a greater interest in working in the community and developing an independent advocacy project may apply for the StAT (Stanford Advocacy Track) and may elect to participate in the month long StAT Rotation. Specialized training through the StAT rotation and protected time to work on individual StAT projects occur during PGYs 2 and 3.
All residents are can elect to participate in the REACH (Research Education and Advocacy for Community Health) lecture series. This monthly noon time lecture series covers a variety of child health topics, with implications for local, state, and federal level advocacy.
|
PGY 1 |
PGY 2 |
PGY 3 |
|
All residents |
Rotation |
Community Peds & Child Advocacy Rotation |
Health Policy and the Media Advocacy Rotation |
|
Advocacy Project |
Intern Class Project |
Jr. Class Project |
|
|
Didactics |
REACH Lectures |
REACH Lectures |
REACH Lectures |
|
Self selected residents |
Advocacy Project |
Apply for STAT |
Indiv. StAT Proj |
Indiv. StAT Proj |
Advanced Advocacy Training |
Month long StAT Rotation |
Month long StAT Rotation |
||
Didactics |
REACH Lectures |
REACH Lectures |
REACH Lectures |
Tier 1: Community Pediatrics and Child Advocacy Rotation (PGY 1)
This community service rotation exposes all interns to a variety of children's services in the community. During this rotation residents are also introduced to basic concepts of physician advocacy and develop skills through participation in a year long community-based advocacy project. Over the course of the twelve months of internship, each intern works on a specific part of the advocacy project during his/her month long community advocacy rotation.
This is a unique program, which engages young physicians with the community of their patients through an advocacy effort. The 2003-05 project was the "Ravenswood-LPCH Asthma Project" in collaboration with the Ravenswood City School District to address childhood asthma in East Palo Alto and East Menlo Park.
The 2005-06 class project involves working with the Ravenswood City School District and local community leaders to research and write a variety of school health policies. Each policy will be adopted by the school board and implemented district wide. Completed policies include: wellness, lice, asthma, mental health, immunizations, TB, and seizures. The Wellness Policy is currently board approved, the asthma policy has been submitted, and the other policies are pending submission (May '06).
Tier 2: Adolescent Medicine and Advocacy Rotation (PGY2)
The focus for 2003-05 was the "SmokeFree Movies" campaign developed to reduce teen smoking. The project designed to use the media to raise awareness has been profiled by the San Francisco Chronicle, KRON Channel 4 news, the Mercury News, the Stanford Daily, and the Palo Alto Weekly. This project culminated in a press conference, July 2005.
The advocacy activities for 2005-06 involve independent advocacy projects where residents pick a "hot topic" from a list of adolescent health issues (i.e. teen pregnancy, tobacco prevention, sexually transmitted infections, etc.). Residents design a legislative advocacy intervention around their hot topic, and during morning report involve other residents and medical students by asking them to support or oppose active legislation. Advocacy interventions include letter writing, phone calls to legislators and the AAP, letters to the editor, etc.
Tier 3: Stanford Advocacy Track "STAT" (PGY1-PGY3)
The StAT program is a longitudinal experience for residents who display an interest in expanding their advocacy skills and pursuing personal advocacy projects. The Advocacy Director guides residents in developing individual child health advocacy projects. During PGY1, self selected resdients identify a child advocacy topic of interest, apply for STAT, establish community partnerships, and develop project goals. Residents use PGYs 2 and 3 to implement and evaluate their project.
In 2006, a specialized StAT month long rotation was added to the program. As part of the STAT program, residents will receive specialized advocacy training and protected time to work on their STAT projects. For more information about STAT program, see the STAT webpage.
Publications:
Sectish, TC, Rosenberg, AR, Pageler, NM, Chamberlain, LJ, Burgos, A, Stuart, E. Making Pediatrics Residency Programs Family Friendly: Views along the professional educational continuum. J Pediatr. 2006;149:1-2.
