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UCSF-CPEHN Partnership for Physician Advocacy Skills

UCSF-CPEHN Partnership for Physician Advocacy Skills. Institute on Medicine as a Profession. University of California San Francisco. SFGH Primary Care Internal Medicine Internal Medicine Health Equities Track Pediatric Leadership for the Underserved Pediatrics Physician in Community.

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UCSF-CPEHN Partnership for Physician Advocacy Skills

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  1. UCSF-CPEHN Partnership for Physician Advocacy Skills Institute on Medicine as a Profession

  2. University of California San Francisco • SFGH Primary Care Internal Medicine • Internal Medicine Health Equities Track • Pediatric Leadership for the Underserved • Pediatrics Physician in Community

  3. California Pan Ethnic Health Network • Only statewide multicultural health advocacy organization in California. • Founded in 1992 by four ethnic partner organizations in aftermath of Rodney King. • Mission: to eliminate health disparities by advocating for public policies to address the health needs of communities of color.

  4. Partnership for Physician Advocacy Skills (PPAS) • To provide policy and advocacy knowledge and skills to residents committed to caring for the underserved. • To provide a venue for residents to reflect on and connect patient experiences with larger policy issues. • To build a partnership between CPEHN and SFGH-based residency programs so that: • Residents have access to CPEHN’s legislative, administrative, community mobilization and media advocacy expertise, and • CPEHN develops relationships with physician advocates who can partner with CPEHN on press conferences, op-ed pieces, policy briefs and legislative testimony.

  5. Curricular Structure YEAR ONE 4 hours seminar time, 4 hours project time weekly

  6. Curricular Structure YEAR TWO 4 hours seminar time, 4 hours project time weekly

  7. Year One Faculty • UCSF faculty (Aronson, Chen, Grubbs, Jain, Kuo) • CPEHN staff (executive director, policy director, senior policy analyst, and program director) • California’s Deputy Controller • Deputy Director, California Department of Public Health’s Center for Chronic Disease Prevention and Health Promotion • Senior Counsel, California Department of Managed Health Care • Lobbyist, California Academy of Family Physicians • Former HHS regional director • Attorney trainer, Alliance for Justice • Berkeley Media Studies

  8. Year Two Faculty • UCSF faculty (Aronson, Chen, Grubbs, Jain, Kuo) • CPEHN staff (executive director, program director) • UCSF researchers who have been engaged with national health policy on the safety net, workforce diversity, and the primary care pipeline • Director, California Health Interview Survey • Co-founder/Scientific Advisor, Human Impact Partners • Senior Research Manager, Advancement Project • Berkeley Media Studies

  9. Evaluation Themes • Well received • “My favorite curriculum” • Practice makes perfect • Second session each year better • Adult learning • Hands on skill building highly valued • Curricular cramming • Near universal request for more time • Community building • “Where are the family medicine residents?”

  10. Resident Testimonial “I cannot over-emphasize the benefit of working with an established non-profit advocacy organization, rather than striking out on my own.... As I look back on the experience, one of the main take-home lessons is just how effective it can be to partner with a knowledgeable advocacy organization whose mission matches my own values and beliefs. I feel like I have been given a roadmap for a very effective, longitudinal way to stay active in public policy, while also being a busy clinician.” - Denise Connor, PGY3

  11. Writing for Change • Session 1: discuss readings, practice writing lede, feedback and discussion • Session 2: come with first draft (focusing on narrative/story), feedback and discussion of narrative and policy focus • Session 3: come with revised draft incorporating policy issue, feedback for finalizing piece

  12. Writing for Change • 15 participants in 1 or more sessions • Feedback: daunting but loved it • 4 pieces accepted or under review • Huffington Post Op-Ed • Annals of Internal Medicine On Being a Doctor • New York Times Patient Cases • Health Affairs’ Narrative Matters

  13. Challenges • Despite cherry picking, difficulty with societal biases against population health • Time and sustainability Gruen RL, Pearson SD, Brennan TA. Physician-Citizens—Public Roles and Professional Obligations. JAMA 2004;291(1):94-98.

  14. Questions? Alice Hm Chen, MD, MPH achen@medsfgh.ucsf.edu

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