Inspiring Residents to Work ‘Upstream’
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Transcript Inspiring Residents to Work ‘Upstream’
Inspiring Residents to Work
‘Upstream’
Educating for Health Advocacy
Dr Farah M Shroff, PhD and Dr Shafik Dharamsi, PhD
Medical Education Monthly Rounds
April 7, 2010
FDIG
To create an educational primer on Health
Advocacy (HA) for post-graduate medical
educators
Background on HA
New concept for medical educators
Limited literature
Barriers to HA
Lack of formal
recognition
Lack of monetary
rewards
Lack of time
Definitions of HA
Vary widely
Individual patient advocacy
Political lobbying
Working abroad
If HA were within the educational system,
how would it be defined?
Health Advocate Study
Interviews of Health Advocates - residents,
practising physicians and medical
educators
Qualitative methodology
Purposive sampling
Questions: Who or what made HA an active
part of their professional lives?
Analysis of full transcripts
What Inspires Engagement in HA?
Sources of Inspiration:
Family, Travels, Mentors
Community of like-minded peer
Community or volunteer work prior to medical
school
Not education in medical school nor residency
Mentoring
Some students and residents were
inspired by classroom educators
Exception, not the norm
Not all students were exposed to these
mentors
Encouraging HA in Medical School
Focusing on medical school opportunities
to foster HA may be fruitful
CHIUS
DPAS
Can we do more?
HA in Formal Curriculum
Should this be a subject that is taught?
Health advocates exist worldwide
Professionalization may undermine HA
If HA is taught, what will this look like?
Creating An Environment for HA
Creating an enabling and nurturing
environment prior to and during residency
training is necessary to sustain the desire
to engage in health advocacy
Overview of eBooklet
Literature review of HA
Profiles of HA champions
Pedagogical tools
Resources
Referrals
Production eBooklet
Written feedback from medical educators
Feedback from focus groups
Launch event in fall 2010—all welcome!
SOTL
Conduct a study on
the educational
impact of the ebooklet
on medical educators
What do you know
about HA?
Suggestions?
We welcome your input and suggestions
for how to improve this pedagogical primer
for UBC medical educators
THANK YOU!!