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
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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
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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!!