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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

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Inspiring Residents to Work ‘Upstream’

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  1. 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

  2. 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

  3. Barriers to HA • Lack of formal recognition • Lack of monetary rewards • Lack of time

  4. Definitions of HA • Vary widely • Individual patient advocacy • Political lobbying • Working abroad • If HA were within the educational system, how would it be defined?

  5. 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

  6. 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

  7. Mentoring • Some students and residents were inspired by classroom educators • Exception, not the norm • Not all students were exposed to these mentors

  8. Encouraging HA in Medical School • Focusing on medical school opportunities to foster HA may be fruitful • CHIUS • DPAS • Can we do more?

  9. 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?

  10. 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

  11. Overview of eBooklet • Literature review of HA • Profiles of HA champions • Pedagogical tools • Resources • Referrals

  12. Production eBooklet • Written feedback from medical educators • Feedback from focus groups • Launch event in fall 2010—all welcome!

  13. SOTL • Conduct a study on the educational impact of the ebooklet on medical educators • What do you know about HA?

  14. Suggestions? We welcome your input and suggestions for how to improve this pedagogical primer for UBC medical educators THANK YOU!!

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