Program

Director The Center of Excellence in Diversity in Medical Education and The San Francisco Bay Area Health Careers Opportunity Program Assistant Dean, Minority Aairs Associate Director, Physician Assistant Program/Family Medicine

Ronald Garcia, PhD

Stanford University School of Medicine

4th Year Undergraduate Premedical Student Stanford University

Jonathan Tran

Community Outreach Manager Health Careers Opportunity Program Coordinator Center of Excellence in Diversity in Medical Education

Marcella Anthony

Ge#ng Started
Introduction to Civic and Community Activism Ending world hunger by next year What did you see on the way to APAMSA Whats near and dear to your heart? Your experiences

Civic Ac1vism and Community Engagement

Developing Physician Ac1vists

Gain a basic understanding of the world beyond the

clinical encounter Learn the determinants of health and the production of health from an ecological perspective Competence in the preventive and population health perspectives that relate to a specialty Training in the theories and practices of both leadership and social and organizational change Practice basic skills in developing and delivering clear messages and using the media eectively Training in the processes of policy making in the community and the government
Perspective: Physician Advocacy: What Is It and How Do We Do It? Mark A. Earnest, MD, PhD, Shale L. Wong, MD, MSPH, and Steven G. Federico, MD http://journals.lww.com/academicmedicine/Abstract/2010/01000/Perspective__Physician_Advocacy__What_Is_It_and.22.aspx

Contribu1ng Factors to Successful Community Engagement Eorts

Environmental
History of collaboration or cooperation in the community Collaborating with groups (and agencies in group) seen as leaders in community Favorable political and social climate Mutual respect, understanding, and trust Appropriate cross-section of members Members see engagement in their self- interest Ability to compromise Members share a stake in process and outcome Everyone participates in decision- making Flexibility of collaborating group Clarity of roles and guidelines Sustainability amidst changing conditions

Communica8on

Membership

Open and frequent interaction, information, discussion Informal and formal channels of communication Goals are clear and realistic for all partners Shared vision Unique to the eort Sucient funds Skilled convener

Purpose

Process/Structure

Resources

CDC Public Health Practice Program Oce Publication: http://www.cdc.gov/phppo/pce

Pacic Free Clinic

PFC is a student-run clinic established by students at the

Stanford University School of Medicine. Located in East San Jose, PFCs patient population is largely comprised of underserved Vietnamese and Hispanic individuals. Health access issues (recent immigration, limited English prociency, instable employment status, etc.) specic for the Vietnamese population at our clinic. Observed health behaviors and attitudes among the Vietnamese population. Culturally sound solutions to above issues encountered at clinic. Why have we been successful? Role of the volunteers of Asian descent who can facilitate the process of care.

Civic Ac1vism Ac1on Plan

Objective To develop a community-based program that will contribute to the reduction of violence in the City of Milwaukee by bringing youth and members of the community together to intervene. Target Audiences The decision makers: City Health Department; Students The inuencers/participants/recipients: Residents, citizen groups and other community-based organizations, city police, hospitals, schools and businesses Messages During the time between 1983 and 1993, the city of Milwaukee, WI has experienced more than a 300% increase in violent death and injury. Messengers Students, Educators, Health Care Professionals, Law Enforcement, Community Organization Leaders, Health Department Taking Action Create an alcohol, drug, and conict-free environment for the citys youth. Provide community education, conict resolution and violence prevention. Create recreational activities in a safe space so youth have a productive outlet. A survey sent during fall semester to nd out the students needs, wants, and who would volunteer and help fund the events. Provide conict resolution training to facilitators and volunteers. Identify participating agencies Educate surrounding communities about the program and facilitate replication
American Academy of Pediatrics News Vol. 12 No. 11 November 1996, p. 13

Scenarios
Read the scenario Record your responses to the tasks Work in your small groups to answer these questions

and develop additional considerations that may not be listed Choose a spokesperson for each of the tasks and one orator to describe the scenario and record your recommendations

Scenario 1
The student health center at the local state university

reports that 39% of its 30,000 undergraduate students use the health center for sexual health services. In the past three months, 15% of the total number of students who received sexual health services were treated for STIs.

Scenario #2
Your student group is concerned with improving

access to palliative care for the terminally ill. You have come together to decide on a specic policy objective that can expand access to that care.

Resources
Advocacy Toolbox from Docs for Tots: http://www.docsfortots.org/resources/toolkit/documents/ CompleteAdvocacyToolkit.pdf Public Roles of US Physicians - Community Participation, Political Involvement, and Collective Advocacy: http://medprof.bjmu.edu.cn/xsqy/xshqy_2.pdf LMSA Health Leadership in Policy and Advocacy Institute meeting via Ustream: http://www.ustream.tv/channel/lmsastanford World Bank Small Grants Program Project Development Brief: http://siteresources.worldbank.org/INTBELARUS/Resources/ Project_Development.pdf A small selection of professional organizations that emphasize physician activism or community engagement.

Na1onal Physicians Alliance

The National Physicians Alliance creates research and

education programs that promote active engagement of physicians with their communities to achieve high quality, aordable health care for all. The NPA oers a professional home to physicians across medical specialties who share a commitment to professional integrity and health justice.

The Associa1on of Black Women Physicians

The Association of Black Women Physicians is an

organized network of Black women physicians committed to the improvement of public health and welfare, through the advancement of knowledge concerning women and the community health. We serve as a philanthropic source of funds to individuals and projects related to the health concerns of the Black community. We endeavor to enhance the personal and professional quality of life of present and future Black women physicians.

The Ins1tute on Medicine as a Profession (IMAP)

Four key values underlie our vision of medical professionalism:
Altruism and Commitment to Patients Interests. As changing

market forces continue to confront the medical profession, physicians are increasingly challenged to maintain an unwavering commitment to their patients. Physician Self-Regulation. Group pressures not to report a colleague or indierence to the performance of others might lead doctors to ignore a colleagues ineptitude or malfeasance, compromising patients health and safety. Maintenance of Technical Competence. The pace of innovation in medicine is unprecedented. Absent a commitment to life-long learning, the knowledge base of the best trained physician will soon be outmoded and fall short of best medical practice. Civic Engagement. Physicians should enlarge the scope of their concerns from the well-being of the individual patient to a concern for the welfare of all patients. They must make their voices heard by communicating their knowledge to the public.

Thank you!
Questions?