Community/Advocacy Community/Advocacy CurriculumCurriculum

University of ConnecticutUniversity of ConnecticutPediatric Residency ProgramPediatric Residency Program

Paul H. Dworkin, MDPaul H. Dworkin, MD

Shanghai, ChinaShanghai, China

October 14, 2009October 14, 2009

UNIVERSAL EXPERIENCEUNIVERSAL EXPERIENCECurriculum Format and ContentCurriculum Format and Content

• Didactic AND experientialDidactic AND experiential

• Integrated within general curriculum Integrated within general curriculum – distinct blockdistinct block– longitudinal rotationslongitudinal rotations

• Community-oriented careCommunity-oriented care

• Focus on underserved populationsFocus on underserved populations

• Culturally-effective careCulturally-effective care

• Environmental considerationsEnvironmental considerations

UNIVERSAL EXPERIENCEUNIVERSAL EXPERIENCEPediatric RolesPediatric Roles

• As consultant (school, child care)As consultant (school, child care)

• As advocate (government)As advocate (government)

• In injury and disease preventionIn injury and disease prevention

• In community emergenciesIn community emergencies

RANGE OF EXPERIENCESRANGE OF EXPERIENCES

• Community-based child health Community-based child health servicesservices

• Community-based organizationsCommunity-based organizations

• Schools, child care, Head StartSchools, child care, Head Start

• Community health centersCommunity health centers

• Detention centersDetention centers

• Home-based health careHome-based health care

• Out-of-home placementsOut-of-home placements

STRUCTURESTRUCTURE• OrientationOrientation

– DidacticDidactic

• Introduction to Connecticut, Hartford, Introduction to Connecticut, Hartford, Community-based health/careCommunity-based health/care

– ExperientialExperiential

• Van tours—schools, community Van tours—schools, community centers, health care sites, cultural centers, health care sites, cultural points of interestpoints of interest

• Meal with community partnerMeal with community partner

STRUCTURESTRUCTURE

• Community experienceCommunity experience– Half day per week of ambulatory block timeHalf day per week of ambulatory block time– Amounts to average 12 days over three years Amounts to average 12 days over three years

• Monthly Interdisciplinary ConferenceMonthly Interdisciplinary Conference

STRUCTURESTRUCTURE

• Individualized activitiesIndividualized activities

• Group activitiesGroup activities–Government AdvocacyGovernment Advocacy–Enhanced Primary CareEnhanced Primary Care (Medical-(Medical-

Legal Partnership Project; Reach Out Legal Partnership Project; Reach Out and Read)and Read)

• Spring poster sessionSpring poster session

ANOTHER EXAMPLEANOTHER EXAMPLEStanford/Lucille Packard Children’s Stanford/Lucille Packard Children’s

HospitalHospital

• One month rotationOne month rotation– International healthInternational health– Health disparitiesHealth disparities– Use of surveys, focus groups, dataUse of surveys, focus groups, data– Legislative advocacyLegislative advocacy– Grant work, foundationsGrant work, foundations

StanfordStanford(Continued)(Continued)

• TutorialTutorial– Developing community partnersDeveloping community partners– Needs assessmentsNeeds assessments– IRBIRB– EvaluationEvaluation– Writing an abstract, presentingWriting an abstract, presenting

CURRENT TRANSITION TO CURRENT TRANSITION TO ADVOCACY TRACKADVOCACY TRACK