Girard Vicki W, Moore Eileen S, Kessler Lisa P, Perry Deborah, Cannon Yael
J Leg Med. 2020 Apr-Jun;40(2):265-278. doi: 10.1080/01947648.2020.1819485.
Medical students and educators recognize that preparing the next generation of health leaders to address seemingly intractable problems like health disparities should include advocacy training. Opportunities to acquire the knowledge and skills needed to effectively advocate at the policy level to promote systems-, community-, and population-level solutions are a critical component of such training. But formal advocacy training programs that develop and measure such skills are scarce. Even less common are interprofessional advocacy training programs that include legal and policy experts to help medical students learn such skills. This 2016-2017 pilot study started with a legislative advocacy training program for preclinical medical students that was designed to prepare them to meet with Capitol Hill representatives about a health justice issue. The pilot assessed the impact of adding an interprofessional education (IPE) dimension to the program, which in this case involved engaging law faculty and students to help the medical students understand and navigate the federal legislative process and prepare for their meetings. Results from the pilot suggest that adding law and policy experts to advocacy-focused training programs can improve medical students' advocacy knowledge and skills and increase their professional identity as advocates.
医学生和教育工作者认识到,培养下一代健康领域领导者以解决诸如健康差距等看似棘手的问题应包括倡导培训。获得在政策层面有效倡导以促进系统、社区和人群层面解决方案所需知识和技能的机会是此类培训的关键组成部分。但开发和衡量此类技能的正式倡导培训项目却很稀缺。更少见的是跨专业倡导培训项目,这类项目包括法律和政策专家,以帮助医学生学习此类技能。这项2016 - 2017年的试点研究始于一项针对临床前医学生的立法倡导培训项目,该项目旨在让他们准备好就一个健康公平问题与国会山代表会面。该试点评估了在项目中增加跨专业教育(IPE)维度的影响,在这种情况下,这涉及让法学教师和学生参与,以帮助医学生理解和应对联邦立法程序并为会面做准备。试点结果表明,在以倡导为重点的培训项目中增加法律和政策专家可以提高医学生的倡导知识和技能,并增强他们作为倡导者的职业认同感。