Department of Family and Community Medicine, University of New Mexico School of Medicine, Albuquerque, NM.
Department of Emergency Medicine, University of New Mexico School of Medicine, Albuquerque, NM.
Fam Med. 2022 Jan;54(1):38-43. doi: 10.22454/FamMed.2022.598895.
Health policy is more impactful for public health than many other strategies as it can improve health outcomes for an entire population. Yet in the "see one, do one, teach one" environment of medical school, most students never get past the "see one" stage in learning about the powerful tools of health policy and advocacy. The University of New Mexico School of Medicine mandates health policy and advocacy education for all medical students during their family medicine clerkship rotation. The aim of this project is to describe a unique health policy and advocacy course within a family medicine clerkship.
We analyzed policy briefs from 265 third-year medical students from April 2016 through April 2019. Each brief is categorized by the level of change targeted for policy reform: national, state, city, or university/school. Implemented policies are described.
Slightly less than one-third of the policies (30%) relate to education, 36% advocate for health system change by addressing cost, access, or quality issues, and 34% focus on public health issues. Fourteen policies have been initiated or successfully enacted.
This curriculum gives each medical student a health policy tool kit with immediate opportunities to test their skills, learn from health policy and advocacy experts, and in some cases, implement health policies while still in medical school. A 1-week family medicine policy course can have impact beyond the classroom even during medical school, and other schools should consider this as a tool to increase the impact of their graduates.
与许多其他策略相比，卫生政策对公共卫生的影响更大，因为它可以改善整个人口的健康结果。然而，在医学院的“看一个、做一个、教一个”环境中，大多数学生在学习健康政策和宣传这一强大工具方面从未超越“看一个”阶段。新墨西哥大学医学院要求所有医学生在家庭医学实习轮转期间接受健康政策和宣传教育。本项目旨在描述家庭医学实习中一门独特的健康政策和宣传课程。
我们分析了 2016 年 4 月至 2019 年 4 月期间 265 名三年级医学生的政策简报。每份简报都根据政策改革的目标变化水平进行分类：国家、州、市或大学/学校。描述了已实施的政策。
略低于三分之一的政策（30%）与教育有关，36%通过解决成本、获取或质量问题倡导卫生系统改革，34%关注公共卫生问题。已经发起或成功实施了 14 项政策。
本课程为每位医学生提供了一个健康政策工具包，他们可以立即有机会测试他们的技能，向健康政策和宣传专家学习，并且在某些情况下，在医学院期间就可以实施健康政策。为期一周的家庭医学政策课程即使在医学院期间也可以超越课堂产生影响，其他学校也应该考虑将其作为增加毕业生影响力的工具。
