University of Minnesota Medical School, Minneapolis, Minnesota (Ms Shankar); Division of General Internal Medicine, University of Minnesota Medical School, Minneapolis, Minnesota (Dr Surapaneni); Rise Research, Minneapolis, Minnesota (Dr Phinney); and Twin Cities Medical Society, Minneapolis, Minnesota (Ms Krapek).
J Public Health Manag Pract. 2022;28(4):E692-E701. doi: 10.1097/PHH.0000000000001486. Epub 2022 Feb 9.
Public health advocacy is increasingly acknowledged as an essential component of practice in medicine. Medical schools, residency programs, and professional organizations have begun developing curricula in an effort to teach advocacy. This article describes the structuring and evolution of the Dr Pete Dehnel Public Health Advocacy Fellowship, an innovative program prioritizing a community-centered approach to teaching physician advocacy to medical students.
Created by the Twin Cities Medical Society (TCMS), the fellowship's curriculum adopts a cohort-based learning model organized around skills training, personalized physician-mentor pairing in a shared field of interest, and hands-on advocacy activities. The curriculum also centers insights and practical knowledge from community members who are outside of the health care sphere alongside those of experienced physician-advocates.
TCMS partnered with an independent research organization to conduct an ongoing developmental evaluation (DE) of the fellowship. DE focuses on rapid-cycle feedback and utilization of findings to inform the development of program components. This enables TCMS to customize the fellowship's curricular components to the local context and in response to student and mentor feedback.
Early findings have allowed TCMS to refine curricular components while providing evidence of significant gains in 3 areas of growth among fellows: perceived knowledge and advocacy skills proficiency; perceived self-efficacy; and motivation for lifelong advocacy practice.
Key fellowship components, including a flexible curricular structure with built-in adaptability and emphasis on long-term health advocacy engagement, are associated with student growth. These core elements along with a focus on community-centeredness can be integrated into curricula of other programs seeking to train medical learners and physicians to embrace a lifelong commitment to public health advocacy.
公众健康倡导越来越被认为是医学实践的一个重要组成部分。医学院、住院医师培训计划和专业组织已经开始制定课程，努力教授倡导技能。本文描述了 Dr Pete Dehnel 公共卫生倡导奖学金的结构和演变，这是一个创新性项目，优先采用以社区为中心的方法，向医学生传授医生倡导技能。
该奖学金由双城医疗协会（TCMS）创建，其课程采用基于队列的学习模式，围绕技能培训、在共同感兴趣的领域进行个性化的医生导师配对以及实践倡导活动组织。课程还将来自医疗保健领域之外的社区成员的见解和实践知识与经验丰富的医生倡导者的知识结合在一起。
TCMS 与一家独立的研究组织合作，对该奖学金进行持续的发展评估（DE）。DE 侧重于快速反馈和利用研究结果为项目组件的开发提供信息。这使 TCMS 能够根据当地情况和学生及导师的反馈，定制奖学金的课程组件。
早期的研究结果使 TCMS 能够改进课程组件，同时提供了在学员三个方面显著增长的证据：感知知识和倡导技能熟练程度、自我效能感和终身倡导实践的动机。
奖学金的关键组成部分，包括灵活的课程结构，具有内置的适应性和强调长期健康倡导参与，与学生的成长有关。这些核心要素以及对社区为中心的关注，可以融入其他旨在培训医学学习者和医生接受终身承诺的公共卫生倡导的课程中。
