CivicCommunityActivism 10.15.11
Transcript of CivicCommunityActivism 10.15.11
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RonaldGarcia,PhDProgramDirector
TheCenterofExcellenceinDiversityinMedicalEducationand
TheSanFranciscoBayAreaHealthCareersOpportunityProgramAssistantDean,MinorityAffairs
AssociateDirector,PhysicianAssistantProgram/FamilyMedicine
StanfordUniversitySchoolofMedicine
JonathanTran4thYearUndergraduatePremedicalStudent
StanfordUniversity
MarcellaAnthonyCommunityOutreachManager
HealthCareersOpportunityProgramCoordinator
CenterofExcellenceinDiversityinMedicalEducation
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Ge#ngStarted IntroductiontoCivicandCommunityActivismEndingworldhungerbynextyearWhatdidyouseeonthewaytoAPAMSAWhatsnearanddeartoyourheart?
Yourexperiences
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CivicAc1vismandCommunity
Engagement
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DevelopingPhysicianAc1vistsGainabasicunderstandingoftheworldbeyondtheclinicalencounter
Learnthedeterminantsofhealthandtheproductionofhealthfromanecologicalperspective
Competenceinthepreventiveandpopulationhealthperspectivesthatrelatetoaspecialty
Traininginthetheoriesandpracticesofbothleadershipandsocialandorganizationalchange
PracticebasicskillsindevelopinganddeliveringclearmessagesandusingthemediaeffectivelyTrainingintheprocessesofpolicymakinginthecommunityandthegovernment
Perspective:PhysicianAdvocacy:WhatIsItandHowDoWeDoIt?MarkA.Earnest,MD,PhD,ShaleL.Wong,MD,MSPH,andStevenG.Federico,MD
http://journals.lww.com/academicmedicine/Abstract/2010/01000/Perspective__Physician_Advocacy__What_Is_It_and.22.aspx
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Contribu1ngFactorstoSuccessful
CommunityEngagementEfforts
CDCPublicHealthPracticeProgramOfficePublication:http://www.cdc.gov/phppo/pce
EnvironmentalHistoryofcollaborationorcooperationinthecommunityCollaboratingwithgroups(andagenciesingroup)seenasleadersincommunityFavorablepoliticalandsocialclimate
MembershipMutualrespect,understanding,andtrustAppropriatecross-sectionofmembersMembersseeengagementintheirself-interestAbilitytocompromise
Process/StructureMembersshareastakeinprocessandoutcomeEveryoneparticipatesindecision-making
FlexibilityofcollaboratinggroupClarityofrolesandguidelinesSustainabilityamidstchangingconditions
Communica8onOpenandfrequentinteraction,information,discussionInformalandformalchannelsofcommunication
PurposeGoalsareclearandrealisticforall
partnersSharedvisionUniquetotheeffort
ResourcesSufficientfundsSkilledconvener
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PacificFreeClinic PFCisastudent-runclinicestablishedbystudentsattheStanfordUniversitySchoolofMedicine.LocatedinEastSanJose,PFCspatientpopulationislargelycomprisedof
underservedVietnameseandHispanicindividuals.Healthaccessissues(recentimmigration,limitedEnglishproficiency,instableemploymentstatus,etc.)specificfortheVietnamesepopulationatourclinic.
ObservedhealthbehaviorsandattitudesamongtheVietnamesepopulation.
Culturallysoundsolutionstoaboveissuesencounteredatclinic.Whyhavewebeensuccessful?
RoleofthevolunteersofAsiandescentwhocanfacilitatetheprocessofcare.
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CivicAc1vismAc1onPlan
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ObjectiveTodevelopacommunity-basedprogramthatwillcontributetothereductionofviolenceintheCityofMilwaukeebybringingyouthandmembersofthecommunitytogethertointervene.
TargetAudiencesThedecisionmakers:CityHealthDepartment;StudentsTheinfluencers/participants/recipients:Residents,citizengroupsandothercommunity-basedorganizations,citypolice,hospitals,schoolsandbusinesses
MessagesDuringthetimebetween1983and1993,thecityofMilwaukee,WIhasexperiencedmorethana300%increase
inviolentdeathandinjury.
MessengersStudents,Educators,HealthCareProfessionals,LawEnforcement,CommunityOrganizationLeaders,HealthDepartment
TakingActionCreateanalcohol,drug,andconflict-freeenvironmentforthecitysyouth.Providecommunityeducation,conflictresolutionandviolenceprevention.
Createrecreationalactivitiesinasafespacesoyouthhaveaproductiveoutlet.Asurveysentduringfallsemestertofindoutthestudentsneeds,wants,andwhowouldvolunteerandhelp
fundtheevents.Provideconflictresolutiontrainingtofacilitatorsandvolunteers.IdentifyparticipatingagenciesEducatesurroundingcommunitiesabouttheprogramandfacilitatereplication
AmericanAcademyofPediatricsNewsVol.12No.11November1996,p.13
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ScenariosReadthescenarioRecordyourresponsestothetasksWorkinyoursmallgroupstoanswerthesequestionsanddevelopadditionalconsiderationsthatmaynotbelisted
Chooseaspokespersonforeachofthetasksandoneoratortodescribethescenarioandrecordyourrecommendations
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ScenarioThestudenthealthcenteratthelocalstateuniversityreportsthat39%ofits30,000undergraduatestudents
usethehealthcenterforsexualhealthservices.Inthepastthreemonths,15%ofthetotalnumberofstudentswhoreceivedsexualhealthservicesweretreatedforSTIs.
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Scenario2Yourstudentgroupisconcernedwithimprovingaccesstopalliativecarefortheterminallyill.Youhave
cometogethertodecideonaspecificpolicyobjectivethatcanexpandaccesstothatcare.
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Resources
AdvocacyToolboxfromDocsforTots:http://www.docsfortots.org/resources/toolkit/documents/CompleteAdvocacyToolkit.pdf
PublicRolesofUSPhysicians-CommunityParticipation,PoliticalInvolvement,andCollectiveAdvocacy:http://medprof.bjmu.edu.cn/xsqy/xshqy_2.pdf
LMSAHealthLeadershipinPolicyandAdvocacyInstitutemeetingviaUstream:http://www.ustream.tv/channel/lmsastanford
WorldBankSmallGrantsProgramProjectDevelopmentBrief:http://siteresources.worldbank.org/INTBELARUS/Resources/Project_Development.pdf
Asmallselectionofprofessionalorganizationsthatemphasizephysician
activismorcommunityengagement.
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Na1onalPhysiciansAllianceTheNationalPhysiciansAlliancecreatesresearchandeducationprogramsthatpromoteactiveengagement
ofphysicianswiththeircommunitiestoachievehighquality,affordablehealthcareforall.TheNPAoffersaprofessionalhometophysiciansacrossmedicalspecialtieswhoshareacommitmenttoprofessionalintegrityandhealthjustice.
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TheAssocia1onofBlackWomen
PhysiciansTheAssociationofBlackWomenPhysiciansisanorganizednetworkofBlackwomenphysicians
committedtotheimprovementofpublichealthandwelfare,throughtheadvancementofknowledgeconcerningwomenandthecommunityhealth.Weserveasaphilanthropicsourceoffundstoindividualsandprojectsrelatedtothehealthconcernsofthe
Blackcommunity.WeendeavortoenhancethepersonalandprofessionalqualityoflifeofpresentandfutureBlackwomenphysicians.
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TheIns1tuteonMedicineasa
Profession(IMAP)Fourkeyvaluesunderlieourvisionofmedicalprofessionalism:
AltruismandCommitmenttoPatientsInterests.Aschangingmarketforcescontinuetoconfrontthemedicalprofession,physiciansareincreasinglychallengedtomaintainanunwaveringcommitment
totheirpatients. PhysicianSelf-Regulation.Grouppressuresnottoreportacolleagueorindifferencetotheperformanceofothersmightleaddoctorstoignoreacolleaguesineptitudeormalfeasance,compromisingpatientshealthandsafety.
MaintenanceofTechnicalCompetence.Thepaceofinnovationinmedicineisunprecedented.Absentacommitmenttolife-long
learning,theknowledgebaseofthebesttrainedphysicianwillsoonbeoutmodedandfallshortofbestmedicalpractice. CivicEngagement.Physiciansshouldenlargethescopeoftheirconcernsfromthewell-beingoftheindividualpatienttoaconcernforthewelfareofallpatients.Theymustmaketheirvoicesheardbycommunicatingtheirknowledgetothepublic.
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Thankyou!
Questions?