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Public Health, Policy and Advocacy A ROLE FOR ALL PHYSICIANS Presented by: Elizabeth Grant, Public Health, Policy and Advocacy A ROLE FOR ALL PHYSICIANS Presented by: Elizabeth Grant, MD Brian Solan, MD Amy Clithero, MBA University of New Mexico School of Medicine Department of Family & Community Medicine

AGENDA Introductions Goals and Objectives of Session Presentation of Curriculum Breakout into Small Groups AGENDA Introductions Goals and Objectives of Session Presentation of Curriculum Breakout into Small Groups OSCE Demonstration Group Discusson

Session Goals Goal: Present the design and evaluation of a Clerkship that weaves together Session Goals Goal: Present the design and evaluation of a Clerkship that weaves together public health, health policy and advocacy and clinical skills Goal: Discuss OSCE results that measures student understanding of the knowledge and skills taught and share best practices

Session Objectives At the end of this session, you will be able to: Discuss Session Objectives At the end of this session, you will be able to: Discuss benefits and challenges of redesigning a clerkship Link public health and medicine in meaningful ways Identify potential barriers of the model at your own institution and potential solutions to those barriers Share best practices & develop new ideas for teaching population intervention strategies

Background - National AAMC Informal Needs Assessment (2008) Health Policy content considered boring or Background - National AAMC Informal Needs Assessment (2008) Health Policy content considered boring or irrelevant Information presented with no context, too much theory

Graduation Questionnaire: Time devoted to instruction in topics is inadequate Graduation Questionnaire: Time devoted to instruction in topics is inadequate

Background: UNM Specific UNM Public Health Certificate Transcripted Courses 4 credits…Epidemiology & Biostatistics 3 Background: UNM Specific UNM Public Health Certificate Transcripted Courses 4 credits…Epidemiology & Biostatistics 3 credits…Principles of Public Health 3 credits…. Health Systems & Health Policy 3 credits…Community-Based Service. Learning Project 2 credits…Evidence-based Practice Fully Integrated Courses Ethics and Public Health

UNM SOM: Public Health Certificate UNM SOM: Public Health Certificate

Rationale Rationale

Educational Objectives Create an awareness of the world beyond the 4 walls of the Educational Objectives Create an awareness of the world beyond the 4 walls of the clinic Foster knowledge about problems and resources within a community Recognize when and how to intervene Apply wisdom from clinical practice

Curriculum Components Health Systems US health care system and financing Comparative health systems Social Curriculum Components Health Systems US health care system and financing Comparative health systems Social determinants of health Legislative process Health Policy Introduction to Health Policy Legislative Process Applied Health Policy Project Overview

Teaching Methods Combination of: Didactics NM State Legislators and other experts Videos and Discussion Teaching Methods Combination of: Didactics NM State Legislators and other experts Videos and Discussion Practical Application Community project

Assessment Measures: Policy Presentation and Summary Format and rubric Choose appropriate policy maker Identify Assessment Measures: Policy Presentation and Summary Format and rubric Choose appropriate policy maker Identify and describe issue History of Policies Stakeholders and competing interests Provide 2 viable solutions Strengths, weaknesses and barriers Argue for best solution Conclusion 8 minute presentation with time for questions 1 page written summary Next year 5 -8 pages written report as well

Assessment: Student Evaluation Clerkship 25% of grade from Health Policy summary and presentation Objective Assessment: Student Evaluation Clerkship 25% of grade from Health Policy summary and presentation Objective Structured Clinical Exam Patient vignette Barriers to health care Social determinants of health Advocacy Health policy issue Choose an appropriate policy maker List and discuss stakeholders Propose 2 solutions to solve problem Argue in favor of chosen solution

Test time Case- 10 minutes individually Discussion-group Test time Case- 10 minutes individually Discussion-group