civiccommunityactivism 10.15.11

8/3/2019 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?

civiccommunityactivism 10.15.11

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