Institute on Medicine as a Profession

SFGH Primary Care Internal Medicine

Internal Medicine Health Equities Track

Pediatric Leadership for the Underserved

Pediatrics Physician in Community

Only statewide multicultural health advocacy organization in California.

Founded in 1992 by four ethnic partner organizations in aftermath of Rodney King.

Mission: to eliminate health disparities by advocating for public policies to address the health needs of communities of color.

To provide policy and advocacy knowledge and skills to residents committed to caring for the underserved.

To provide a venue for residents to reflect on and connect patient experiences with larger policy issues.

To build a partnership between CPEHN and SFGH-based residency programs so that: Residents have access to CPEHN’s legislative, administrative,

community mobilization and media advocacy expertise, and CPEHN develops relationships with physician advocates who

can partner with CPEHN on press conferences, op-ed pieces, policy briefs and legislative testimony.

Session 1 Introduction to PPAS and CPEHN

Session 2Government

101 Writing for Change

Session 3Writing for Change Legislative Advocacy*

Session 4Administrative

AdvocacyWriting for Change

Session 5 Media Advocacy

4 hours seminar time, 4 hours project time weekly

YEAR ONE

Session 1 Introduction to PPAS and CPEHN

Session 2Research as

Advocacy Writing for Change

Session 3Health Impact Assessments Writing for Change

Session 4 CHIS Geographic Information Systems

Writing for Change

Session 5 Media Advocacy

4 hours seminar time, 4 hours project time weekly

YEAR TWO

UCSF faculty (Aronson, Chen, Grubbs, Jain, Kuo) CPEHN staff (executive director, policy director, senior

policy analyst, and program director) California’s Deputy Controller Deputy Director, California Department of Public Health’s

Center for Chronic Disease Prevention and Health Promotion

Senior Counsel, California Department of Managed Health Care

Lobbyist, California Academy of Family Physicians Former HHS regional director Attorney trainer, Alliance for Justice Berkeley Media Studies

UCSF faculty (Aronson, Chen, Grubbs, Jain, Kuo) CPEHN staff (executive director, program director) UCSF researchers who have been engaged with

national health policy on the safety net, workforce diversity, and the primary care pipeline

Director, California Health Interview Survey Co-founder/Scientific Advisor, Human Impact Partners Senior Research Manager, Advancement Project Berkeley Media Studies

Well received “My favorite curriculum”

Practice makes perfect Second session each year better

Adult learning Hands on skill building highly valued

Curricular cramming Near universal request for more time

Community building “Where are the family medicine residents?”

“I cannot over-emphasize the benefit of working with an established non-profit advocacy organization, rather than striking out on my own.... As I look back on the experience, one of the main take-home lessons is just how effective it can be to partner with a knowledgeable advocacy organization whose mission matches my own values and beliefs. I feel like I have been given a roadmap for a very effective, longitudinal way to stay active in public policy, while also being a busy clinician.”

- Denise Connor, PGY3

Session 1: discuss readings, practice writing lede, feedback and discussion

Session 2: come with first draft (focusing on narrative/story), feedback and discussion of narrative and policy focus

Session 3: come with revised draft incorporating policy issue, feedback for finalizing piece

15 participants in 1 or more sessions Feedback: daunting but loved it 4 pieces accepted or under review

Huffington Post Op-Ed Annals of Internal Medicine On Being a Doctor New York Times Patient Cases Health Affairs’ Narrative Matters

Despite cherry picking, difficulty with societal biases against population health

Time and sustainability

Gruen RL, Pearson SD, Brennan TA. Physician-Citizens—Public Roles and Professional Obligations. JAMA 2004;291(1):94-98.

Questions?Alice Hm Chen, MD, MPHachen@medsfgh.ucsf.edu