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A Multi-Institutional Medical Educational Collaborative: Advocacy Training in California Pediatric Residency Programs

Chamberlain, Lisa J. MD, MPH; Wu, Susan MD; Lewis, Gena MD; Graff, Nancy MD; Javier, Joyce R. MD, MPH; Park, Joseph S.R.; Johnson, Christine L. MD, Capt, MC, USN; Woods, Steven D. MD, MSPH; Patel, Mona MD; Wong, Daphne MD; Blaschke, Gregory S. MD, MPH; Lerner, Marc MD; Kuo, Anda K. MD, MPH

doi: 10.1097/ACM.0b013e3182806291
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Educational collaboratives offer a promising approach to disseminate educational resources and provide faculty development to advance residents’ training, especially in areas of novel curricular content; however, their impact has not been clearly described. Advocacy training is a recently mandated requirement of the Accreditation Council for Graduate Medical Education that many programs struggle to meet.

The authors describe the formation (in 2007) and impact (from 2008 to 2010) of 13 California pediatric residency programs working in an educational collaboration (“the Collaborative”) to improve advocacy training. The Collaborative defined an overarching mission, assessed the needs of the programs, and mapped their strengths. The infrastructure required to build the collaboration among programs included a social networking site, frequent conference calls, and face-to-face semiannual meetings. An evaluation of the Collaborative’s activities showed that programs demonstrated increased uptake of curricular components and an increase in advocacy activities. The themes extracted from semistructured interviews of lead faculty at each program revealed that the Collaborative (1) reduced faculty isolation, increased motivation, and strengthened faculty academic development, (2) enhanced identification of curricular areas of weakness and provided curricular development from new resources, (3) helped to address barriers of limited resident time and program resources, and (4) sustained the Collaborative’s impact even after formal funding of the program had ceased through curricular enhancement, the need for further resources, and a shared desire to expand the collaborative network.

Dr. Chamberlain is assistant professor, Department of Pediatrics, Stanford University School of Medicine, Stanford, California.

Dr. Wu is assistant professor of clinical pediatrics, Department of Pediatrics, University of Southern California Keck School of Medicine and Children’s Hospital Los Angeles, Los Angeles, California. She also codirects a community pediatrics and advocacy rotation for her institution’s pediatric residents.

Dr. Lewis is program director, Community Primary Care and Advocacy Rotation, Children’s Hospital and Research Center Oakland, Oakland, California.

Dr. Graff is clinical professor, Department of Pediatrics, University of California, San Diego, and Rady Children’s Hospital, San Diego, California.

Dr. Javier is assistant professor of clinical pediatrics, Department of Pediatrics, University of Southern California Keck School of Medicine, and Children’s Hospital Los Angeles, Los Angeles, California.

Mr. Park is research associate, Prevention Research Center, Berkeley, California.

Dr. Johnson is specialty leader, Navy Pediatrics, and former program director, Department of Pediatrics, Naval Medical Center, San Diego, California.

Dr. Woods is assistant clinical professor of pediatrics, Department of Pediatrics, University of California, Los Angeles, and director of pediatric residency training, Kaiser Los Angeles Medical Center, Los Angeles, California.

Dr. Patel is assistant professor of clinical pediatrics, Department of Pediatrics, University of Southern California Keck School of Medicine and Children’s Hospital Los Angeles, Los Angeles, California. She also codirects a community pediatrics and advocacy rotation for her institution’s pediatric residents.

Dr. Wong is assistant program director, Children’s Hospital Orange County, Orange, California.

Dr. Blaschke is division head, General Pediatrics, Oregon Health and Sciences University, Portland, Oregon; during the collaboration period, he was faculty in the Department of Pediatrics, Naval Medical Center, San Diego, California.

Dr. Lerner is medical officer, Orange County Department of Education, Orange, California; during the collaboration period, he was clinical professor of pediatrics, Department of Pediatrics, University of California, Irvine, Irvine, California, and Children’s Hospital Orange County, Orange, California.

Dr. Kuo is program director, Pediatric Leadership for the Underserved, Department of Pediatrics, University of California, San Francisco, San Francisco, California.

Correspondence should be addressed to Dr. Chamberlain, Stanford University School of Medicine, 770 Welch Rd., #100, Palo Alto, CA 94304; e-mail: lchamberlain@stanford.edu.

© 2013 by the Association of American Medical Colleges