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2011 - UCSF School of Medicine - University of California, San ...

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<strong>UCSF</strong> Education Day <strong>2011</strong><strong>of</strong> exemplar readings <strong>of</strong> advocacy and narrative medicalwriting; (4) development <strong>of</strong> a series <strong>of</strong> structuredprompts; and (5) creation <strong>of</strong> a student syllabus andcompanion faculty teaching guide. We then piloted aseven-session course with Model SFGH volunteers in2010-<strong>2011</strong> and solicited their feedback on coursemethods and goals. We obtained Academic Senateapproval and recruited faculty for a 4-session,longitudinal, third year medical student course entitled“Public Medical Writing” to start in the <strong>2011</strong>-12 academicyear.Evaluation Plan: Evaluation will include tracking <strong>of</strong>student enrollment and retention in year one andenrollment in subsequent years, student preparation forsessions, and student completion <strong>of</strong> one short, revised,publication quality narrative medical writing piece. At theend <strong>of</strong> the course, students will complete courseevaluations and a knowledge test <strong>of</strong> public medicalwriting types and venues. Finally we will analyze studentwritings for writing, storytelling and reflective traits usingpreviously validated rubrics.Dissemination: Health & Society Works-in-Progress;Pathways to Discovery symposium; WGEA.Reflective critique: The final course reflects feedbackfrom third year course directors, Model SFGH directors,course pilot participants and other pathways learners.Four Primary Care ResidencyTraining Programs DevelopLeadership, Cultural Competence,and Community Advocacy andPartnership Curricula throughCollaborationSharad Jain, MD, <strong>UCSF</strong>, Sharad.Jain@ucsf.edu; CraigKeenan, UC Davis, craig.keenan@ucdmc.ucdavis.edu;Steve Roey, <strong>San</strong>ta Clara Valley Medical Center,Steve.Roey@hhs.sccgov.org; Kathleen Hicks, AlamedaCounty Medical Center, khicks@acmedctr.orgValley Medical Center) that provide care to underservedpopulations and the development <strong>of</strong> a curriculum thataddresses topics on leadership, advocacy, communitypartnerships, and cultural competency.Methods: Program leadership worked together todevelop training models that can be implemented,evaluated, and ultimately disseminated to a broaderaudience <strong>of</strong> residency training programs. The process <strong>of</strong>developing a comprehensive curriculum for medicineresidents to learn these core topics requiredcollaboration to (1) perform an assessment <strong>of</strong> currentcurricula being delivered and compare these curriculawith the literature and national guidelines, (2) implementcurricular design to facilitate delivery at programs withwide variations in schedules and logistics, and (3)document the impact <strong>of</strong> these innovations on residentphysicians’ knowledge, skills, and attitudes.Evaluation Plan: The impact <strong>of</strong> the curriculum onresidents is currently being assessed using pre- andpost- surveys. Informal survey <strong>of</strong> faculty and residentsinvolved in the curricula demonstrated great satisfactionwith the process and ease <strong>of</strong> delivery with thecurriculum.Dissemination: Collaboration with specific curricularobjectives provides a valuable method for rapiddevelopment and delivery <strong>of</strong> curricula to addressdisparities among training physicians and proved aninvaluable technique that is both transferable and flexibleto fit individual programs’ needs. We also believe thatthis process had significant beneficial impact on facultydevelopment. We plan to disseminate our work throughpresentations at various meetings and to make ourcurriculum available to other programs.Reflective critique: We await learner feedback throughour surveys, as well as from our dissemination efforts.This feedback will help improve the curriculum.Areas abstract covers: GMEDomain(s) addressed: Community <strong>Medicine</strong>, CurricularInnovation, LeadershipPurpose: Physicians, especially those working in safetynet systems, must be trained to address disparitiesserving as "agents <strong>of</strong> change" to improve outcomes fortheir patients.Background: We describe a collaborative processamong four primary care medicine residency trainingprograms (<strong>UCSF</strong>/SFGH, Alameda County MedicalCenter, <strong>University</strong> <strong>of</strong> <strong>California</strong>, Davis, and <strong>San</strong>ta Clara18 The Haile T. Debas Academy <strong>of</strong> Medical Educators

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