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A New, Experiential Curriculum in Child Advocacy for Pediatric Residents

Roth, Emily J., Barreto, Patricia, Sherritt, Lon, Palfrey, Judith S., Risko, Wanessa, Knight, John R.·2004·Ambulatory Pediatrics
DOI 10.1367/a04-010r1.1
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Abstract

Objective To design, implement, and evaluate an experiential child advocacy curriculum for pediatric residents. Design Pilot study including before-after 2-group trial of an educational intervention and a qualitative component. Setting A large, hospital-based, urban resident continuity clinic. Participants General pediatrics residents (N = 29 [PGY: 1-4]). Intervention Residents and faculty designed a longitudinal curriculum in child advocacy for the continuity clinic, which included community-based and legislative experiences for individual residents as well as clinic-based group activities. Residents reported their experiences to their clinic group at weekly preclinic conferences. In addition, residents presented posters at their year-end residency retreat and wrote grants to fund community projects based on their original findings. Evaluation We used a quantitative assessment of child advocacy knowledge, attitudes, skills, and self-reported practices, which residents completed pre- and postintervention (2 clinics) or, for comparison residents, at the beginning and end of the academic year (3 clinics). In addition, we conducted focus-group discussions with residents in the 2 intervention groups to explore unanticipated responses to the new curriculum. Results Residents who received the intervention (n = 13) had a greater increase in advocacy knowledge (2.62 vs 0.19, P =.005), ability to identify community resources (0.62 vs 0.16, P =.03), self-reported advocacy skills (2.0 vs -0.21, P =.002), and perceived value of advocacy training (0.31 vs -0.19, P =.03) compared with residents who did not (n = 16). In focus groups, intervention residents (n = 17) reported being surprised by community groups' and legislators' responsiveness to resident inquiries, and they expressed enhanced confidence in engaging these groups in dialogue about child policy issues. Conclusions A longitudinal continuity clinic-based curriculum in child advocacy had significant positive impact on pediatric residents.

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  • The majority of included pediatric curricula were published after 2001 and directly referenced the inclusion of child advocacy in the requirements as part of the rationale for their creation.

    “the majority were published after and directly referenced the inclusion of child advocacy in the requirements as part of the rationale for their creation.”

    From A Systematic Review of Advocacy Curricula in Graduate Medical Education (2019) · cites this paper as [51]

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Authors
Roth, E. J., Barreto, P., Sherritt, L., Palfrey, J. S., Risko, W., & Knight, J. R.
Affiliations
  • Harvard University (US)
  • Boston Children's Hospital (US)
Corresponding author
Roth, Emily J.
ORCID
Venue
Ambulatory Pediatrics
Publisher
Elsevier BV
Published
2004-09
Volume
4
Issue
5
Pages
418-423
ISSN
1530-1567 (ISSN-L)
DOI
10.1367/a04-010r1.1
OpenAlex
W2093551096
Cited by
38
References
6
Citations by year
2025: 1 · 2024: 1 · 2022: 1 · 2021: 1 · 2019: 5 · 2016: 1 · 2014: 6 · 2013: 6 · 2012: 2
FWCI
1.93
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Ambulatory Pediatrics (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
  • Health Sciences › Health Professions › General Health Professions › Child and Adolescent Health
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health and Medical Research Impacts
Keywords
child advocacy, pediatric residency education, experiential curriculum, continuity clinic, community-based learning, children's policy
MeSH terms
Child, Child Advocacy, Curriculum, Humans, Internship and Residency, Pediatrics, Pilot Projects, Program Development, Focus Groups, Problem-Based Learning

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