1. Community/Advocacy Curriculum University of Connecticut Pediatric Residency Program Paul H. Dworkin, MD Shanghai, China October 14, 2009

2. UNIVERSAL EXPERIENCE Curriculum Format and Content Didactic AND experientialDidactic AND experiential Integrated within general curriculumIntegrated within general curriculum –distinct block –longitudinal rotations Community-oriented careCommunity-oriented care Focus on underserved populationsFocus on underserved populations Culturally-effective careCulturally-effective care Environmental considerationsEnvironmental considerations

3. UNIVERSAL EXPERIENCE Pediatric Roles As consultant (school, child care)As consultant (school, child care) As advocate (government)As advocate (government) In injury and disease preventionIn injury and disease prevention In community emergenciesIn community emergencies

4. RANGE OF EXPERIENCES Community-based child health servicesCommunity-based child health services Community-based organizationsCommunity-based organizations Schools, child care, Head StartSchools, child care, Head Start Community health centersCommunity health centers Detention centersDetention centers Home-based health careHome-based health care Out-of-home placementsOut-of-home placements

5. STRUCTURE OrientationOrientation –Didactic Introduction to Connecticut, Hartford, Community-based health/careIntroduction to Connecticut, Hartford, Community-based health/care –Experiential Van tours—schools, community centers, health care sites, cultural points of interestVan tours—schools, community centers, health care sites, cultural points of interest Meal with community partnerMeal with community partner

6. STRUCTURE Community experienceCommunity experience –Half day per week of ambulatory block time –Amounts to average 12 days over three years Monthly Interdisciplinary ConferenceMonthly Interdisciplinary Conference

7. STRUCTURE Individualized activitiesIndividualized activities Group activitiesGroup activities –Government Advocacy –Enhanced Primary Care(Medical-Legal Partnership Project; Reach Out and Read) Spring poster sessionSpring poster session

8. ANOTHER EXAMPLE Stanford/Lucille Packard Children’s Hospital One month rotationOne month rotation –International health –Health disparities –Use of surveys, focus groups, data –Legislative advocacy –Grant work, foundations

9. Stanford (Continued) TutorialTutorial –Developing community partners –Needs assessments –IRB –Evaluation –Writing an abstract, presenting

10. CURRENT TRANSITION TO ADVOCACY TRACK