Advocacy Rotation
The second year rotation includes elements of legislative advocacy, health policy, public awareness/use of media, teaching, and community pediatrics. During the rotation month, residents participate in a number of community-based activities designed to increase their exposure to the social and environmental determinants of health.
The purpose of the rotation is to train residents to:
- Develop a tool kit of advocacy skills that can be applied in any community
- Use advocacy to advance the health of individual patients/families
- Identify and establish community based partnerships
- Describe and participate in the legislative process
- Dedicate concentrated time to longitudinal project implementation and evaluation
Specific aspects of the curriculum are summarized below.
Individual Level
At the individual level, residents identify a need of a continuity clinic patient/family and provide individual advocacy efforts on behalf of the patient/family. These advocacy efforts may include phone calls, letter writing or provision of information on health or community resources.
Read more about the individual level.
Community Level
At the community level, residents participate in a number of exercises designed to familiarize them with the community where most of their patients live. These exercises include windshield survey of a low income neighborhood, a scavenger hunt of community locations, and a “day in the life” activity in which residents must complete a number of activities that patients/families often experience (e.g. apply for Medicaid; find day care for a child with special needs). Residents also participate in community activities such as health fairs, health career fairs, science competitions and discuss readings about cultural and social determinants of health with a preceptor. In addition, residents work on their teaching skills by addressing students in the local school system on a variety of health-related topics.
Read more about the community level.
Legislative Level
At the legislative level, residents learn about the legislative process and the role it plays in healthcare. They have the opportunity to work with legislators during the Florida State Legislative session. Residents also meet with administrators in various Florida Department of Health divisions to assess needs, improve communication, develop programs and influence policy.
