Topic outline

  • Orientation to Pathway

    Child Health Advocacy and Public Policy (CHAPP) Pathway Overview

     

     

    What is the CHAPP Pathway?

    The CHAPP Pathway consists of a variety of optional activities aimed at building residents skill and understanding around public policy and advocacy, helping residents achieve goals and objectives specific to public policy and advocacy.

     

    Who should consider the CHAPP Pathway?

    Rising PL 2 & PL 3 residents should consider the CHAPP Pathway if you are interested in gaining skills related to child health advocacy and public policy. Physicians of all specialties and in all practice types can integrate the principles of advocacy and public policy into their careers. The levels of participation are certificate recipient, and certificate with honors recipient. Residents in any track can participate in a pathway! Residents in the Community Health Track will complete some rotations that can be counted towards the CHAPP Pathway as a part of their CHT requirements; however, other supplemental educational experiences are available.

     

    What does the CHAPP Pathway have to offer?

    The CHAPP Pathway has 3 main benefits.

     

     

    Individualized Curriculum

     

    Mentorship

     

    Community Partnership Building

     

     

    Includes options for learning objectives specific to child health advocacy and public policy and suggests a variety of methods to achieve them including rotations and other non-clinical activities. You select activities based on your self-identified learning needs.

     

     

    Pathway members will be paired with a CHAPP Pathway faculty member to guide them in the selection of their learning activities and help them to integrate concepts learned into their future careers.

     

     

    Participation in the CHAPP Pathway will help the resident develop relationships with external advocates and policy experts, and give them the skills to develop additional relationships with individuals and organizations in the future.

     

    How can I participate?

    Email Pathway Director Danielle Dooley at dgdooley@childrensnational.org and Co-director Alex Sims at amsims@childrensnational.org  

    How can you participate in the pathway?

    Pathway Certificate

    •       Email CHAPP Pathway Directors declaring intention to join Pathway  

    •       Submit Activity Log to Pathway directors at the completion of Pathway prior to graduation

    •       Complete 4.0 educational units from Pathway

    •       CHAPP mentor required – 2 meetings per year

    Pathway Certificate with Honorsmost appropriate for those who are interested in incorporating advocacy or public policy into their careers

    •       Email CHAPP Pathway Directors declaring intention to join Pathway 

    •       Submit Activity Log to Pathway directors at the completion of Pathway prior to graduation

    •       Complete 1 product for dissemination (OpEd, blog post, article, poster etc) by the end of Pathway prior to graduation

    •       Complete 6.0 educational units from Pathway, 2.0 of which relate to legislative advocacy

    •       CHAPP mentor required – 2 meetings per year



    Learn More about the Pathway Learning Objectives, Rotations, and Opportunities in the next section!

  • Pathway Rotations & Opportunities

    Child Health Advocacy and Public Policy Pathway

    List of Rotations

     

    Child Health Advocacy Institute (CHAI) Elective

    This 3-4 week block focuses on community and legislative level advocacy. The resident will be paired with a local or national advocacy organization or government agency to focus on a specific child health advocacy issue.  The rotation offers an inside look at the workings of an advocacy organization or government agency and offers the resident a chance to contribute to the work.  Residents will work with the organization or agency to research a child health issue and produce a project that reflects their work.  Examples of projects include blog series, policy papers, issue briefs, newsletter articles, or literature reviews for grant proposals. Please contact the CHAI at least 8 weeks in advance to set up the elective.

     

    Duration: 4 weeks; can also be offered for 3 weeks in conjunction with the Global Health Course

    Contact: Dr. Danielle Dooley dgdooley@childrensnational.org; Please contact at least 2 months prior to elective time

    Units: 1.0 (0.75 for 3 week rotation)

     

    Government Affairs Elective

    This 2-4 week block focuses on legislative level advocacy. The resident will work with the Government Affairs team at Children’s National, and be involved in Virginia, Maryland, DC and federal level advocacy. Activities can include researching child health issues, reviewing bills related to child health, helping to prepare and possibly deliver written and/or oral testimony and attending other legislative meetings.

     

    Duration: 2-4 weeks

    Contact: Jennifer Porter jlporter@childrensnational.org and Dr. Danielle Dooley dgdooley@childrensnational.org

    Units: 0.5 – 1.0

     

    Media and Public Relations Elective

    This 2-week block focuses on child health communications, including traditional media, social media and online presence and physician relations. Activities will include the development of written and social media communications, participation in Children’s National Public Relations and Marketing activities and independent learning. The resident will work closely with the Children’s National Public Relations and Marketing team.

     

    Duration: 2 weeks

    Contact: Tucker Petty, Senior Marketing Specialist (TPetty@childrensnational.org) and Dr. Danielle Dooley dgdooley@childrensnational.org

    Units: 0.5

     

    Immigrant Health Elective

    The immigrant Health Elective is a 2-4 week block elective available to all residents. Residents will see patients at one or many available primary care sites that serve large populations of immigrants and children of immigrants. During this elective, residents can also work with a medico-legal partnership, work with community health workers, health educators and care coordinators at the clinic sites, as well as the local community-based organizations. Opportunities to work with the DC Department of Refugee Health may also be available. Residents will complete an online case-based curriculum during the elective.

     

    Duration: 2-4 weeks

    Contact: Dr. Nathalie Quion nquion@childrensnational.org and Dr. Daniel Newman dnewman@childrensnational.org

    Units: 0.5 – 1.0

     

    Environmental Health Elective

    This elective is designed to familiarize the resident about the scientific and public policy aspects of children’s environmental health. Residents will review introductory material about children’s health and the environment (AAP’s Handbook of Pediatric Environmental Health. Landrigan & Etzel (eds) Oxford Textbook of Children’s Environmental Health). Residents will choose a pediatric environmental health topic and purse a detailed literature search. Meetings with public officials in the legislative and executive branches of government will be arrange so that students learn about the public policy and advocacy aspects of children’s environmental health. Residents will produce and be evaluated on the basis of a product created during the course. Examples include paper, fact sheets or other educational materials, a video production or other materials. An oral presentation will be made about the product released.

     

    Duration: 2-4 weeks

    Contact: Dr. Jerome Paulson jerry@envirohealthdoctor.com

    Units: 0.5 – 1.0

     

    The Advanced Medical Home and Community Leadership

    In this 4 week elective, the resident will develop skills to advance the medical home model to improve health outcomes for underserved children as well as learn to be a leader in the community to advance child health. Activities range from working in the Mobile Medical & Dental Units in SE, special population clinics, Early Childhood Innovation Network, DC Mental Health Access Project, and much more. The resident will also be able to participate in community outreach activities at THEARC and shadow the DC AAP Executive Director at local partner meetings. There is an optional longitudinal project that the resident can participate in with other Community Track Residents to develop into a presentation/publication. Must notify rotation director before start of Academic year (June) if the resident wants to participate in the longitudinal project.

     

    Duration: 4 weeks

    Contact: Dr. Ankoor Shah anshah@childrensnational.org

    Units: 1.0

     

    Community Building Blocks

    During this 4 week block (typically offered to Community Health Track residents) offer an opportunity to learn about communities and social determinants of health, locally and broadly. The topic areas that are covered include: poverty and health; adverse childhood experiences; schools and education; and neighborhood and built environment. Non-CHT participation is at the discretion of rotation leadership

     

    Duration: 4 weeks

    Contact: Dr. Cara Lichtenstein clichten@childrensnational.org and Dr. Binny Chokshi bchokshi@childrensnational.org

    Units: 1.0

     

    Health Policy/Advocacy REACH Project

    REACH projects which address a child health advocacy or public policy topic are eligible for pathway credit. Requires review by CHAPP Pathway faculty member before the project begins and every 6 months thereafter to ensure project meets criteria for pathway. Exceptions can be granted for PL-3s in their first year of the Pathway, in which projects can be reviewed retroactively.

     

    Duration: n/a

    Contact: CHAPP Pathway Faculty, REACH mentor

    Units: 2.0

     

    Health Policy Fellowship

    The Residency Fellowship in Health Policy (RFHP) is a 3-week course offered by the George Washington University Department of Health Policy twice a year. The goal of the RFHP is to provide residents with an understanding of US health policy and its implications for medical practice and health care in the US. By the end of the fellowship, participants will have received a basic grounding in key aspects of US health policy and law through intensive seminars designed to build knowledge across the many fields of health policy, including health care access, financing, regulation, quality, disparities, education and workforce policy, public health protection and health law. Participants will also witness health policy-making first hand, through field trips to a variety of health policy-making settings, including Congress, federal agencies, professional associations and local health delivery sites. In these settings, participants will have the opportunity to meet with policy professionals involved in many of today’s critical debates and decisions. Finally, participants will learn and apply fundamental principles of health policy analysis in simulations designed to mirror real-world challenges in health policy. Currently, this is available to non-Community Health Track residents on a limited basis, and requires planning in the academic year prior.

     

    Duration: 3 weeks

    Contact: Dr. Cara Lichtenstein CLichten@childrensnational.org, Pediatric Chief Residents

    Units: 0.75  

     

    Global Health Course

    The Introduction to global Child Health course is a one week, intensive elective providing a broad introduction to child health in developing countries. At least 80 percent attendance is required. The course includes didactic lectures, clinical case presentations, small group discussions and a lab practicum. Speakers are drawn from CNMC faculty as well as global health experts working with USAID, Save the Children, and other organizations and local universities. This course is also available as an independent study reading elective for residents who cannot attend in person. Notably, this experience is available to non-Community Health Track residents on a somewhat limited basis, and requires planning in the academic year prior.

     

    Duration: 1 week

    Contact: Drs. Lineo Thahane LThahane@childrensnational.org, Kathy Ferrer KFerrer@childrensnational.org,  and Melanie Anspacher MAnspach@childrensnational.org

    Units: 0.25

     

    Subspecialty Advocacy Elective

    The resident will identify a pediatric subspecialty of their choice and develop an advocacy or policy project or identify a policy issue that would benefit from supervision and input from a pediatric subspecialist.  CHAPP Faculty will assist with identifying a subspecialist working on the relevant policy at the local or federal level.  The resident will submit a written description of the advocacy/policy project aim including 3 learning objectives and 1 action item. The project at the end of the rotation should include one or many of the following: blog posts, letter to the editor, patient level advocacy project, testimony, social media campaign, etc.

     

    Duration: 2 – 4 weeks

    Contact: Dr. Danielle Dooley dgdooley@childrensnational.org and Dr. Alexandra Sims amsims@childrensnational.org

     Units: 0.5 – 1.0

     

    Primary Care Advocacy Elective

    Residents will identify an advocacy issue in their continuity clinic, and work with their clinic preceptor and CHAPP faculty to develop an approach. The resident will submit a written proposal of the project aim including 3 learning objectives and 1 action item , and by the end of the rotation, have a patient or community level advocacy project deliverable, which could include a series of blog posts, letter to the editor, educational campaign for clinic, social media campaign, etc.

     

    Duration: 2-4 weeks

    Contact: Dr. Danielle Dooley dgooley@childrensnational.org and Dr. Alexandra Sims amsims@childrensnational.org and Continuity Clinic faculty

    Units: 0.5 – 1.0

     

    P-PHAC

    This longitudinal curriculum is comprised of 5 sessions during noon conference throughout the academic year, along with a legislative advocacy day on Capitol Hill or City Council. Residents are expected to complete 3 requirements:

    (1) attend every noon conference or, if unable to be there in person, listen to the recorded conference;

    (2) complete one of the “continuing education” activities suggested at the end of each lecture; and

    (3) attend the legislative advocacy day, or if unable to be there in person, discuss other options with the faculty contact

     

    Duration: 5 conferences and Resident Hill Day

    Units: 0.25

    Contact: Dr. Danielle Dooley dgdooley@childrensnational.org and Dr. Alexandra Sims amsims@childrensnational.org

     

    Advocacy Conference Attendance

    Residents who attend local or national advocacy-related conferences (AAP Legislative Conference, Residents on the Hill, for example) can be awarded up to 0.25 points.

     

    Duration: variable

    Units: 0.25

    Contact: Dr. Danielle Dooley dgdooley@childrensnational.org and Dr. Alexandra Sims amsims@childrensnational.org

     

    Self-Study Program

    The resident will develop 3 personal learning objectives and a timeline for completion specifically for self study.  Deliverables include a disseminated product (which could be a REACH OR QI project) and a reflection piece completed at the end of the pathway which will address objectives completed during self study time.   In addition, they will complete a selected group of core curricular readings and online lectures. Additionally, the resident will attend a variety of special events, meetings and/or trainings focused on child health advocacy and/or public policy. The resident will be required to select a faculty member from the Child Health Advocacy and Public Policy Pathway as a mentor for this self-study program, track attendance at events, and write a total of 1 reflective blogs to be posted on Resident Book.

    Duration: n/a

    Contact: Dr. Danielle Dooley dgdooley@childrensnational.org and Dr. Alexandra Sims amsims@childrensnational.org

    Units: up to 2.0

     

    Legislative Testimony

    There are often opportunities to testify in DC, MD, VA or on Capitol Hill.  The resident can help with background research on the testimony and writing the testimony.  Deliverables include the testimony document and video/audio link, if available. 

    Duration: n/a

    Contact: Dr. Danielle Dooley dgdooley@childrensnational.org and Dr. Alexandra Sims amsims@childrensnational.org; must coordinate with Government Affairs if testifying on behalf of Children’s National or DC AAP if testifying on behalf of DC AAP

    Units: 0.25 per testimony

     

     


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