• Family medicine · Jan 2022

    Students of Change: Health Policy in Action.

    • Amy Clithero-Eridon, Danielle Albright, Clint Brayfield, Nicole Abeyta, and Karen Armitage.
    • Department of Family and Community Medicine, University of New Mexico School of Medicine, Albuquerque, NM.
    • Fam Med. 2022 Jan 1; 54 (1): 38-43.

    Background And ObjectivesHealth policy is more impactful for public health than many other strategies as it can improve health outcomes for an entire population. Yet in the "see one, do one, teach one" environment of medical school, most students never get past the "see one" stage in learning about the powerful tools of health policy and advocacy. The University of New Mexico School of Medicine mandates health policy and advocacy education for all medical students during their family medicine clerkship rotation. The aim of this project is to describe a unique health policy and advocacy course within a family medicine clerkship.MethodsWe analyzed policy briefs from 265 third-year medical students from April 2016 through April 2019. Each brief is categorized by the level of change targeted for policy reform: national, state, city, or university/school. Implemented policies are described.ResultsSlightly less than one-third of the policies (30%) relate to education, 36% advocate for health system change by addressing cost, access, or quality issues, and 34% focus on public health issues. Fourteen policies have been initiated or successfully enacted.ConclusionsThis curriculum gives each medical student a health policy tool kit with immediate opportunities to test their skills, learn from health policy and advocacy experts, and in some cases, implement health policies while still in medical school. A 1-week family medicine policy course can have impact beyond the classroom even during medical school, and other schools should consider this as a tool to increase the impact of their graduates.

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