• Mark Earnest, Shale L Wong, Steve Federico, and Lilia Cervantes.
• Division of General Internal Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA. Mark.Earnest@cuanschutz.edu.
• J Gen Intern Med. 2023 Jan 1; 38 (1): 208212208-212.

AbstractThe need for effective advocacy on the part of health professionals has never been greater. The recent COVID-19 pandemic has made the connection between human health and social conditions clear, while highlighting the limitations of biomedical interventions to address those conditions. Efforts to increase the frequency and effectiveness of advocacy activities by health professionals have been hampered by the lack of a practical framework to define and develop advocacy competencies among trainees as well as to plan and execute advocacy activities. The authors of this article propose a framework which defines advocacy as occurring across three domains of influence (practice, community, and government) using three categories of advocacy skills (policy, communication, and relationships). When these skills are successfully applied in the appropriate domains of influence, the resulting change falls into three levels: individual, adjacent, and structural. The authors assert that this framework is immediately applicable to a broad variety of health professionals, educators, researchers, organizations, and professional societies as they individually and collectively seek to improve the health and well-being of those they care for.© 2022. The Author(s), under exclusive licence to Society of General Internal Medicine.

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