1. Institute on Medicine as a Profession

2.  SFGH Primary Care Internal Medicine  Internal Medicine Health Equities Track  Pediatric Leadership for the Underserved  Pediatrics Physician in Community

3.  Only statewide multicultural health advocacy organization in California.  Founded in 1992 by four ethnic partner organizations in aftermath of Rodney King.  Mission: to eliminate health disparities by advocating for public policies to address the health needs of communities of color.

4.  To provide policy and advocacy knowledge and skills to residents committed to caring for the underserved.  To provide a venue for residents to reflect on and connect patient experiences with larger policy issues.  To build a partnership between CPEHN and SFGH- based residency programs so that:  Residents have access to CPEHN’s legislative, administrative, community mobilization and media advocacy expertise, and  CPEHN develops relationships with physician advocates who can partner with CPEHN on press conferences, op-ed pieces, policy briefs and legislative testimony.

5. Session 1 Introduction to PPAS and CPEHN Session 2 Government 101 Writing for Change Session 3 Writing for Change Legislative Advocacy* Session 4 Administrative Advocacy Writing for Change Session 5 Media Advocacy 4 hours seminar time, 4 hours project time weekly YEAR ONE

6. Session 1 Introduction to PPAS and CPEHN Session 2 Research as Advocacy Writing for Change Session 3 Health Impact Assessments Writing for Change Session 4 CHIS Geographic Information Systems Writing for Change Session 5 Media Advocacy 4 hours seminar time, 4 hours project time weekly YEAR TWO

7.  UCSF faculty (Aronson, Chen, Grubbs, Jain, Kuo)  CPEHN staff (executive director, policy director, senior policy analyst, and program director)  California’s Deputy Controller  Deputy Director, California Department of Public Health’s Center for Chronic Disease Prevention and Health Promotion  Senior Counsel, California Department of Managed Health Care  Lobbyist, California Academy of Family Physicians  Former HHS regional director  Attorney trainer, Alliance for Justice  Berkeley Media Studies

8.  UCSF faculty (Aronson, Chen, Grubbs, Jain, Kuo)  CPEHN staff (executive director, program director)  UCSF researchers who have been engaged with national health policy on the safety net, workforce diversity, and the primary care pipeline  Director, California Health Interview Survey  Co-founder/Scientific Advisor, Human Impact Partners  Senior Research Manager, Advancement Project  Berkeley Media Studies

9.  Well received  “My favorite curriculum”  Practice makes perfect  Second session each year better  Adult learning  Hands on skill building highly valued  Curricular cramming  Near universal request for more time  Community building  “Where are the family medicine residents?”

10. “I cannot over-emphasize the benefit of working with an established non-profit advocacy organization, rather than striking out on my own.... As I look back on the experience, one of the main take-home lessons is just how effective it can be to partner with a knowledgeable advocacy organization whose mission matches my own values and beliefs. I feel like I have been given a roadmap for a very effective, longitudinal way to stay active in public policy, while also being a busy clinician.” - Denise Connor, PGY3

11.  Session 1: discuss readings, practice writing lede, feedback and discussion  Session 2: come with first draft (focusing on narrative/story), feedback and discussion of narrative and policy focus  Session 3: come with revised draft incorporating policy issue, feedback for finalizing piece

12.  15 participants in 1 or more sessions  Feedback: daunting but loved it  4 pieces accepted or under review  Huffington Post Op-Ed  Annals of Internal Medicine On Being a Doctor  New York Times Patient Cases  Health Affairs’ Narrative Matters

13.  Despite cherry picking, difficulty with societal biases against population health  Time and sustainability Gruen RL, Pearson SD, Brennan TA. Physician-Citizens—Public Roles and Professional Obligations. JAMA 2004;291(1):94-98.

14. Questions? Alice Hm Chen, MD, MPH achen@medsfgh.ucsf.edu