As the population in our large, urban metroplex continues to grow and evolve, community advocacy has become an integral part of our training program.  Every resident in our program receives frontline advocacy and community health training as part of our core curriculum, with opportunities to expand this training through individualized curriculum, scholarly projects, public policy development, and community networking.  Initiatives to support this education include:

  • Community Pediatrics rotation:  In 2012, this rotation won our program innovation in education award.  This rotation is completed by every intern featuring training in legislative advocacy, community resources, public health epidemiology, and a class- advocacy project.  Experiences include site visits to: the Dallas County Health Department, North Texas Food Bank, WIC, New Horizons Program at North Garland High School, Vogel Alcove Daycare Center for homeless children, Parkland Hospital’s Homes Mobile Medical Unit, and other outreach programs in and around our community.   Activities within the hospital and University realm include educational sessions with experts in the fields of foster care, child abuse and neglect, government relations, media relations, care of the deaf and hard of hearing, health literacy, and community activism.  In addition, our interns learn about our hospital’s unique Medical-Legal Partnership, and interact closely with its Legal Aid lawyer to explore social determinants of health and their impact on the health and well-being of children. In 2011, Faculty Members, Drs. Chrissy Bourland and Nancy Kelly received “Transforming Pediatric Residency Training to Improve Care for Underserved Children Grant,” from the American Academy of Pediatrics with support from the Josiah Macy Jr. Foundation.  With this grant we received support from the AAP’s Community Pediatrics Training Initiative and mentorship from Dr. Lisa Chamberlain, from Stanford University Medical School.  

  • Endowment-funded Advocacy Interest Group dinners cultivate grass roots engagement and leadership among trainees. Advocacy Interest Group guest speakers have included:

    • John Fullinwider, Manager of Research Support and Education Services UTSW Medical Library.  Co-Founder of East Dallas Community School.  Dallas Community Organizer for over 20 years

    • Susan Schoppa, JD:  Legal Director of Medical Legal Partnership at Children’s Medical Center Dallas

    • Elizabeth Liser, Director of Philanthropy and Kim Aaron, Vice President, Policy, Programs and Research North Texas Food Bank

    • Dr. Nora Gimpel, Assisant Professor, Chief, Division of Community Medicine, and Medical Director of North Dallas Shared Ministries

    • Lisa Oglesby-Rocha, Executive Director of AVANCE, Dallas

    • Lisa Chamberlain, MD, MPH, Assistant Professor of Pediatrics, Physician Lead, Pediatric Advocacy Program Lucile Packard Children's Hospital at Stanford Stanford University

    • Justin Beland:  Director, Advocacy Outreach and Mobilization at the Children’s Hospital Association and Related Institutions

    • Mary Jarcy, New Horizons Program, Garland Independent School District

  • Many of our residents choose to focus on community advocacy as part of their scholarly projects.

  • Several of our residents are uniquely involved in the American Academy of Pediatrics in leadership roles.  Please see AAP Involvement Page

  • Our program also supports unique opportunities in legislative advocacy:

    • Laura Beth Mann: Accompanied CMC Government Relations department to Children’s Hospital Association Physician’s Advocacy Day in Washington, DC.  She met with the offices of 7 Congress Representatives from across North Texas including Ron Paul (R-TX), John Culberson (R-TX), Lloyd Doggett (D-TX), Al Green (D-TX), John Carter (R-TX), Jeb Hensarling (R-TX), and Eddie Bernice Johnson (D-TX) about the importance of supporting Pediatric Graduate Medical Education Funding and preventing Medicaid cuts for children’s healthcare.

    • Dolly Sevier, MD
      “During my legislative advocacy elective in Austin I spent a month learning about public policy in Texas and how many decisions made in Austin directly affect me and my patients.  During the time I was there some of the bills that came up were regarding minors in tanning salons, labels on unpasteurized foods, birthing centers, retaining tissue for research after autopsies, managed care and medicaid reform, and GME funding to name a few.   I spent some of my time with the Children’s Hospital Association of Texas and the Texas Pediatrics Society, and much of my time in a physician legislator’s office.  Because of this, I was able to sit in on conversations central to healthcare policy in Texas, and watch the state budget form on a daily basis, in front and behind closed doors, especially regarding topics central to children’s health and graduate medical education.  It was a wonderful experience that opened my eyes to advocating for my patients and consider heading to Austin some day to be a physician legislator myself.” 

  • Each year the Excellence in Advocacy award is presented to residents who have demonstrated a commitment to community advocacy.

  • View the project from this year’s recipients- Laura Beth Mann, Abby Kissel, Teresa Tseng.  See Camp C.H.A.M.P.S Project Below. 

  • Creation of mechanisms for Spanish language skills training and diverse cultural awareness. Expansion of the resident clinic experience to include areas of Dallas with a wide socioeconomic diversity and predominantly Spanish speaking populations.  

  • With our program’s support, our residents have been very successful in obtaining funding for their advocacy projects through the American Academy of Pediatric’s CATCH (Community Access to Child Health) grant program.

    • Recent recipients include:

  • Camp CHAMPS

     

    Abby Kissel, MD and Teresa Tseng, MD. Camp C.H.A.M.P.S. (Choosing Healthy Activities, Meals, and Positive Self-Esteem). January 2012. Faculty Mentor: Nancy Kelly, MD. Link to poster. A longitudinal, family centered obesity prevention curriculum.  The curriculum included health education and physical fitness sessions at a local Dallas Independent School District Elementary School and weekly physician mentorship.

  • Love your Baby, Wrap Your Newborn

     

    Sara Franzen and Gowri Srinivas. Love your Baby, Wrap Your NewbornAugust 2011. The project focused on promoting babywearing in the community and expanding a pre-existing project that provides wraps to new mothers at Parkland Hospital.  They designed informational handouts and gave presentations to community groups, local healthcare providers, and pregnant and parenting teens about the benefits of babywearing, how to wear a baby, and how to make a wrap.  The project also helped to develop partnerships in expanding the Parkland project.

  • Resident Oral Health Initiative

     

    David Troendle, MD and Sara Troendle, MD. Resident Oral Health Initiative2009. Faculty Mentor:  Nancy Kelly, MD. Project aim was to improve access to dental care among children cared for at the CMC Dallas Resident Continuity Clinic. It achieved this goal by surveying patients to identify needs and barriers to dental care access and also surveyed local dental providers to to generate a referral list. Funds were used to improve dental care provided within the resident clinic through patient education and provider training in fluoride administration and appropriate anticipatory guidance. Fluoride varnish administration was incorporated into the routine well child care visits.

  • Rising Stars: Promoting Healthier Urban Families

     

    Marjan Linnell, MD and Michelle Musson, MD. Rising Stars: Promoting Healthier Urban Families.January 2013. Faculty Mentor: Christina Bourland, MD. This community-based project aimed to provide information and aid intervention in an underserved school district based on four broad topics identified from focus groups as particular concerns in the pilot school.  A large initial component of this project consisted of determining the primary health concerns of the population involved, which was accomplished by hosting a focus group that allowed open discussion of potential health-related concerns.  After discussion and consideration of the subjects discussed, we were able to divide the concerns addressed into four major topics that are the cores for our intervention effort, and these included improvement in childhood nutrition, appropriate age-based sexual education, involving and getting children excited about exercise, and summer/psychological safety measures.  We designed a curriculum for the four identified health-related concerns, which were then modified to the specific population that we were dealing with, which in this scenario is a largely Hispanic population, and then varied teaching to both the parental and student level such that both populations could be involved.