Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Residency programs and medical schools must prioritize advocacy training

Christian Alexander Pean, MD
Policy
June 23, 2017
Share
Tweet
Share

Any physician who firmly believes in the ethical principles of beneficence and justice will recognize the legislation recently passed by the United States Congress known as the American Healthcare Act (AHCA) as a moral travesty. The bill’s provisions to shift costs from the wealthy to the impoverished, diminish protections for individuals with pre-existing conditions, and strip away essential health benefits for patients are cruel measures that run directly counter to the goal of creating a more egalitarian health care system.

Physicians and health care providers at large railed against AHCA. Citing the troubling projection that millions of Americans would lose health care access should the AHCA bill become law, the American Medical Association and several other prominent physician organizations publicly opposed the bill, but to no avail. Despite the outcries from hospitals, nurses, citizens and physicians alike, the Senate is now trudging onwards in its attempt to pass a version of this bill.

However, as the debate on the future of the American health care system electrifies television screens and blares on radios around the country, the voices of young physicians in training are conspicuously absent from public discourse. As a resident physician, I can surmise that while other groups are marching on Washington, the vast majority of my colleagues have been shuttered away in hospitals inundated with clinical responsibilities and answering pages in the dead of night. Most resident physicians are too exhausted from their hectic schedules to engage in these issues, and many residency programs do not offer opportunities for engagement in political advocacy.

In the age of Trumpcare, the voices of young physicians on the frontline of the health care system are more important than ever. Some residency programs have already taken the initiative to create specialized tracks for physicians interested in integrating policy and advocacy into their careers.  The NYU Langone Medical Center recently started a strategy and policy track for it’s orthopedic surgery resident physicians. The Boston Combined Residency Program in Pediatrics at Boston Children’s Hospital and Boston Medical Center offers an urban health and advocacy track for some of its physicians in training.  Similarly, the Kaiser Permanente Oakland Internal Medicine Residency Program is launching a new Health Equity and Disparities track beginning this year. Medical students have led formative roles in the New York City Coalition to Dismantle Racism in the Health System, and the #ProtectOurPatients grassroots campaign is also led by medical students.

These examples are praiseworthy, but should not be exceptional. The American Medical Association Declaration of Professional Responsibility dictates physicians must “advocate for the social, economic, educational, and political changes that ameliorate suffering and contribute to human well-being.” Some physicians eventually do become policy advisors, fulfill media positions, contribute to public discourse on issues relating to the social determinants of health, or run for political office — but basic levels of competency in policy and advocacy are ill-defined for medical students and resident physicians.

Every medical school should be compelled to implement a mandatory advocacy curriculum that ties topics of clinical competence to the implications of relevant state and federal policy decisions for patient outcomes. Institutes of graduate medical education must give young physicians opportunities to familiarize themselves with the political landscape of their local communities and encourage them to learn to effect change on a broader scale beyond their individual health system. The pitfalls of moral hazard in the health care system and comparisons of free-market to single payer insurance models should be discussed at length in residency grand rounds.  The intricacies of value-based care shouldn’t be left entirely to policymakers behind closed doors on Capitol Hill. Rather, these topics should be debated amongst medical students and physicians. The medical profession must embrace advocacy as an ethical imperative now more than ever before.  Doctors cannot be taught that befuddled shrugging or sincere expressions of sympathy alone are acceptable responses when a patient asks, “How will I pay for this treatment?”

I recently watched a compelling video of Neil deGrasse Tyson extolling the power of science to define emerging truths.  Physicians toil away fighting disease in the caliginous spaces where the hard truths of science and the tumultuous narratives of human suffering collide in real time. Daily, doctors apply the awesome power of scientific knowledge to mend the human body in seemingly miraculous fashion.  We perform this delicate craft in the service of our patients only to often have our efforts undermined by the toxicity of a fragmented health care system. We are poised to speak out for the most marginalized and ill patients who don’t have a lobbying firm doing it for them.

It is time our medical education system give young physicians and medical students the tools to translate their perspectives into public policy. Otherwise, the voices of our brightest young doctors and our most vulnerable patients will continue to be drowned out by the cacophony of partisan squabbling.

Christian Alexander Pean is an orthopedic surgery resident.

Image credit: Shutterstock.com

Prev

The myopic focus on pain has been misguided

June 23, 2017 Kevin 4
…
Next

MKSAP: 28-year-old pregnant woman with a cardiac murmur

June 24, 2017 Kevin 0
…

Tagged as: Public Health & Policy

Post navigation

< Previous Post
The myopic focus on pain has been misguided
Next Post >
MKSAP: 28-year-old pregnant woman with a cardiac murmur

ADVERTISEMENT

Related Posts

  • How the COVID-19 pandemic highlights the need for social media training in medical education 

    Oscar Chen, Sera Choi, and Clara Seong
  • Residency training, and training in residency

    Michelle Meyer, MD
  • The first day of medical training during a pandemic

    Elizabeth D. Patton
  • Digital advances in the medical aid in dying movement

    Jennifer Lynn
  • Why medical students need more continuity of care training

    Nathaniel Fleming
  • How physical should medical training be?

    Orly Farber

More in Policy

  • Bundled payments in Medicare: Will fixed pricing reshape surgery costs?

    AMA Committee on Economics and Quality in Medicine, Medical Student Section
  • Who gets to be well in America: Immigrant health is on the line

    Joshua Vasquez, MD
  • Online eye exams spark legal battle over health care access

    Joshua Windham, JD and Daryl James
  • The One Big Beautiful Bill and the fragile heart of rural health care

    Holland Haynie, MD
  • Why health care leaders fail at execution—and how to fix it

    Dave Cummings, RN
  • Healing the doctor-patient relationship by attacking administrative inefficiencies

    Allen Fredrickson
  • Most Popular

  • Past Week

    • Who gets to be well in America: Immigrant health is on the line

      Joshua Vasquez, MD | Policy
    • Why specialist pain clinics and addiction treatment services require strong primary care

      Olumuyiwa Bamgbade, MD | Conditions
    • Harassment and overreach are driving physicians to quit

      Olumuyiwa Bamgbade, MD | Physician
    • Why peer support can save lives in high-pressure medical careers

      Maire Daugharty, MD | Conditions
    • When a medical office sublease turns into a legal nightmare

      Ralph Messo, DO | Physician
    • Addressing menstrual health inequities in adolescents

      Callia Georgoulis | Conditions
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Who gets to be well in America: Immigrant health is on the line

      Joshua Vasquez, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
  • Recent Posts

    • The shocking risk every smart student faces when applying to medical school

      Curtis G. Graham, MD | Physician
    • Clinical ghosts and why they haunt our exam rooms

      Kara Wada, MD | Conditions
    • High blood pressure’s hidden impact on kidney health in older adults

      Edmond Kubi Appiah, MPH | Conditions
    • Deep transcranial magnetic stimulation for depression [PODCAST]

      The Podcast by KevinMD | Podcast
    • How declining MMR vaccination rates put future generations at risk

      Ambika Sharma, Onyi Oligbo, and Katrina Green, MD | Conditions
    • The physician who turned burnout into a mission for change

      Jessie Mahoney, MD | Physician

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 16 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Who gets to be well in America: Immigrant health is on the line

      Joshua Vasquez, MD | Policy
    • Why specialist pain clinics and addiction treatment services require strong primary care

      Olumuyiwa Bamgbade, MD | Conditions
    • Harassment and overreach are driving physicians to quit

      Olumuyiwa Bamgbade, MD | Physician
    • Why peer support can save lives in high-pressure medical careers

      Maire Daugharty, MD | Conditions
    • When a medical office sublease turns into a legal nightmare

      Ralph Messo, DO | Physician
    • Addressing menstrual health inequities in adolescents

      Callia Georgoulis | Conditions
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Who gets to be well in America: Immigrant health is on the line

      Joshua Vasquez, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
  • Recent Posts

    • The shocking risk every smart student faces when applying to medical school

      Curtis G. Graham, MD | Physician
    • Clinical ghosts and why they haunt our exam rooms

      Kara Wada, MD | Conditions
    • High blood pressure’s hidden impact on kidney health in older adults

      Edmond Kubi Appiah, MPH | Conditions
    • Deep transcranial magnetic stimulation for depression [PODCAST]

      The Podcast by KevinMD | Podcast
    • How declining MMR vaccination rates put future generations at risk

      Ambika Sharma, Onyi Oligbo, and Katrina Green, MD | Conditions
    • The physician who turned burnout into a mission for change

      Jessie Mahoney, MD | Physician

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Residency programs and medical schools must prioritize advocacy training
16 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...