Resident Advocate Development Program: Feasibility of a Novel Advocacy Curriculum in Obstetrics and Gynecology [12M]

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Lawmakers across the United States are increasingly passing legislation that interferes with the patient-physician relationship and ignores physician voices. Residents must learn to critically assess healthcare policy and develop the skills necessary to advocate for their patients and their specialty. Despite the Council on Resident Education in Obstetrics and Gynecology’s inclusion of advocacy as an educational objective, no longitudinal, comprehensive curriculum on advocacy education exists in obstetrics and gynecology residencies. The Resident Advocate Development (RAD) Program was developed as a comprehensive, multi-faceted resident education program, integrating didactics, peer-reviewed articles, skills-building workshops, and legislative lobby days. The purpose of this study is to evaluate feasibility of and resident satisfaction with a novel advocacy training curriculum.


Obstetrics and gynecology residents at Montefiore Medical Center were recruited for participation in the pilot program between January 2017 and June 2017. Qualitative interviews were conducted with program participants at the end of the pilot program to gain insight into the curriculum’s perceived importance, strengths, and weaknesses.


Nine residents participated in the pilot program. In-person interviews with each demonstrated high levels of satisfaction with didactics, skills-building workshops, and participation in legislative lobby days. Notable areas for improvement included increasing acceptance of advocacy as a resident responsibility and use of legislative visit simulations.


This feasibility study demonstrates how a residency advocacy curriculum can be developed, implemented, and evaluated with promising results, including high participant satisfaction.

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