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Attitudes Toward Advocacy Do Not Match Actions: A Cross-sectional Survey of Residents and Fellows
Megha Garg1, Zoe Tseng2, Grayson L Baird3
1Assistant Professor, Department of Medicine, University of California San Francisco, San Francisco VA Medical Center, San Francisco, CA.
Background/Objective:
We sought to determine baseline physician advocacy knowledge and attitudes of resident and fellow trainees at our institution to inform future graduate medical education (GME) activities.
Methods:
A cross-sectional survey was developed and administered to all house staff in 2014 at Lifespan Hospitals, affiliated with The Warren Alpert Medical School of Brown University.
Results:
The response rate was 24% (134/558). Eighty-eight percent reported voting in the 2012 presidential election, with lower participation in regional elections. Less than 25% felt comfortable explaining the Affordable Care Act, communicating with media, or influencing legislation on a health care issue. The majority (94%) agreed that "as a physician I have a duty to advocate." Few reported receiving adequate advocacy training in medical school (18%) or residency (12%).
Conclusions:
House staff agreed that physicians have a duty to advocate, but this did not translate into knowledge or action. GME should increase curricular efforts for trainees in the health care advocacy domain.
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