Amidst the ongoing COVID-19 pandemic, widening health disparities, and uncertainty surrounding the future of healthcare reform, physicians have a unique opportunity to affect health policy and advocate on behalf of their patients. However, formal health policy and advocacy training throughout graduate medical education is limited.1,2 Studies across specialties suggest that while trainees feel it is important for physicians to participate in advocacy and policymaking, their perceived ability to do so is limited by knowledge gaps.3-5 In one survey of trainees across specialties, 94% of respondents agreed that “as a physician I have a duty to advocate,” but only 12% of respondents indicated receiving adequate advocacy training in residency.4 Within dermatology, residents have expressed dissatisfaction with their training in business management and health policy.3 Given these gaps, we sought to understand the current landscape of formal health policy instruction and opportunities available to residents in dermatology programs across the U.S.
MATERIALS AND METHODS
Between March-August 2020, a 30-question electronic Redcap
survey assessing health policy education and curricular
opportunities was distributed to program leadership, composed
of program directors, associate program directors, and chief
residents, at Accreditation Council for Graduate Medical
Education (ACGME)-accredited dermatology residency
programs. Statistical analyses were completed using Stata/
SE 15.1 (StataCorp). The Partners Institutional Review Board
approved this study.
There were 94 responses from 144 programs (65% response rate) with roughly equal geographic distribution across the United States (Table 1). While a majority of programs reported presence of at least one faculty member with health policy expertise at their institution (n=48, 51%), a minority reported offering formal health policy curricula (n=14, 15%), elective opportunities (n=34, 36%), or research opportunities (n=43, 46%) in health policy. While most programs were affiliated with institutions that had other non-medical graduate schools (n=71, 76%), a minority reported definitive presence of a division or