Examples of Resident Advocacy
Pediatricians and Politics: Advocating for Pediatric Research
Urban Health and Advocacy residents spent a Research, Advocacy and Policy (RAP) afternoon
last Fall with Boston Children's Office of Government Relations staff Amy DeLong and Kate
Audette, learning how to lobby and speak to politicians. They put their skills to use that day,
meeting with staffers in the offices of Senator Elizabeth Warren and Senator Ed Markey to
advocate for legislation that would strengthen the NIH's commitment to pediatric research.
REACH: Resident Education Advancing Communication in Hospitals
Confronted with the fact that patients with limited English proficiency are more likely to suffer adverse
events and the realization that residents in the BCRP are caring for an increasing portion of non-English
speaking patients, BCRP residents Neeru Narla and Zeena Audi created a cultural communication
curriculum to improve the quality of care delivered to ethnically and linguistically diverse pediatric patients
and their families. After completing a needs assessment of residents and interpreters and conducting
focus groups with interpreters from different cultures, they realized that the obstacles to effective
communication identified by interpreters were similar across cultures. They distilled these gaps in culture
knowledge and interpreter interaction into the theme of a “10 and 10” curriculum – ten tips on working with
interpreters and 10 tips on working with multicultural patients. Every BCRP intern rotating on the BMC
Pediatric Ward team will now experience this curriculum, which combines interpreter feedback, an online
virtual classroom, and simulation to disseminate the “10 and 10” and provide opportunities for residents to
practice these skills. Neeru and Zeena also presented their curriculum to a national audience at the Annual
One of every five children in the United States is growing up poor, which means America’s future faces increased risk of preventable disease, poor school performance, and loss of future economic productivity. In response, residents Michael Hole and Lucy Marcil teamed up and founded StreetCred (www.mystreetcred.org), a social impact organization highlighted by Forbes Magazine and NPR. StreetCred is building one-stop shops of anti-poverty tools to help low-income families visiting pediatric clinics access basic resources and build assets while they wait on their doctor. In its first four months, StreetCred prepared tax returns and led voter registration for patients’ families, ultimately returning nearly $400,000 of Earned Income Tax Credit and Child Tax Credit to caregivers raising children. Zeena Audi and Neeru Narla (second and third from the right in the front row) and their colleagues Michael Hole and Lucy Marcil. StreetCred’s Research Team is studying the program’s impact on long-term childhood toxic stress and health outcomes, and the organization has plans to expand its services to setting up savings accounts and bonds, financial literacy, filing for health insurance, and food, housing, utilities, and family budgeting assistance in Boston and other urban settings across the United States To-date, StreetCred is financially supported by BMC's Department of Pediatrics, BMC's Philanthropic Trust, BMC's Committee on Residents and Interns, a Boston Children's Hospital's Fred Lovejoy Award, the American Academy of Pediatrics, and several private donors. Six BCRP residents devoted their protected advocacy time to StreetCred during the 2016 tax season.
Advocating for Children's Health Insurance
BCRP residents Elyse Portillo and Amanda Stewart at the Massachusetts State House after they and two
other Boston Children’s Hospital providers shared testimony on a bill that would improve the way the
Children's Medical Security Plan—a safety net insurance plan for underserved children—is structured,
allowing for a flexible program that would better serve the needs of children in the Commonwealth. Elyse
and her fellow advocates from Boston Children's shared patient stories as they urged policymakers to move forward on this important legislation.
Other Examples of Recent Resident Advocacy
- Founded the “CIR Center for Social Determinants of Health” at Boston Medical Center, a resident-led, interdisciplinary group of providers whose shared mission is to address disparities in healthcare by improving awareness of the social determinants of health.
- Founded the Advocacy through Policy residency group to partner with the Boston Children’s Hospital Office of Government Affairs in advocating for policies to benefit child health.
- Worked with the Center of Medicaid and Medicare Services on health policy issues at a federal level.
- Received a Patient Safety and Quality Improvement Grant to improve primary care for immigrant patients.
- Received the Whitetulip Health Foundation Award for contributions to humanity as part of the interdisciplinary advocacy group “Clinicians for Healthy Families”.
- Received a Picker Gold Challenge Grant to support the development of patient care initiatives and best practices for “Improving Family-Centered Care for Substance Exposed Newborns and their Mothers”.
- Received a Community Access To Child Health (CATCH) Grant from the American Academy of Pediatrics to support urban families around the impact of community gun violence.
- Designed and implemented a quality improvement project on the BMC pediatric service to facilitate family centered rounds for families whose primary language is not English.
- Multiple residents have published articles in medical journals and public news sources on poverty and health, health disparities, and advocacy training.
- Presented a workshop on advocacy training in residency at a national meeting, in collaboration with several other residency programs.
- Received an International Elective Grant from the American Academy of Pediatrics to support work on sickle cell disease in Ghana.