Child Health Advocacy, Antiracism, Neighborhood partnerships, Justice and Equity
UC Davis Pediatric Residency Program
CHAANJE (Child Health Advocacy, Antiracism, Neighborhood partnerships, Justice and Equity) Lives Initiative
Developing Physician Leaders and Advocates for Pediatric Health Equity and Social Justice to Improve Child Health Disparities and CHAANJE Lives
As the UC Davis Pediatric Residency Program, we recognize that the health of our children today directly impacts the strength of our future. Child Health Equity is a fundamental requirement to ensure the healthy growth, development, and wellness of our youth.
Key childhood determinants of health undisputedly influence core developmental experiences of our pediatric, adolescent, and young adult populations. These experiences, in turn, contribute to healthcare disparities that have the potential to alter health outcomes over a lifetime.
As a pediatric residency, we are dedicated to training our residents to be skilled, competent, and compassionate leaders in improving health outcomes through the areas of:
Child and Community Health Advocacy
Social Justice and Antiracism in Medicine
Neighborhood partnership
Pediatric, Adolescent, and Young Adult Health Equity
The CHAANJE Lives Initiative created by the UC Davis Pediatric Program is a 3-year threaded curriculum aimed at training resident leaders and developing physician experts in these areas.
Pediatric Health Equity / Social Justice Curriculum
PGY1s:
Course work:
Community Health and Advocacy rotation: One month intensive and interactive rotation focused on the impacts of adverse childhood experiences, social determinants of health and ways residents can address health inequities through advocacy and their clinical practice.
Adolescent Medicine
Vulnerable Patient Populations/Intersections
- Juvenile Justice Informed Youth
- Chronic illness
Didactics
Sacramento 101: An introduction to the Sacramento Community through the lens of child health equity.
Social Justice Frameworks/Critical Consciousness Perspectives
Introduction to Equity Based Skillsets:
- Social Determinants of Health
- Equity-Based Root Cause Analysis (quarterly around patient presentation)
- At the level of the patient
- Can align with journal club or narrative reflection.
- Analyze common child health and well-being inequities through our patient interactions considering the examination of child health disparities and opportunities of physician advocacy.
- At the level of the patient
- Framing Child Health and Well-Being Issues (Biannually)
- Apply Frameworks to effectively change public discourse about child health and well-being issues
Special Populations / Topical Issues: Interest driven reflection concentrating on health and well-being outcomes among children and adolescents from marginalized and/or vulnerable backgrounds
Child Health Equity Journal Club: Evaluation of current literature addressing child, adolescent, and young adult health equity as well as social justice, population health, and antiracism in medicine.
PGY2s
Sacramento 101 – Changes and Updates
Expansion of Skill Sets
Sacramento/California Health Disparities: Equity-Based Root Cause Analysis:
- Analyze common child health and well-being inequities in Sacramento through the examination of child health disparities and opportunities of physician advocacy.
Framing Child Health and Well-Being Issues (Biannually)
- Apply Frameworks to effectively change public discourse about child health and well-being issues
Special Populations / Topical Issues: Interest driven reflection concentrating on health and well-being outcomes among children and adolescents from marginalized and/or vulnerable backgrounds
Child Health Equity Journal Club: Evaluation of current literature addressing child, adolescent, and young adult health equity as well as social justice, population health, and antiracism in medicine.
PGY3s
Sacramento 101 – Changes and Updates
Expansion of Skill Sets
Sacramento/California Health Disparities: Equity-Based Root Cause Analysis:
- Analyze common child health and well-being inequities in our Nation through the examination of child health disparities and opportunities of physician advocacy.
Framing Child Health and Well-Being Issues (Biannually)
- Apply Frameworks to effectively change public discourse about child health and well-being issues
Special Populations / Topical Issues: Interest driven reflection concentrating on health and well-being outcomes among children and adolescents from marginalized and/or vulnerable backgrounds
Child Health Equity Journal Club: Evaluation of current literature addressing child, adolescent, and young adult health equity as well as social justice, population health, and antiracism in medicine.
Child Health and Well-being Inequities: A local, state, national and international perspective: Review child health outcomes at the local, state, national and international level.
Residency is Ending, Now What? Annual session designed for graduating residents
Reflection on training and experiences over the past 3 years
Identification of experienced or perceived future barriers to physician participation in community health initiatives
Review and discussion of opportunities to partner with future communities after residency
Joint Lectures:
Framing Child Health and Well-Being Issues: Apply Frameworks to effectively change public discourse about child health and well-being issues.
Special Populations / Topical Issues: Interest driven reflection concentrating on health and well-being outcomes among children and adolescents from marginalized and/or vulnerable backgrounds.
Child Health Equity Journal Club: Evaluation of current literature addressing child, adolescent, and young adult health equity as well as social justice, population health, and antiracism in medicine.
Threaded Health Equity/Social Justice Curriculum: The attainment of expertise in areas influencing pediatric health equity cannot be gained in silos or isolation. For this reason, these core topics are threaded throughout the resident curriculum, including our core didactic conferences (Case Management, M&M, Multidisciplinary Conference, Grand Rounds, Morning Report), and opportunities for scholarly activity, media advocacy, legislative advocacy, and community engagement. Residents are encouraged to stay up to date with current Child Health Equity Literature through Child Health Equity Journal Clubs and have access to an up to date Child Health Equity Virtual Library.
Curriculum Co-Directors:
Laura Kester Prakash MD, MPH
Mikah Owen, MD, MPH