Advocating for Health: A New Approach in Medicine
Discover the evolving role of health advocacy in medical education.
Wilma RW Oosthoek, Dario Cecilio-Fernandes, Maarten FM Engel, Lars T van Prooijen, Suzie J Otto, Andrea M Woltman
― 7 min read
Table of Contents
- What is Health Advocacy?
- The Challenge of Defining Health Advocacy
- What Do We Know About Health Advocacy Competence?
- Balancing Competing Roles
- The Need for a Comprehensive Understanding
- Our Questions on Health Advocacy
- How Will We Go About It?
- Who Will Be Included?
- Types of Information Sources
- Crafting a Search Strategy
- Data Management and Selection
- Data Extraction Process
- Analyzing and Presenting Data
- Conclusion
- Original Source
Health advocacy is becoming a big deal in the world of medicine. You might wonder what that means. Well, it's all about helping improve the healthcare system so that everyone can get the care they need, especially those who may struggle to access it. Imagine doctors not just treating patients but also fighting for the health of their communities. Sounds great, right?
What is Health Advocacy?
At its core, health advocacy is when medical professionals work with individuals and groups to promote better health outcomes. This means they not only care for patients but also fight for the resources and changes needed to create a healthier society. It sounds important because it is. The aim is to make healthcare more inclusive, affordable, and sustainable for everyone, from individuals to entire populations.
The Challenge of Defining Health Advocacy
Now, here's where things get a bit tricky. The concept of health advocacy has evolved over the years. While organizations have defined it in certain ways, many other interpretations have popped up, complicating things even further. This makes it hard for medical schools to teach health advocacy consistently.
In the past, reviews have focused on specific ways to teach and assess health advocacy at different stages of medical training. However, there's been less focus on how the understanding of health advocacy changes throughout a medical career. As a result, there's a real need for a thorough review that clarifies what health advocacy really means for today's and tomorrow's doctors.
What Do We Know About Health Advocacy Competence?
The phrase "health advocacy competence" may sound a bit fancy, but it basically describes how good doctors are at advocating for health. Different experts have different views on what health advocacy entails. Some see it as part of a doctor’s job to promote individual patient health through personalized care. Others think of it as a more activist role, where doctors fight against health injustices on a larger scale.
Additionally, some views highlight how personal values shape a doctor’s approach to advocacy. In essence, what works for one doctor might not sit right with another. The key takeaway here is that the role of health advocacy is often misunderstood and varies widely in the medical field.
Balancing Competing Roles
Being a medical professional isn’t just about treating symptoms; it’s also about wielding influence. But here’s the kicker: where do you draw the line? Doctors often wrestle with the balance between promoting societal changes and their core role as medical experts. This can create a conflict known as "dual agency."
As ideas about health advocacy shift from being a shared responsibility to a more individual task, new questions arise. Who should be responsible for what? How much should doctors engage in broader health issues as part of their job? These are tough questions without easy answers, making the conversation about health advocacy even more important.
The Need for a Comprehensive Understanding
Given how health advocacy means different things to different people, it’s clear we need a better grasp of its role in Medical Education. If we can nail down a unified understanding, we can create a learning environment where future doctors can truly thrive in their advocacy efforts.
Despite the urge to dive in deep, there hasn’t been a full review of how health advocacy is taught throughout medical training. It’s time to bridge this gap and highlight the various meanings of health advocacy.
Our Questions on Health Advocacy
So, what exactly should we be asking in our quest to understand health advocacy better? Here’s a quick list:
- What does the existing research say about health advocacy in medical education?
- What are the different aspects and limits of the health advocacy role within this field?
- How do perspectives on health advocacy change at different phases of medical education?
- How have these views evolved over time?
These questions will guide us as we dig into the topic.
How Will We Go About It?
We’re adopting a scoping review approach, which is basically a fancy way of saying we’ll explore the existing literature on health advocacy to see what’s out there. Our goal is to gather up all the varying views and present them clearly so that we can find common ground among them.
Who Will Be Included?
Our review will focus on articles that deal with students and doctors who are learning or teaching medicine. This means we'll look at medical students, residents, fellows, and practicing doctors at all stages of their careers. We want to get a good mix of perspectives from both general and specialized medical fields.
We’re also interested in how the concept of health advocacy has been defined over time. It’s essential that discussions about health advocacy tie directly to its role in medical education.
Types of Information Sources
We’re casting a wide net and will include various sources such as theoretical studies, empirical research, and even opinion pieces. Since conference abstracts often turn into published studies anyway, we’ll skip those to keep our workload manageable.
Crafting a Search Strategy
To find the best articles, we’ve designed a search strategy that combines different terms related to health advocacy and competence in medical education. The research team put their heads together to come up with the most effective search terms, and we’ll scour several databases to find what we need.
Data Management and Selection
Once we find our articles, we’ll use a specialized tool called Covidence to help us screen and sort through them. Two reviewers will independently evaluate the articles based on our criteria. If they hit any bumps in the road, they can consult with team members to reach a consensus.
For articles in languages the team can’t translate, we’ll turn to helpful online tools or native speakers for help. We believe in teamwork, after all! Each step will be carefully documented to ensure transparency.
Data Extraction Process
Once we decide which studies are included, we’ll extract relevant information to answer our research questions. We’ll look for key details like publication year, country of origin, study objectives, and the main outcomes. This data will help us summarize the different approaches to health advocacy in medical education.
Analyzing and Presenting Data
After gathering our data, we’ll analyze it to spot trends and categorize the various interpretations of health advocacy over the years. We’ll divide our findings into manageable timeframes and phases of medical education, allowing us to see how perspectives have shifted over time.
Additionally, we’ll be sure to present our findings in a visual way to make it easier to digest.
Conclusion
The world of health advocacy in medical education is complex, varied, and vital. By digging deeper into the existing literature and clarifying the different meanings of health advocacy, we can better prepare future doctors to tackle the challenges they will face in the field. With a clearer understanding of health advocacy, we can hope to create a medical community that not only treats patients but also champions health for all. Remember, behind every good doctor is a great advocate—just don’t forget to laugh along the way!
Original Source
Title: Bringing conceptualizations of the health advocacy competence across the continuum of medical education together: a scoping review protocol
Abstract: IntroductionHealth Advocacy (HA) is acknowledged as a core competence in medical education. However, varying and sometimes conflicting conceptualizations of HA exists, making it challenging to integrate the competence consistently. While this diversity highlight the need for a deeper understanding of HA conceptualizations, a comprehensive analysis across the continuum of medical education is absent in the literature. This protocol has been developed to clarify the conceptual dimensions of the HA competence in literature as applied to medical education. Methods and analysisThe review will be conducted in line with the JBI methodology for scoping reviews. A comprehensive literature search was developed and already carried out in eight academic databases and Google Scholar, without restrictions on publication date, geography or language. Articles that describe the HA role among students and physicians that receive or provide medical education will be eligible for inclusion. Two independent reviewers will independently complete title and abstract screening, prior to full-text review of selected articles and data extraction on the final set. A descriptive-analytical approach will be applied for summarizing the data. Ethics and disseminationThis scoping review does not involve human participants, as all evidence is sourced from publicly available databases. Therefore, ethical approval is not required for this study. The findings from this scoping review will be disseminated through submission to a high-quality peer-reviewed journal and presented at academic conferences. By clarifying the conceptualizations of HA, this review aims to contribute to a shared narrative that will strengthen the foundation for integrating the HA role into medical education. Trial registration numberA preliminary version of this protocol was registered on the Open Science Framework (OSF) on 9 December 2024, and can be accessed at the following link: osf.io/6f94y. Article Summary Strengths and limitations of this study{Rightarrow} This review will maintain consistency and meet the quality standards established by other scoping reviews by adhering to the JBI methodology for scoping reviews and following to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension checklist specifically designed for scoping reviews (PRISMA-ScR). {Rightarrow}Two independent reviewers will conduct the title and abstract screening, full text screening and data extraction, including pilot exercises, to enhance the systematic rigor of the screening process and increase the reliability of the results. {Rightarrow}The search strategy is systematically developed in collaboration with a medical librarian, who also serves as a co-author on this project. {Rightarrow}This review ensures inclusivity by avoiding language restrictions, designing data visualizations for colorblind readers, and committing to open-access resources to align with FAIR (findable, accessible, interoperable and reusable) principles. {Rightarrow}This review aims to pave the way toward a shared understanding of the health advocacy competence in medical education. However, while it contributes valuable insights to the discourse, it does not possess the capacity to inform policy or practice changes in the field.
Authors: Wilma RW Oosthoek, Dario Cecilio-Fernandes, Maarten FM Engel, Lars T van Prooijen, Suzie J Otto, Andrea M Woltman
Last Update: 2024-12-10 00:00:00
Language: English
Source URL: https://www.medrxiv.org/content/10.1101/2024.12.09.24318699
Source PDF: https://www.medrxiv.org/content/10.1101/2024.12.09.24318699.full.pdf
Licence: https://creativecommons.org/licenses/by/4.0/
Changes: This summary was created with assistance from AI and may have inaccuracies. For accurate information, please refer to the original source documents linked here.
Thank you to medrxiv for use of its open access interoperability.