83. THE CAROLINAS COLLABORATIVE: HOW A PEDIATRIC RESIDENCY TRAINING PROGRAM COLLABORATIVE IMPROVED COMMUNITY HEALTH AND ADVOCACY CURRICULA

Abstract

Background The Carolinas Collaborative (CC) is a cohesive network of advocacy leaders and representatives from all 8 pediatric academic institutions in North and South Carolina. Upon the founding of the CC, each institution had disparate levels of established advocacy curricula. Over the course of two years, the CC member programs worked together to improve their advocacy curricula via bi-weekly conference calls and quarterly meetings. Institutions saw an improvement in their curricula over time, and the advocacy programs involved in the CC became stronger and more developed through their involvement in the CC. Objective To explore the impact of a multi-state advocacy-training collaborative upon community health and advocacy curricula using the American Academy of Pediatrics Community Pediatrics Training Initiative (CPTI) Community Health and Advocacy Mapping Profile (CHAMP) Mapping tool. Our hypothesis was that the collaborative would positively impact the curricular content for each program and lead to deeper and broader learning and assessment. Design/Methods Each of the 8 training programs of the CC completed the CPTI CHAMP Mapping tool at the outset of the collaborative in August of 2016, identifying which of the 35 learning objectives for Community Health and Advocacy Training were addressed in their residency program's curriculum, and an assessment of the level of learning expected for each taught objective according to Miller's Pyramid (Knows, Knows How, Shows How, Does). Each program repeated the CHAMP Mapping exercise in April of 2018. We assessed both changes in the number of objectives taught, and increases in the level of learning expected per Miller's Pyramid. Results Compared to the 2016, the total number of CHAMP objectives taught by each program increased by 2018, from 31 to 32 of the 35 total. This number was not statistically significant. The level of learning assessed in 2016, defined by the number of objectives that met “Shows How” or “Does” showed a statistically significant increase by 2018 whether compared to all 35 CHAMP objectives (Curriculum Index, p=0.00007), or to the specific CHAMP objectives taught by each program (Robustness Index, p=.0002) (FIGURE 1). Conclusion Involvement in a multi-institutional Residency Training Collaborative can improve the quality and depth of Community Health and Advocacy education for residents. Both the breadth and depth of curricula improved, but the changes in level of learning, as defined by Miller's Pyramid, were the most significant.