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Areas of Concentration Program
Community Health/ Advocacy
Global and Public Health
Humanities
Social Sciences in Medicine
Medical Education
The Health Care System
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Community Health and Social Advocacy

Introduction
The Area of Concentration (AoC) in Community Health and Social Advocacy offers medical students the opportunity to develop the knowledge, skills, and attitudes needed to improve the health of communities. This AoC is designed to provide students with the opportunity to participate actively in the design and implementation of projects in community health and social advocacy. Our goal is to provide students with the necessary skills to partner with communities in order to effect positive social change.

The use of the term “community” is defined broadly for the purposes of this AoC, and so provides significant flexibility based on students’ interests. A diverse array of possibilities is available within this AoC, and this program is designed to accommodate students with no prior experience in community work as well as those with extensive backgrounds. Students are encouraged to explore their interests in the preparatory phase (see below) and to meet with the faculty advisors to provide guidance as needed. A variety of community partners are available for both project identification and to serve as mentors/advisors for students in this AoC. Students with a strong interest in this AoC are encouraged to consider extending their medical education by an additional year for more in-depth opportunities and expanding their project reports as the basis for an MD with thesis.

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Requirements
As with all of the AoCs, students in the Community Health and Social Advocacy AoC are required to fulfill requirements in three areas: (1) Preparation, (2) Experiential learning, and (3) Legacy.

  1. Preparation
    The preparatory phase is designed to introduce students to this AoC and to provide a solid foundation for the experiential component. Students are encouraged to enroll in electives that directly relate to or are sponsored by this AoC during their first- and second-years. These electives include, but are not limited to, courses in homeless health care, social activism, and medical Spanish. In addition, all students who enroll in this AoC are required to enroll in Community Health 101 (generally during their fourth year), a two-week course that provides structured learning about skills necessary for the experiential component of this AoC.

  2. Experiential Learning
    All students in this AoC will be expected to spend 12-24 weeks during their fourth year working on a project of their choosing in community health and/or social advocacy, in partnership with an existing community group. The potential opportunities for projects are infinite, and each student should discuss their ideas with one of the faculty advisors. In addition, students will be required to identify both a community and an academic mentor who will assist with their progress during this phase of the program. Voluntary monthly meetings will be offered throughout the year to provide an opportunity for students at different phases of the AoC to reflect on their experiences and share ideas.

  3. Legacy
    All students in this AoC are required to create an enduring product to describe and document their work during the experiential phase. While the legacy can take the form of a traditional academic manuscript, there are also opportunities for it to take a different form, e.g. health education curricula, data from community needs assessments, policy changes made as a result of advocacy work. In addition, all students will be required to present the process and outcomes of their projects at a forum that will include their peers and academic and community mentors.

Students will also be expected to maintain a portfolio documenting their activities and accomplishments throughout the four years of medical school. This portfolio should include a listing of coursework completed, documentation of service-learning activities, a description of their project, and mentor evaluations.

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Application Procedures
The application for this and all AoCs will be standardized to conform to the academic calendar. In general, students should plan to apply to this AoC by the spring of the third-year of medical school. Earlier applications are welcome and encouraged, as they afford opportunities for more longitudinal service and learning experiences. Students should complete an application detailing their areas of interest, related coursework and/or other experiences that have already been completed, their proposed study plan, and potential AoC advisors. Students should contact the faculty advisors (listed below) or their Advisory College Mentor to review their plans for participation in this program. The faculty advisors will review all applications and provide specific feedback, including potential modifications in the proposals. They are also happy to assist students in identifying appropriate community partners and community mentors.

The first step in getting involved in the AoC is to log onto iROCKET, go to the "Areas of Concentration" course, and fill out the Interest Form the AoC that interests you.

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Faculty Advisors

Sharad Jain, MD
Department of Medicine
Sharad.Jain@ucsf.edu

Naomi Wortis, MD
Department of Family and Community Medicine
Naomi.Wortis@ucsf.edu

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Updated: January 31, 2008
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