The BCRP is actively engaged in the Boston community and committed to providing outstanding care for Boston’s children. Both Boston Children’s Hospital and Boston Medical Center are located near large urban areas and in many ways, both institutions become community hospitals for residents from Roxbury, Dorchester and Mission Hill where many families living at or below the poverty line. The majority of children who live in Boston receive their primary health care from one of our institutions. Boston Medical Center is the largest safety net hospital in New England and Children’s Hospital’s Primary Care Center (CHPCC) is the largest provider of pediatric primary care to children in the city, with 11,000 patients, 65% from low income neighborhoods. In addition to serving Boston’s urban population clinically, residents receive additional training and immersive community experiences in the Keystone block as part of the Advocacy, Adolescent Medicine, and Child Development curricula.
Residents often organize and participate in other community efforts including supporting local organizations like Forest Hill Runners and Best Buddies, joining with pediatric residents from other programs in the state for the Residents and Fellows Day at the State House, and engaging in fundraising efforts by cycling in the annual Rodman Ride and running in the Boston Marathon.
Community Health and Advocacy Rotation
The Community Health and Advocacy Rotation is based at Boston Medical Center and is incorporated into the Keystone block during the PL-1 year. The curriculum focuses on preparing BCRP residents to screen for and address the social determinants of health. Through the advocacy rotation residents build familiarity with the many resources available to patients at both institutions and in the Boston community. Residents also receive training in legislative advocacy, participate in skill building workshops, and learn through structured community exercises that complement targeted didactic training in topics such as disability services, family law, health insurance, housing, hunger and nutrition, and immigration services. In addition, residents learn to seamlessly incorporate their advocacy skills into their primary care clinic, developmental and behavioral pediatrics clinics, and adolescent clinics during the Keystone Quarter so that advocacy is seen as central to being a pediatrician rather than separate from clinical duties. Residents also have the opportunity to explore careers in advocacy and public health at the local, national and global levels.
For residents with a special interest in legislative advocacy, elective opportunities at both the local and national levels can be arranged.
Health Equity Rounds
The Health Equity Rounds program is a Grand Rounds conference series that provides a forum for interdisciplinary discussion of cases that are impacted by implicit bias and structural racism. Participants learn how to analyze the effects of implicit bias and structural racism in clinical scenarios and describe the historical context and present-day role of structural racism and its impact in the health care system. Resident conference leaders employ evidence-based tools to help participants recognize and mitigate personally held implicit biases, and leverage these skills to reduce the impact of bias on doctor-patient and interprofessional relationships as a means to reduce structural racism at the institutional level.