An Integrated Community Health and Child Advocacy Curriculum (ICHCA) was formulated by combining immersive activities contextualized within a continuity clinic setting. Researchers used Kern's six-step intervention model and the CHAMP mapping tool to help develop the curriculum. 20 residents completed the program in 2019 and were precepted by attending pediatricians. The researchers reviewed the evaluations from key stakeholders — including residents, attending academic pediatricians and clinical support staff — focusing on reactions, learning, and behaviors. Pre-intervention, immediate post-intervention and 10 months post-intervention results were compared. Learner satisfaction, knowledge and behaviors improved in terms of advocacy in the clinical environment. The response rates were 70%, 75% and 72.5% for attendings, residents and support staff, respectively. The intervention was feasible, incurred no costs and necessitated no additional materials or training because of its reliance on real-time learning. The authors concluded that the ICHCA model can enhance understanding of social responsibility and lend itself to similar deployment in other residency programs.

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