Competencies and Objectives
6.97 Goal: Pediatric Competencies (Child Advocacy)
Demonstrate high standards of professional competence, knowledge,
skill, and involvement in activities necessary to effectively advocate
for the health and well-being of children.
6.97.1 Competency 1:
Provide family-centered patient care that addresses the health and
development of the child within the context of the family and available
resources (including educational, other health professional,
state/federal programs, available community resources, etc.) necessary
for the effective promotion of health.
184.108.40.206 Demonstrate a commitment to acting in the overall
best interest of the whole patient and his/her optimal functional
status, despite competing time, fiscal, or service constraints.
220.127.116.11 Demonstrate a willingness to advocate for children
and their families.
6.97.2 Competency 2:
Understand the scope of established and evolving policies, systems,
and resources that can be used by the pediatrician to advocate for the
health and well-being of children on an individual, community, state,
and national level and apply this knowledge.
18.104.22.168 Demonstrate a commitment to acquiring the knowledge
needed to advocate for the health and well-being of children.
22.214.171.124 Explain why children need child advocates (e.g.
children cannot vote, lobby, or speak for themselves).
126.96.36.199 Define the role of a child advocate and describe ways
in which a pediatrician can advocate for children.
188.8.131.52 Discuss how the American Academy of Pediatrics
advocates for children (e.g., the AAP's federal and state legislative
activities and CATCH program). Identify other regional, national, and
international child advocacy organizations (e.g., Children's Defense
Fund, Mothers Against Drunk Driving, Alliance for Child Survival) and
describe how to obtain more information from them.
184.108.40.206 Describe several major public health issues affecting
children that are being considered by the local, state, or federal
government (e.g., hand gun control, children's health insurance,
smoking cessation, helmet use, abduction surveillance systems).
Identify the key elements of the position of for and against each issue
and the proponents and opponents, and discuss how the pediatrician
might become involved.
220.127.116.11 Discuss barriers to health and health care for
children in one's own community and some strategies to overcome these,
including action the pediatrician can take, what the role of local and
national government agencies should be, and community resources that
are available to lessen or overcome the barriers.
18.104.22.168 Demonstrate a working knowledge of non-medical
systems that influence and direct care for children, including the
criminal justice, child protection, and educational systems.
22.214.171.124 Know and/or access community resources efficiently
and appropriately to the care of patients.
126.96.36.199 Advocate with other medical, social or community
services to address the patient's and family's problems and needs.
188.8.131.52 Understand Special Education systems and the basis
for those systems.
- Describe the legal basis for adaptations in schools for children
with special health care needs, including the Americans with
Disabilities Acts (ADA) and the Individuals with Disabilities Education
- Give examples of classroom modifications that can be extended to
children under Section 504 of the Rehabilitation Act.
- Assist families of children with special health care needs in
accessing services through their schools, including physical, speech
and occupational therapies.
- Assist families of children with suspected or known developmental
needs in accessing evaluation and special education services from their
- Understand the process by which schools determine appropriate
services for children, including development of an Individualized
Education Plan (IEP 3-22 yr), an Individualized Family Service Plan
(IFSP birth-3 yr), and a 504 plan.
184.108.40.206 List local resources and support groups for children
and families with social, legal, educational, or special health care
220.127.116.11 Describe the policy and advocacy efforts of the AAP,
the APA, and other groups that speak on behalf of children with special
health care needs (e.g., the medical home model).
18.104.22.168 Understand the history and the tradition of advocacy
that has shaped the role of the pediatrician within our
6.97.3 Competency 3: Interpersonal
Skills and Communication
Demonstrate interpersonal and communication skills that result in
information exchange and partnering with patients, their families and
22.214.171.124 Communicate effectively with community agencies,
school personnel, community groups, other health professionals, and
child advocates to create and sustain information exchange and
126.96.36.199 Incorporate into routine practice the ability to:
- Gather important data on the psychosocial, environmental, economic,
and medical issues that relate to a child's health (e.g., does the
family have health insurance, enough food, a place to live, adequate
resources for basic needs, etc.).
- Question caregivers about whether the patient has a medical
- Explain in terminology the caregiver can comprehend the importance
of a medical home to the child's health.
- Facilitate the family's access to regular continuity of care.
- Discuss and explore problems with various culturally diverse
- Explain how to access appropriate resources using language that is
both culturally appropriate and on the appropriate literacy level of
the caretaker and/or patient.
188.8.131.52 Collaborate with community based organizations,
schools, and/or legislators to address important health problems
184.108.40.206 Identify and communicate (through personal email,
fax, phone call, or visit) with a state or federal legislator on an
issue affecting children's health.
220.127.116.11 Speak effectively about child health matters to
families and community groups and participate in local child advocacy
6.97.4 Competency 4:
Practice-Based Learning and Improvement
Demonstrate knowledge, skills and attitudes needed for continuous
self-assessment to investigate, evaluate, and improve one's child
18.104.22.168 Establish an individual learning plan, systematically
organize relevant information resources for future reference, and plan
for continuing acquisition of knowledge and skills.
6.97.5 Competency 5:
Demonstrate a commitment to carrying out professional
responsibilities, adherence to ethical principles and sensitivity to
22.214.171.124 Demonstrate a commitment to professional behavior in
interactions with community agencies and groups, other child advocates,
school personnel, and other health professionls.
6.97.6 Competency 6:
Understand how to practice high-quality health care and advocate for
patients within the context of the health care system.
126.96.36.199 Identify key aspects of health care systems and
resources (e.g., public and private insurance, state and federal
agencies) as they apply to patients, such as the role of the primary
care provider and consultant in advocating for the health and
well-being of children.
188.8.131.52 Recognize and advocate for families who need
assistance to deal with system complexities, such as lack of insurance,
multiple medication refills, multiple appointments with long transport
times, or inconvenient hours of service.
184.108.40.206 Identify specific ways in which physicians can
participate in the legislative process to create or improve public
programs for children.
220.127.116.11 Collaborate with families and communities to provide
care coordination in a medical home for children where the family is
recognized as the principal caregiver and center of strength and
support for the child; the family is also recognized as the expert in
their child's care and youth as experts in their own care.
18.104.22.168 Value the roles of community resources in providing
services for children and families.
22.214.171.124 Identify agencies that provide health-related
services to children in their homes or schools, including early
intervention programs, hospice, and home health aides.
126.96.36.199 Identify agencies and resources that provide mental
health services to children.
188.8.131.52 Identify resources available to children and families
with special needs (e.g., case management services, social work
services, services for homeless, migrant, pregnant, or disabled
184.108.40.206 Identify and work collaboratively with a variety of
community resources when providing care to families in need. For
at least one patient, coordinate care among several different local
220.127.116.11 Outline the history of health care in the U.S.,
including the development of Medicare, Medicaid, and managed care.
18.104.22.168 Summarize the main functions of the major federal
health programs that affect children (e.g., ESPDT, WIC, VFC,
22.214.171.124 Identify a child who is currently uninsured and
assist his or her family/caregiver with accessing appropriate resources
for insurance enrollment.
126.96.36.199 Identify a family with social/legal needs and make
the appropriate social work or legal aid referral.
188.8.131.52 Discuss financial needs and limitations with
patients in a respectful, sensitive, and confidential manner.
184.108.40.206 Discuss, in general terms, the services of the state
and local health department, e.g., family planning, newborn screening,
lead screening and abatement, oral health promotion. Describe services
available to patients and families, how to access services, and
collaborate with these agencies as opportunities arise in practice.
220.127.116.11 Discuss, in general terms, the advocacy role and
resources of the American Academy of Pediatrics at the state and
18.104.22.168 Discuss the role of the Child Health Advocacy
Program and describe the types of problems that they can assist
families with in our health system.