Why Fellows Should Care about ACR Advocacy

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As a physician, I am an advocate. I am an advocate for my patients individually and collectively, and I am an advocate for my field: pediatric rheumatology. My own experiences as a patient drive me to integrate my patients’ perspectives into my medical decision making, and although my academic training has prepared me to best care for my patients, I have sought out opportunities to broaden my impact.

Unique Challenges Require Collaboration

Pediatric rheumatology poses unique challenges that make advocacy crucial. Physicians alone cannot tackle all the challenges of caring for our complex patients. A therapeutic alliance between patient, family and physician, built longitudinally, allows for optimal care for children with chronic illness. Despite their best efforts to advocate for themselves, patients and families often rely on their physicians to magnify their voice. Yet we, too, must collaborate with key stakeholders to create meaningful change. Legislators write and implement policies that dictate healthcare access, delivery and research funding.

Purple Cupcakes & FITs

A recent encounter with one of my patients highlighted how meaningful individual advocacy efforts can be. She is a precocious 10-year-old girl with lupus. Unlike some of my older patients, she has already learned all about her disease, and knows the names and dosages of all of her medications. After educating herself, she decided to educate others. She baked cupcakes with purple icing (to represent lupus) and walked door to door in her neighborhood. She met each of her neighbors, passing out her purple treats and explained about her illness. She asked each of them to sign a petition acknowledging their understanding.

My patient’s efforts reminded me of RheumPAC.

RheumPAC supports legislators who are supportive of policies that benefit rheumatology patients and care providers. Many fellows in training may wonder if and how RheumPAC is relevant to them. Think about it this way: Lawmakers enact policies that intimately affect rheumatology care providers, from nurses and therapists to trainees and attending physicians. In the past year, RheumPAC contributions have led to important legislation, such as the repeal of caps on Medicare outpatient therapies and further work on step therapy regulations. Other important issues that RheumPAC members advocate for include improved access to care and mitigation of the workforce shortage, which could be helped by expanding loan repayment for trainees to encourage the development of the next generation of rheumatologists.

With more effective communication across disciplines and targeted educational outreach efforts, we can continue to improve the daily lives of our patients. I am motivated to participate in advocacy efforts by one of the American Academy of Pediatrics’ key advocacy tenets—a guarantee that all children have access to quality medical care, including primary and subspecialty pediatric providers.