Table 1 Health Advocacy Questionnaire
From: Evaluation of resident attitudes and self-reported competencies in health advocacy
| Â | Strongly Disagree | Disagree | Neutral | Agree | Strongly Agree |
|---|---|---|---|---|---|
1. It is part of my job as an internist to advocate for populations' health needs within society. | 1 | 2 | 3 | 4 | 5 |
2. I feel that my role as a health advocate extends beyond the individual patient(s) I am treating. | 1 | 2 | 3 | 4 | 5 |
3. I am able to identify the health needs of an individual patient during patient care (beyond biomedical needs). | 1 | 2 | 3 | 4 | 5 |
4. I can describe the health needs of the communities that I serve. | 1 | 2 | 3 | 4 | 5 |
5. I can identify the determinants of health (psychological, biological, social, cultural and economic aspects) of patients in my community. | 1 | 2 | 3 | 4 | 5 |
6. I can describe how public policy impacts on the health of populations that I serve. | 1 | 2 | 3 | 4 | 5 |
7. I can describe the requirements inherent in health advocacy (e.g. altruism, social justice, autonomy, integrity and idealism), as described by the Royal College of Physicians and Surgeons of Canada. | 1 | 2 | 3 | 4 | 5 |
8. I understand the opportunities available for internists to function as health advocates. | 1 | 2 | 3 | 4 | 5 |
9. I am able to help my patient(s) navigate the health care system. | 1 | 2 | 3 | 4 | 5 |
10. My current competence in being a health advocate has increased compared to 1 month ago. | 1 | 2 | 3 | 4 | 5 |
11. My current knowledge about health advocacy has increased compared to 1 month ago. | 1 | 2 | 3 | 4 | 5 |
12. Compared to 1 month ago, I feel more able to practice health advocacy in ways I would not have otherwise done during a regular clinical rotation. | 1 | 2 | 3 | 4 | 5 |
13. The current likelihood of my engaging in health advocacy activity/activities has increased compared to 1 month ago. | 1 | 2 | 3 | 4 | 5 |
14. I am more likely to recommend health advocacy activity/activities to others compared to 1 month ago. | 1 | 2 | 3 | 4 | 5 |
15. I engage(d) in health advocacy activities during (check all that apply): | Â | Â | Â | Â | Â |
   __ High school | __ Medical school |  |  |  | |
   __ University/College | __ Residency |  |  |  | |
   __ Graduate studies |  |  |  |  |  |
16. I am currently engaging in health advocacy activities | __Yes | __ No | Â | Â | Â |
17. I plan to engage in health advocacy activities | Â | Â | Â | Â | Â |
   a. in my remaining time as a resident | __Yes | __ No | __ Undecided |  | |
   b. in fellowship | __Yes | __ No | __ Undecided |  | |
   c. post-fellowship | __Yes | __ No | __ Undecided |  | |
If Yes to 17 a), b), or c), please answer the following two optional questions. | Â | Â | Â | ||
What population(s) or patient group(s) would benefit from your advocacy efforts? | Â | Â | Â | ||
How would you hope to see them benefit, in both the short and long term? | Â | Â | Â | ||
18. Comments? | Â | Â | Â | Â | Â |