Fellows Advocacy Curriculum

The Fellows Advocacy Curriculum (FAC) is an elective track for subspecialty Medicine fellows who have an interest in health policy and/or advocacy. It does not alter the length or content of fellowship training. Through collaboration with the Duke Government Relations Office, fellows develop and present their own advocacy platform to legislators and legislative aides in Washington, D.C. 

Apply by Friday, July 17, 2026, 11:59pm.

Curriculum

Fellows attend 6 half-day sessions throughout the course of the year and a 1-2 day trip to Raleigh, NC or Washington, D.C. in the spring. Sessions are held on Mondays from 1:00-5:00pm and involve some didactic time and some group work time. All sessions are in-person.

 

The intention of the didactic curriculum is to provide fellows with a broad overview of the health policy landscape in the United States and North Carolina. Each session follows a specific theme that includes an introduction to the structure of government and healthcare payment models in the United States, the impact of government policies on the physician workforce, the patients they treat, and the various ways that physicians can “do” advocacy. Sessions are in-person and interactive. Almost all talks are given by guest speakers from across Duke campus and across the country. The curriculum is purposely flexible to allow for changes in topics and speakers based on the fellows’ specific interests.

Fellows are responsible for completing several self-directed tasks. For example, they are encouraged to reach out to their professional society/societies to learn about the policy issues that are most relevant to their subspecialty and the patients they serve. With guidance from the FAC director, and in collaboration with their peers, they develop an advocacy platform of the group's choosing. These tasks will involve 2-4 hours of work between each session.

The curriculum will culminate in a trip to Raleigh, NC or Washington, D.C. (depending on advocacy topic) in the spring. While there, fellows will meet with legislative staffers and present their advocacy platform. The FAC director and the Duke Office of Government Relations will also work to arrange meetings with members of the Administration (e.g., Food and Drug Administration, Department of Health and Human Services) and professional societies (e.g., AAMC, Academy Health) to learn more about effective approaches to advocacy on the fellows' chosen topic.  

Session 1 Wednesday, September 16, 2026
Session 2 Wednesday, October 14, 2026
Session 3 Wednesday, December 16, 2026
Session 4 Wednesday, January 20, 2027
Session 5 Wednesday, February 17, 2027
Session 6 Wednesday, March 17, 2027
Advocacy trip

April or May 2027 (flexible, depending on participants' schedules)

 


Below is the 2025-2026 schedule. The final order and topics for 2026-2027 will depend on topics of interest to fellows and speaker availability.

Session  # Block (1-5pm)

Topic

Speakers Self-Directed Work 
Session 1 U.S. Healthcare Systems

Intro to FAC

Intro to US Healthcare System

Caroline Sloan

Virginia Wang (Duke)
Connect with advocacy arm of your professional society
Session 2 Introduction to Advocacy

How Congress “really” works

Intro to Duke Government Relations Office

Hannah Kaufman (previous staffer for Tim Kaine)

Government Relations staff

Get familiar with searching for bills in Congress and NC General Assembly
Session 3 Many ways to “do” advocacy

How to weave advocacy into your career

How to write an op-ed

Marion McCrary (Duke)

Maggie Salinger (Brown)

Brainstorm advocacy topics; list due by session 4
Session 4 Preparing for the advocacy trip

Framing your pitch for audiences with different political perspectives

Making a good leave-behind

Workshop on how to talk to a legislative staffer

Caroline Sloan

Duke’s Government Relations Office

Group work

Background research on advocacy topic
Session 5 North Carolina politics

NC Department of Health and Human Services

State-level advocacy

Larry Greenblatt (NC state health director)

James Tucker (NC Healthcare Association)

Work on pitch and patient stories
Session 6 Group prep

Group prep: pitch and leave-behind

Feedback on pitch and leave-behind

Group work

Priti Patel (CDC)

Finalize pitch and leave-behind

Eligibility

Applicants need to submit a short application in the early spring. They must have the support of their fellowship director in order to participate. Fellowship directors should ensure that fellows are free from all outpatient and inpatient clinical responsibilities during the entirety of each half-day session and up to two days of travel. Fellows do not need to have any health policy or advocacy experience to apply. Fellows who are in multi-year fellowship programs will be given preference during year(s) with fewer clinical responsibilities.

Program Expectations

  • Fellows must be free from all outpatient and inpatient clinical responsibilities during the entirety of each half-day session and up to 2 days of travel.
  • Fellows are expected to attend seminars in person as long as public health and Duke guidelines permit. Fellows will have the ability to join sessions virtually if they are sick, out of town for a meeting, or have other extenuating circumstances.
  • Fellows must attend a minimum of 4 out of 6 full half-day sessions to be eligible to participate in the advocacy trip.