Social Contexts in Medicine: A Patient-Centered Curriculum Empowering Medical Students to Provide Contextualized Care

Introduction Social Contexts in Medicine (SCIM) is an 18-month program that connects medical students, patients, and physicians for a longitudinal learning experience. SCIM was developed for first- and second-year medical students and seeks to supplement students' biomedical education with prac...

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Autores principales:	Carolyn Drake, Melissa Keeport, Alice Chapman, Chayan Chakraborti
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2017
Materias:	Social Determinants of Health Vulnerable Populations Physician-Patient Relations Contextualized Care Continuity of Care Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/25dd17a83a5245129b429ba8cc07f6ed
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spelling	oai:doaj.org-article:25dd17a83a5245129b429ba8cc07f6ed2021-12-03T14:15:30ZSocial Contexts in Medicine: A Patient-Centered Curriculum Empowering Medical Students to Provide Contextualized Care10.15766/mep_2374-8265.105412374-8265https://doaj.org/article/25dd17a83a5245129b429ba8cc07f6ed2017-02-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10541https://doaj.org/toc/2374-8265Introduction Social Contexts in Medicine (SCIM) is an 18-month program that connects medical students, patients, and physicians for a longitudinal learning experience. SCIM was developed for first- and second-year medical students and seeks to supplement students' biomedical education with practical experiences built around community and continuity. The program increases students' awareness of, and skills to address, social determinants of health via a seminar series, a home visit program, and a mentoring component. Methods The program begins with a seminar series covering communication skills and the basics of social determinants of health, providing the foundation for successful home visits. Students are then paired with a patient for home visits to learn firsthand about the complex social factors that affect health and illness, patient participation in health care systems, and the doctor-patient relationship. In conjunction with the home visits, students obtain guidance from a physician mentor. Results The SCIM program has been successful during its first 3 years at our institution. Analysis of changes in student attitudes using Crandall's Medical Student Attitudes Toward the Underserved survey has shown that SCIM students develop more positive attitudes toward the underserved than do their peers completing traditional clinic-based preceptorships. Additionally, in student surveys, the average response to the statement “I learned something valuable I would not have otherwise learned in my classes” has been 4.5 out of 5. Discussion These findings suggest that the SCIM model contributes to medical education by broadening students' understanding about the influence of social factors on health and disease.Carolyn DrakeMelissa KeeportAlice ChapmanChayan ChakrabortiAssociation of American Medical CollegesarticleSocial Determinants of HealthVulnerable PopulationsPhysician-Patient RelationsContextualized CareContinuity of CareMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 13 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Social Determinants of Health Vulnerable Populations Physician-Patient Relations Contextualized Care Continuity of Care Medicine (General) R5-920 Education L
spellingShingle	Social Determinants of Health Vulnerable Populations Physician-Patient Relations Contextualized Care Continuity of Care Medicine (General) R5-920 Education L Carolyn Drake Melissa Keeport Alice Chapman Chayan Chakraborti Social Contexts in Medicine: A Patient-Centered Curriculum Empowering Medical Students to Provide Contextualized Care
description	Introduction Social Contexts in Medicine (SCIM) is an 18-month program that connects medical students, patients, and physicians for a longitudinal learning experience. SCIM was developed for first- and second-year medical students and seeks to supplement students' biomedical education with practical experiences built around community and continuity. The program increases students' awareness of, and skills to address, social determinants of health via a seminar series, a home visit program, and a mentoring component. Methods The program begins with a seminar series covering communication skills and the basics of social determinants of health, providing the foundation for successful home visits. Students are then paired with a patient for home visits to learn firsthand about the complex social factors that affect health and illness, patient participation in health care systems, and the doctor-patient relationship. In conjunction with the home visits, students obtain guidance from a physician mentor. Results The SCIM program has been successful during its first 3 years at our institution. Analysis of changes in student attitudes using Crandall's Medical Student Attitudes Toward the Underserved survey has shown that SCIM students develop more positive attitudes toward the underserved than do their peers completing traditional clinic-based preceptorships. Additionally, in student surveys, the average response to the statement “I learned something valuable I would not have otherwise learned in my classes” has been 4.5 out of 5. Discussion These findings suggest that the SCIM model contributes to medical education by broadening students' understanding about the influence of social factors on health and disease.
format	article
author	Carolyn Drake Melissa Keeport Alice Chapman Chayan Chakraborti
author_facet	Carolyn Drake Melissa Keeport Alice Chapman Chayan Chakraborti
author_sort	Carolyn Drake
title	Social Contexts in Medicine: A Patient-Centered Curriculum Empowering Medical Students to Provide Contextualized Care
title_short	Social Contexts in Medicine: A Patient-Centered Curriculum Empowering Medical Students to Provide Contextualized Care
title_full	Social Contexts in Medicine: A Patient-Centered Curriculum Empowering Medical Students to Provide Contextualized Care
title_fullStr	Social Contexts in Medicine: A Patient-Centered Curriculum Empowering Medical Students to Provide Contextualized Care
title_full_unstemmed	Social Contexts in Medicine: A Patient-Centered Curriculum Empowering Medical Students to Provide Contextualized Care
title_sort	social contexts in medicine: a patient-centered curriculum empowering medical students to provide contextualized care
publisher	Association of American Medical Colleges
publishDate	2017
url	https://doaj.org/article/25dd17a83a5245129b429ba8cc07f6ed
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Social Contexts in Medicine: A Patient-Centered Curriculum Empowering Medical Students to Provide Contextualized Care

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