Social Determinants of Health Curriculum Integrated Into a Core Emergency Medicine Clerkship

Introduction Demand that health centers address health inequities has led medical schools to emphasize social determinants of health (SDH). The Emergency Department often serves as first (or sole) point of health care access, making it an ideal environment in which to identify/explore SDH. Yet there...

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Autores principales:	Shannon E. Moffett, Hosseinali Shahidi, Harsh Sule, Sangeeta Lamba
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2019
Materias:	Social Determinants of Health SDH Social Emergency Medicine Social EM Community Emergency Medicine Mandatory Emergency Medicine Clerkship Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/c7688eb53b8948e38602ceb1975490d5
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spelling	oai:doaj.org-article:c7688eb53b8948e38602ceb1975490d52021-11-22T13:38:43ZSocial Determinants of Health Curriculum Integrated Into a Core Emergency Medicine Clerkship10.15766/mep_2374-8265.107892374-8265https://doaj.org/article/c7688eb53b8948e38602ceb1975490d52019-01-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10789https://doaj.org/toc/2374-8265Introduction Demand that health centers address health inequities has led medical schools to emphasize social determinants of health (SDH). The Emergency Department often serves as first (or sole) point of health care access, making it an ideal environment in which to identify/explore SDH. Yet there are few SDH curricula targeting core emergency medicine (EM) clerkships. We describe implementation and outcomes of a three-part SDH curriculum instituted in a 4-week EM clerkship. Methods We created a longitudinal curriculum aimed at fourth-year medical students in their EM clerkship. Students interviewed patients to discuss social and other influences on their health care and wrote reflections. After this, they discussed their individual cases in small groups, selected one patient, and found literature and strategies/systems to fit the patient's needs. Finally, groups presented their work to student-peers and faculty for discussion. Students were assessed for each activity and surveyed for impact of the curriculum. Results We evaluated the curriculum, with preliminary data showing a wide range of topics covered. On a 5-point scale (1 = Hardly at All, 5 = To a Very High Degree), students responded with means of 4.4 to “I am able to recognize barriers to health that patients and families face from diverse socio-economic backgrounds” and 4.6 to “I feel it is important to recognize and address the social determinants of health as part of whole patient care.” Discussion This curriculum introduces SDH, uses metacognitive skills across multiple domains, and is feasible and has been well received in an EM clerkship.Shannon E. MoffettHosseinali ShahidiHarsh SuleSangeeta LambaAssociation of American Medical CollegesarticleSocial Determinants of HealthSDHSocial Emergency MedicineSocial EMCommunity Emergency MedicineMandatory Emergency Medicine ClerkshipMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 15 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Social Determinants of Health SDH Social Emergency Medicine Social EM Community Emergency Medicine Mandatory Emergency Medicine Clerkship Medicine (General) R5-920 Education L
spellingShingle	Social Determinants of Health SDH Social Emergency Medicine Social EM Community Emergency Medicine Mandatory Emergency Medicine Clerkship Medicine (General) R5-920 Education L Shannon E. Moffett Hosseinali Shahidi Harsh Sule Sangeeta Lamba Social Determinants of Health Curriculum Integrated Into a Core Emergency Medicine Clerkship
description	Introduction Demand that health centers address health inequities has led medical schools to emphasize social determinants of health (SDH). The Emergency Department often serves as first (or sole) point of health care access, making it an ideal environment in which to identify/explore SDH. Yet there are few SDH curricula targeting core emergency medicine (EM) clerkships. We describe implementation and outcomes of a three-part SDH curriculum instituted in a 4-week EM clerkship. Methods We created a longitudinal curriculum aimed at fourth-year medical students in their EM clerkship. Students interviewed patients to discuss social and other influences on their health care and wrote reflections. After this, they discussed their individual cases in small groups, selected one patient, and found literature and strategies/systems to fit the patient's needs. Finally, groups presented their work to student-peers and faculty for discussion. Students were assessed for each activity and surveyed for impact of the curriculum. Results We evaluated the curriculum, with preliminary data showing a wide range of topics covered. On a 5-point scale (1 = Hardly at All, 5 = To a Very High Degree), students responded with means of 4.4 to “I am able to recognize barriers to health that patients and families face from diverse socio-economic backgrounds” and 4.6 to “I feel it is important to recognize and address the social determinants of health as part of whole patient care.” Discussion This curriculum introduces SDH, uses metacognitive skills across multiple domains, and is feasible and has been well received in an EM clerkship.
format	article
author	Shannon E. Moffett Hosseinali Shahidi Harsh Sule Sangeeta Lamba
author_facet	Shannon E. Moffett Hosseinali Shahidi Harsh Sule Sangeeta Lamba
author_sort	Shannon E. Moffett
title	Social Determinants of Health Curriculum Integrated Into a Core Emergency Medicine Clerkship
title_short	Social Determinants of Health Curriculum Integrated Into a Core Emergency Medicine Clerkship
title_full	Social Determinants of Health Curriculum Integrated Into a Core Emergency Medicine Clerkship
title_fullStr	Social Determinants of Health Curriculum Integrated Into a Core Emergency Medicine Clerkship
title_full_unstemmed	Social Determinants of Health Curriculum Integrated Into a Core Emergency Medicine Clerkship
title_sort	social determinants of health curriculum integrated into a core emergency medicine clerkship
publisher	Association of American Medical Colleges
publishDate	2019
url	https://doaj.org/article/c7688eb53b8948e38602ceb1975490d5
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Social Determinants of Health Curriculum Integrated Into a Core Emergency Medicine Clerkship

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