An Experiential Resident Module for Understanding Social Determinants of Health at an Academic Safety-Net Hospital

MedEdPORTAL Publications
Stacie SchmidtRebecca Dillard

Abstract

Half of the U.S. population has chronic illness. Many disparities exist in health care for management of chronic disease among poorer individuals, including decreased access to healthy foods, homelessness, and difficulty navigating large hospital systems due to low health literacy. A survey of resident physicians found significant gaps in preparedness to provide cross-cultural care. Education is needed to promote consideration of patients' social and cultural barriers in managing disease and navigating the health care system. This module was created as an introduction to social determinants of health, and highlights disparities in access to healthy food, water, shelter, and medical care in a sample of the residents' own continuity clinic patient panel. We designed this experiential module to help internal medicine residents at an urban institution better understand how social constructs might hinder patient health. Activities were chosen by learners from a list of options, and carried out in small groups during a half day of protected time. We used reflective writing exercises to elicit resident thoughts about the module. Thirty-nine second-year residents participated in the module. Following the course, 41% of residents submit...Continue Reading

Citations

Sep 29, 2020·Advances in Medical Education and Practice·Aldrin B Loyola, Lia M Palileo-Villanueva
Dec 8, 2021·BMC Medical Education·John M MorrisonKimberly R Collins

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