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

MedEdPORTAL Publications
Shannon E MoffettSangeeta Lamba

Abstract

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. 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. 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...Continue Reading

Citations

Feb 4, 2021·Journal of the American College of Emergency Physicians Open·Elizabeth P ClayborneJolion McGreevy
Jul 24, 2021·Teaching and Learning in Medicine·Bruce Z MorgensternLouis N Pangaro
Nov 23, 2021·Medical Teacher·Christopher K WongEdward L Poythress

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