A social emergency medicine curriculum: Bridging emergency care and health equity

Stillman, K; Owen, D.; Mamtani, Mira; Alter, Harrison J.; Khan, Ayesha

doi:10.1002/aet2.10684

Cited by 7 publications

(10 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Still, there is a need for more comprehensive bias and cultural competency teaching and training, as well as a curriculum that addresses social emergency medicine as a topic in and of itself. [9][10][11][12][13][14] There has been quality work done regarding the social influencers of health. Now there is a need to enrich the conversation on systemic barriers and structural competence.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Beyond diversity and inclusion: Developing a research agenda for anti‐racism in emergency medicine education

Ordonez

Bradby

Carey

et al. 2023

AEM Education and Training

View full text Add to dashboard Cite

Background Addressing racism in emergency medicine education is vital for providing optimal training and assessment of physicians in the specialty, developing physicians with the skills necessary to advocate for their patients, and recruiting and retaining a diverse group of physicians. To form a prioritized research agenda, the Society of Academic Emergency Medicine (SAEM) conducted a consensus conference at the annual meeting in May 2022 on addressing racism in emergency medicine, which included a subgroup on education. Methods The education workgroup worked on summarizing the current literature on addressing racism in emergency medicine education, identifying critical knowledge gaps, and creating a consensus‐driven research agenda for addressing racism in emergency medicine education. We used a nominal group technique and modified Delphi to develop priority questions for research. We then distributed a pre‐conference survey to conference registrants to rate priority areas for research. During the consensus conference, group leaders provided an overview and background describing the rationale for the preliminary research question list. Attendees were then involved in discussions to help modify and develop research questions. Results Nineteen questions were initially selected by the education workgroup as potential areas for research. The education workgroup's next round of consensus building resulted in a consensus of ten questions to be included in the pre‐conference survey. No questions in the pre‐conference survey reached consensus. After robust discussion and voting by workgroup members and attendees at the consensus conference, six questions were determined to be priority research areas. Conclusions We believe recognizing and addressing racism in emergency medicine education is imperative. Critical gaps in curriculum design, assessment, bias training, allyship, and the learning environment negatively impact training programs. These gaps must be prioritized for research as they can have adverse effects on recruitment, the ability to promote a safe learning environment, patient care, and patient outcomes.

show abstract

Section: Discussionmentioning

confidence: 99%

“…These “calls to action” have improved education around specific social emergency medicine topics. Still, there is a need for more comprehensive bias and cultural competency teaching and training, as well as a curriculum that addresses social emergency medicine as a topic in and of itself 9–14 …”

Section: Discussionmentioning

confidence: 99%

Beyond diversity and inclusion: Developing a research agenda for anti‐racism in emergency medicine education

Ordonez

Bradby

Carey

et al. 2023

AEM Education and Training

View full text Add to dashboard Cite

show abstract

“…The next generation of physicians needs UME training that addresses the forces that drive health inequities such as the SDoH, social needs, and adverse structural factors such as systemic discrimination. 15 …”

Section: Introductionmentioning

confidence: 99%

Beyond the Basics: A Novel Approach to Integrating a Social Determinants of Health Curriculum into an Emergency Medicine Course

Turgeon,

Dolbec,

et al. 2023

WestJEM

View full text Add to dashboard Cite

Background Our aim was to implement and evaluate a novel social determinants of health (SDoH) curriculum into the required fourth-year emergency medicine (EM) course at the University of Vermont Larner College of Medicine with the goal to teach students how to assess and address SDoH in clinical practice. The objectives were as follows: Assess the SDoH, risk factors, and barriers to healthcare facing patients from diverse socioeconomic and cultural backgrounds in the ED. Examine how social work consult services operate in the ED setting and how to identify appropriate referrals, resources, and treatment plans for patients in the ED. Examine and interpret the impact health disparities have on patients in the ED and develop potential solutions to reduce these disparities to improve health outcomes. Analyze the experiences and lessons learned and use them to inform future patient interactions. Curricular Design The curriculum was developed by a workgroup that considered the following: scope; target learners; overall structure; instructional and delivery methods; and session scheduling. The curriculum consisted of four components that took place over the four-week EM course. Students completed a required end-of-course survey. Survey results underwent a mixed-methods analysis to assess student attitudes and the impact of the curriculum. Impact/Effectiveness We received a 78.7% (74/94) completion rate for the 2021-2022 academic year. Of all respondents, 92% (68/74) indicated that they would apply lessons learned from the SDoH components of the curriculum; 74% (54/74) rated the SDoH curriculum as good, very good, or excellent; and 81% (60/74) felt that the EM course increased their understanding of diversity, equity, and inclusion as it relates to the practice of medicine. The thematic analyses revealed four main themes: 1) general comments; 2) course design; 3) interprofessional collaboration; and 4) expanding the scope of the curriculum. Conclusion Social medicine integration into core EM courses is a generalizable approach to experiential and collaborative exposure to the social determinants of health. Of student respondents, 92% indicated they will use lessons learned from this curriculum in their future practice. This can improve the way future generations of physicians identify SDoH and address the social needs that affect their patients, thereby advancing and promoting health equity.

show abstract

“…2,[7][8][9][10][11][12][13][14][15][16][17] However, there is still no widely accepted or standardized experiential SM curriculum in postgraduate training. [18][19][20] As the scope and practice of emergency medicine (EM) is intimately tied with SM, there has been a recent focus on incorporating SM curricula into existing residency programs to better care for the underserved patients who often rely on the emergency department (ED). 21,22 A limited number of EM residency programs have developed and/or integrated a SM curriculum into their training programs; however, most are didactic-based and have varying experiential components.…”

Section: Introductionmentioning

confidence: 99%

“… 2 , 7 – 17 However, there is still no widely accepted or standardized experiential SM curriculum in postgraduate training. 18 – 20 …”

Section: Introductionmentioning

confidence: 99%

The Impact of an Experiential Social Medicine Curriculum in an Emergency Medicine Residency Training Program: Mixed-methods Curricular Evaluation

Vongsachang

Schneberk

Sprunt

et al. 2022

WestJEM

View full text Add to dashboard Cite

show abstract

A social emergency medicine curriculum: Bridging emergency care and health equity

Cited by 7 publications

References 20 publications

Beyond diversity and inclusion: Developing a research agenda for anti‐racism in emergency medicine education

Beyond diversity and inclusion: Developing a research agenda for anti‐racism in emergency medicine education

Beyond the Basics: A Novel Approach to Integrating a Social Determinants of Health Curriculum into an Emergency Medicine Course

The Impact of an Experiential Social Medicine Curriculum in an Emergency Medicine Residency Training Program: Mixed-methods Curricular Evaluation

Contact Info

Product

Resources

About