Impact of social pediatrics rotation on residents’ understanding of social determinants of health

Connors, Kimberly; Rashid, Marghalara; Chan, Mercedes; Walton, Jennifer; Islam, Bonnieca

doi:10.1080/10872981.2022.2057791

Cited by 4 publications

(4 citation statements)

References 10 publications

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“…This work details a scoping review of literature relating to incorporating the SDH in graduate medical training curricula. Notably, of a total of 24 included articles, twenty-two programs were implemented in the US medical schools 45], with one program in Canada [44] and only one from a low-and middle-income country (Kenya) [22]. The evaluation of the programs varied on different levels; most programs performed post-learning evaluation only for the participants, and only one program added the patient's perspective on the quality of service provided.…”

Section: Discussionmentioning

confidence: 99%

“…Eleven programs combined participatory learning with community placement and didactic teaching [23-25, 28, 31, 33, 34, 36, 40-42]. Another six programs relied on a participatory approach, with community placement and no formal lectures [27,35,36,[43][44][45]. Three programs integrated didactic teaching and a participatory approach with no community engagement [29,37,38].…”

Section: Programs Presentation Methodsmentioning

confidence: 99%

“…[45] Table 3 to be inserted here The structure of the programs related to SDH varied across a range of thematic areas. A total of ve courses had a focus on home visits and different community healthcare interventions [23,30,31,40,41], while another set of ten programs were in the form of case-based workshops on a variety of topics such as prison healthcare, housing issues locating pharmacies and follow-up of patients after discharge [24-26, 28, 29, 32, 34, 39, 43, 45] Lastly, nine programs focused on health advocacy topics, such as opportunities to integrate SDH at community health clinics, housing, education and legal issues, integration of health disparities to clinical practices and equity, diversity, and inclusion [22,27,[33][34][35][36][37][38]44].…”

Section: Structure and Duration Of The Postgraduate Sdh Trainingmentioning

confidence: 99%

“…Four programs evaluated the participants' affective learning, including their attitude of awareness, interest, and empathy combined with their level of knowledge regarding the SDH within the local context [29,31,42,44]. Another three programs used affective learning assessment solely [33,35,41].…”

Section: Evaluation Of the Graduate Sdh Programsmentioning

confidence: 99%

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Integrating the Social Determinants of Health into Graduate Medical Education training: a Scoping Review

Nour,

Onchonga,

Neville

et al. 2023

Preprint

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Background The social determinants of health (SDH) play a key role in the health of individuals, communities, and populations. Academic institutions and clinical licensing bodies increasingly recognize the need for healthcare professionals to understand the importance of considering the SDH to engage with patients and manage their care effectively. However, incorporating relevant skills, knowledge, and attitudes relating to the SDH into curricula must be more consistent. This scoping review explores the integration of the SDH into graduate medical education training programs. Methods A systematic search was performed of PubMed, Ovid MEDLINE, ERIC, and Scopus databases for articles published between January 2010 and March 2023. A scoping review methodology was employed, and articles related to training in medical or surgical specialities for registrars and residents were included. Pilot studies, non-SDH-related programs, and studies published in languages other than English were excluded. Results The initial search produced 829 articles after removing duplicates. The total number of articles included in the review was 24. Most articles were from developed countries such as the USA (22), one from Canada, and only one from a low-and middle-income country, Kenya. The most highly represented discipline was paediatrics. Six papers explored the inclusion of SDH in internal medicine training, with the remaining articles covering family medicine, obstetrics, gynecology, or a combination of disciplines. Longitudinal programs are the most effective and frequently employed educational method regarding SDH in graduate training. Most programs utilize combined teaching methods and rely on participant surveys to evaluate their curriculum. Conclusion Applying standardized educational and evaluation strategies for SDH training programs can pose a challenge due to the diversity of the techniques reported in the literature. Exploring the most effective educational strategy in delivering these concepts and evaluating the downstream impacts on patient care, particularly in surgical and non-clinical specialties and low- and middle-income countries, can be essential in integrating and creating a sustainable healthcare force.

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Section: Discussionmentioning

confidence: 99%

Section: Programs Presentation Methodsmentioning

confidence: 99%

Section: Structure and Duration Of The Postgraduate Sdh Trainingmentioning

confidence: 99%

Section: Evaluation Of the Graduate Sdh Programsmentioning

confidence: 99%

See 2 more Smart Citations

Integrating the Social Determinants of Health into Graduate Medical Education training: a Scoping Review

Nour,

Onchonga,

Neville

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

An experiential learning exercise in understanding social determinants of health in an urban pediatric residency program

Smitherman,

Aranha

2024

Journal of the National Medical Association

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Integrating the social determinants of health into graduate medical education training: a scoping review

Nour,

Onchonga,

Neville

et al. 2024

BMC Med Educ

View full text Add to dashboard Cite

Background The social determinants of health (SDH) play a key role in the health of individuals, communities, and populations. Academic institutions and clinical licensing bodies increasingly recognize the need for healthcare professionals to understand the importance of considering the SDH to engage with patients and manage their care effectively. However, incorporating relevant skills, knowledge, and attitudes relating to the SDH into curricula must be more consistent. This scoping review explores the integration of the SDH into graduate medical education training programs. Methods A systematic search was performed of PubMed, Ovid MEDLINE, ERIC, and Scopus databases for articles published between January 2010 and March 2023. A scoping review methodology was employed, and articles related to training in medical or surgical specialties for registrars and residents were included. Pilot programs, non-SDH-related programs, and studies published in languages other than English were excluded. Results The initial search produced 829 articles after removing duplicates. The total number of articles included in the review was 24. Most articles were from developed countries such as the USA (22), one from Canada, and only one from a low- and middle-income country, Kenya. The most highly represented discipline was pediatrics. Five papers explored the inclusion of SDH in internal medicine training, with the remaining articles covering family medicine, obstetrics, gynecology, or a combination of disciplines. Longitudinal programs are the most effective and frequently employed educational method regarding SDH in graduate training. Most programs utilize combined teaching methods and rely on participant surveys to evaluate their curriculum. Conclusion Applying standardized educational and evaluation strategies for SDH training programs can pose a challenge due to the diversity of the techniques reported in the literature. Exploring the most effective educational strategy in delivering these concepts and evaluating the downstream impacts on patient care, particularly in surgical and non-clinical specialties and low- and middle-income countries, can be essential in integrating and creating a sustainable healthcare force.

show abstract

Impact of social pediatrics rotation on residents’ understanding of social determinants of health

Cited by 4 publications

References 10 publications

Integrating the Social Determinants of Health into Graduate Medical Education training: a Scoping Review

Integrating the Social Determinants of Health into Graduate Medical Education training: a Scoping Review

An experiential learning exercise in understanding social determinants of health in an urban pediatric residency program

Integrating the social determinants of health into graduate medical education training: a scoping review

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