Poverty, Health, and Graduate Medical Education

Wieland, Mark L.

doi:10.4300/jgme-d-12-00208.1

Cited by 2 publications

(3 citation statements)

References 16 publications

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“…Our findings suggest that patients may be important partners in this reflection process. Second, SRCs run the risk of providing a passive “tourist” experience of patients struggling with poverty and health problems [ 27 ]. Our findings of the tension between exposure to patients’ social conditions versus true understanding of these contexts re-enforces this concern.…”

Section: Discussionmentioning

confidence: 99%

“…This highlights the opportunity to teach about structural inequities in health and society that have led to a patchwork healthcare system in the United States that requires SRCs and other safety net clinics to (inadequately) address healthcare inequities [ 28 ]. These experiences may raise awareness among all medical students while positively influencing a subset of students to affect real upstream change in their careers [ 27 ].…”

Section: Discussionmentioning

confidence: 99%

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A mixed methods study to evaluate the impact of a student-run clinic on undergraduate medical education

et al. 2021

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Background The purpose of this study was to evaluate the extent to which a longitudinal student-run clinic (SRC) is meeting its stated learning objectives, including providing critical community services and developing physicians who more fully appreciate the social factors affecting their patients’ health. Methods This was a mixed methods program evaluation of an SRC at Mayo Clinic Alix School of Medicine (MCASOM). A survey was conducted of medical students who had participated in the clinic and seven interviews and three focus groups were conducted with SRC patients, students, faculty, staff, and board members. Transcripts were coded for systematic themes and sub-themes. Major themes were reported. Survey and interview data were integrated by comparing findings and discussing areas of convergence or divergence in order to more fully understand program success and potential areas for improvement. Results Greater than 85% of student survey respondents (N = 90) agreed or strongly agreed that the SRC met each of its objectives: to provide a vital community service, to explore social determinants of health (SDH), to understand barriers to healthcare access and to practice patience-centered examination. Qualitative data revealed that the SRC contextualized authentic patient care experiences early in students’ medical school careers, but the depth of learning was variable between students. Furthermore, exposure to SDH through the program did not necessarily translate to student understanding of the impact of these social factors on patient’s health nor did it clearly influence students’ future practice goals. Conclusions The MCASOM SRC experience met core learning objectives, but opportunities to improve long-term impact on students were identified. Participation in the SRC enabled students to engage in patient care early in training that is representative of future practices. SRCs are an avenue by which students can gain exposure to real-world applications of SDH and barriers to healthcare access, but additional focus on faculty development and intentional reflection may be needed to translate this exposure to actionable student understanding of social factors that impact patient care.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A mixed methods study to evaluate the impact of a student-run clinic on undergraduate medical education

et al. 2021

Self Cite

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“…Poverty is likely the greatest predictor of poor health in the United States and is associated with food insecurity, homelessness, unemployment, and numerous other unmet social needs. 1 Among wealthy nations, the U.S. currently has among the highest rates of poverty, the most extreme wealth inequality, and ranks near the bottom in terms of economic mobility. 2 Furthermore, mounting evidence suggests that the far-reaching economic and population health consequences of the U.S. COVID-19 pandemic include increasing prevalence of unemployment, food insecurity, and housing instability.…”

Section: Introductionmentioning

confidence: 99%

Expanding Knowledge and Changing Attitudes About Poverty: An Interactive, Interprofessional Approach

Marrast

Chim

Tocco

et al. 2022

J Prim Care Community Health

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Background: Poverty negatively affects the lives and health of the poor. However, health professionals often have limited personal experience and receive little formal education on surviving under conditions of poverty in the United States, which may contribute to suboptimal patient care and outcomes. Purpose: We conducted a 3-h, interactive, experiential poverty simulation workshop with an interprofessional group of pre-professional health students to increase their comprehension about the realities of poverty. Method: As part of the evaluation, participants completed a self-assessment of their attitudes and skills using a Likert scale and open-ended questions; a reflection prompt about how the workshop might affect their professional practice; and a pre- and post-assessment questionnaire. Discussion: Participants’ attitudes about low-income patients became more favorable; they gained awareness and expressed empathy through the role-play experience. Our analysis revealed increased understanding of social determinants of health, of life challenges that patients face outside of healthcare, and that solutions must be collaborative as the challenges facing poor patients are multifactorial. Conclusion: The workshop allowed interprofessional students to learn from and with each other about the experiences of poor patients. Future sessions should emphasize interprofessional skill-building and action, potentially in virtual formats.

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Poverty, Health, and Graduate Medical Education

Cited by 2 publications

References 16 publications

A mixed methods study to evaluate the impact of a student-run clinic on undergraduate medical education

A mixed methods study to evaluate the impact of a student-run clinic on undergraduate medical education

Expanding Knowledge and Changing Attitudes About Poverty: An Interactive, Interprofessional Approach

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