“Windshield Tour” — A Journey Towards Cultural Competency

Taylor, Daniel C.; Carravallah, Laura; Hamp, Melissa; Buterakos, James; Motarjemi, Ramin

doi:10.3402/meo.v11i.4614

Cited by 8 publications

(3 citation statements)

References 11 publications

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“…Numerous studies detail the use of training programs to enhance understanding of SDH among medical professionals, and to this end, it is not uncommon for AMCs to offer "windshield tours" or "community plunges" [20]. To our knowledge, however, there are no guidelines for implementing SDH education for medical faculty and staff, and no programs have offered similar community tour opportunities beyond a medical student education setting.…”

Section: Methodsmentioning

confidence: 99%

Building bridges between a community and an academic medical center via community tours

Irby¹,

Moore

Hamlin

et al. 2020

J. Clin. Trans. Sci.

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Academic medical centers (AMCs) face challenges in conducting research among traditionally marginalized communities due to long-standing community mistrust. Evidence suggests that some AMC faculty and staff lack an understanding of the history of distrust and social determinants of health (SDH) affecting their communities. Wake Forest Clinical and Translational Science Institute Program in Community Engagement (PCE) aims to build bridges between communities and Wake Forest Baptist Health by equipping faculty, clinicians, administrators, and staff (FCAS) with a better understanding of SDH. The PCE collaborated with community partners to develop and implement community tours to improve cross-community AMC understanding and communication, enhance knowledge of SDH, and build awareness of community needs, priorities, and assets. Nine day-long tours have been conducted with 92 FCAS. Tours included routes through under-resourced neighborhoods and visits to community assets. Participant evaluations assessed program quality; 89% reported enhanced understanding of access-to-care barriers and how SDH affect health; 86% acknowledged the experience would improve future interactions with participants and patients; and 96% agreed they would recommend the tour to colleagues. This work supports the use of community tours as a strategy to improve cross-community AMC communication, build trust, and raise awareness of community needs, priorities, and assets.

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Section: Methodsmentioning

confidence: 99%

Building bridges between a community and an academic medical center via community tours

Irby¹,

Moore

Hamlin

et al. 2020

J. Clin. Trans. Sci.

View full text Add to dashboard Cite

show abstract

“…18 Students may also participate in tours or virtual tours of local low-income neighborhoods. [19][20][21] Alternatively, educators can incorporate communityengaged experiential activities into the curriculum. At Morehouse School of Medicine, students are required to take the year-long Community Health Course in which they conduct a community health needs assessment by leading focus groups with community members and distributing surveys.…”

Section: Awarenessmentioning

confidence: 99%

Awareness, Adjustment, Assistance, Alignment, and Advocacy: Operationalizing Social Determinants of Health Topics in Undergraduate Medical Education Curricula

2023

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Social and economic factors, such as those related to food, housing, and transportation, are major drivers of health and health inequities. Multiple national professional organizations have articulated roles for physicians in identifying and addressing social determinants of health (SDOH) and the need to include SDOH in all stages of physician education. Despite encouragement from these professional organizations, medical schools still do not routinely offer SDOH education alongside basic and clinical sciences curricula. A recent national expert consensus process identified priority SDOH knowledge domains and professional skills for medical students but lacked an organizing schema and specific pedagogical examples to help translate prioritized skills into routine pedagogical practice. One such schema is the 5As framework developed by the National Academies of Sciences, Engineering, and Medicine, which elaborates on 5 strategies to strengthen social care: awareness, adjustment, assistance, alignment, and advocacy. In this article, the authors highlight and provide examples of how mapping SDOH skills to the 5As framework can help educators meaningfully operationalize SDOH topics into specific curricular activities during the preclinical and clinical stages of undergraduate medical education. As a foundational first step in this direction, medical schools should conduct an internal curricular review of social care content (ideally mapped to the 5As framework) and identify opportunities to integrate these topics into existing courses when relevant (e.g., in social medicine, population health, and health systems science courses). Given that health and social care integration is highly context dependent, each medical school will likely need to tailor curricular changes based on their own institutional needs, mission, patient populations, and ties to the community. To increase interinstitutional alignment, medical schools might consider using or adapting peer-reviewed materials and assessments curated and centralized by the National Collaborative for Education to Address the Social Determinants of Health.

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“…An environmental scan is carried out, focus groups are conducted with residents, and interviews are held with the mayor and other community leaders. The environmental scan, or windshield tour is a structured observational process whereby researchers typically walk (sometimes drive) through a community, noting gathering places, housing concentrations, geographic characteristics, and specific features and landmarks, using checklists that enable quantification and mapping of the physicality, infrastructure and social networking opportunities (Callan, 1971;Taylor, Carravallah, Hamp, Buterakos, & Motarjemi, 2006). Additionally, extant local and national data are examined and analyzed.…”

Section: Downloaded By [North Dakota State University] At 15:28 04 Nomentioning

confidence: 99%

Borrowing From the East to Strengthen the West: Merging Public Health Case Studies of Community-Based Service-Learning Practices From India and the United States

Howard

Rao

Desmond

2010

Journal of Community Practice

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“Windshield Tour” — A Journey Towards Cultural Competency

Cited by 8 publications

References 11 publications

Building bridges between a community and an academic medical center via community tours

Building bridges between a community and an academic medical center via community tours

Awareness, Adjustment, Assistance, Alignment, and Advocacy: Operationalizing Social Determinants of Health Topics in Undergraduate Medical Education Curricula

Borrowing From the East to Strengthen the West: Merging Public Health Case Studies of Community-Based Service-Learning Practices From India and the United States

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