Dataset Information

The Impact of "See the City You Serve" Field Trip: An Educational Tool for Teaching Social Determinants of Health.

ABSTRACT:

Background?

There has been limited evaluation of tools for teaching social determinants of health (SDOH).

Objective?

We evaluated a field trip as a tool for teaching SDOH to incoming medical interns.

Methods?

Incoming interns from The George Washington University participated in a bus field trip of Washington, DC, guided by community partners. The field trip introduced trainees to local neighborhoods. Pre- and postactivity surveys developed by the authors were analyzed using a Wilcoxon signed rank test. Reflection responses were recorded and counted for recurrent themes.

Results?

Incoming interns participated in 2015 (85 of 90, 94%) and in 2016 (96 of 116, 83%). Postactivity, basic knowledge of DC geographic health disparities increased, and a greater percentage of interns reported being at least somewhat comfortable understanding the neighborhoods from which their patients come (2015: 58% versus 89%, P < .0001; 2016: 65% versus 88%, P < .0001); identifying challenges to health care that affect low-income patients (2015: 74% versus 90%, P < .0023); describing community resources (2015: 29% versus 67%, P < .0001; 2016: 29% versus 50%, P < .0001); and referring patients to local community resources (2015: 25% versus 64%, P < .0001; 2016: 36% versus 52%, P < .0001). Interns reported that this experience improved their understanding of patients' background and local resources, and that they would change the way they practice.

Conclusions?

A bus field trip guided by community partners is a feasible way to increase residents' perception of their understanding of local disparities and comfort in addressing SDOH.

SUBMITTER: Chang AY

PROVIDER: S-EPMC5319610 | biostudies-literature | 2017 Feb

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

The Impact of "See the City You Serve" Field Trip: An Educational Tool for Teaching Social Determinants of Health.

Chang Aileen Y AY Bass Tracie L TL Duwell Monique M Berger Jeffrey S JS Bangalore Raksha R Lee Nancy S NS Amdur Richard L RL Andrews Marcus M Fahnestock Esme E Kahsay Lamek L El-Bayoumi Jehan J

Journal of graduate medical education 20170201 1

<h4>Background</h4>There has been limited evaluation of tools for teaching social determinants of health (SDOH).<h4>Objective</h4>We evaluated a field trip as a tool for teaching SDOH to incoming medical interns.<h4>Methods</h4>Incoming interns from The George Washington University participated in a bus field trip of Washington, DC, guided by community partners. The field trip introduced trainees to local neighborhoods. Pre- and postactivity surveys developed by the authors were analyzed using a ...[more]

PMID: 28261406

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Project description:BackgroundEducational autopsy (EA) is an innovative technique designed to improve the quality of feedback provided to conference presenters. In response to survey fatigue and suboptimal feedback from online evaluations, this postlecture group debrief was adapted to emergency medicine residency didactics, with a goal of collecting timely, specific, and balanced feedback for presenters. Other aims include encouraging participants to think critically about educational methods and providing presenters with formal feedback for a portfolio or promotion packet. It was hypothesized that EA provides more specific and actionable feedback than traditional online evaluations deployed individually to conference attendees.MethodsThe authors analyzed 4 months of evaluations pre- and postimplementation of EA. Rate of completion, presence of comments, and types of comments were compared. Comments were coded as specific, nonspecific, and unrelated/unclear. Specific comments were further categorized as about audiovisual presentation design, speaker presentation style, and educational methods of the session.ResultsA total of 46 of 65 (71%) preimplementation presentations eligible for evaluation received comments through traditional online evaluations. A total of 44 of 75 (59%) eligible postimplementation presentations generated comments via EA. Among presentations that received comments, none received nonspecific comments via EA, compared to 46% of lectures through traditional evaluations. EA generated specific comments for more presentations regarding presentation design (91% vs. 63%), presentation style (66% vs. 24%), and educational methods (48% vs. 28%). EA produced no unclear comments; traditional evaluations resulted in unclear comments for 15% of lectures.ConclusionsEA generated more specific feedback for residency conference presenters, although there were a number of sessions not evaluated by EA. Although this limited analysis suggested that EA produced higher-quality presenter feedback, it also showed a drop-off in the proportion of didactic sessions that received narrative feedback.

Dataset Information

The Impact of "See the City You Serve" Field Trip: An Educational Tool for Teaching Social Determinants of Health.

Background?

Objective?

Methods?

Results?

Conclusions?

Publications

The Impact of "See the City You Serve" Field Trip: An Educational Tool for Teaching Social Determinants of Health.

Similar Datasets

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