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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

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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]

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