Ontology highlight
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
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]