In:
Journal of Graduate Medical Education, Journal of Graduate Medical Education, Vol. 9, No. 1 ( 2017-02-01), p. 118-122
Abstract:
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 & lt; .0001; 2016: 65% versus 88%, P & lt; .0001); identifying challenges to health care that affect low-income patients (2015: 74% versus 90%, P & lt; .0023); describing community resources (2015: 29% versus 67%, P & lt; .0001; 2016: 29% versus 50%, P & lt; .0001); and referring patients to local community resources (2015: 25% versus 64%, P & lt; .0001; 2016: 36% versus 52%, P & lt; .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.
Type of Medium:
Online Resource
ISSN:
1949-8349
,
1949-8357
DOI:
10.4300/JGME-D-16-00212.1
Language:
English
Publisher:
Journal of Graduate Medical Education
Publication Date:
2017
detail.hit.zdb_id:
2578612-X
