Addressing social determinants of health in an ambulatory setting: quasi-experimental controlled study of a curricular intervention for residents
Academic medical centers in the USA disproportionately care for low-income populations.1 Although several medical organizations now recommend social determinants of health (SDH) curricula be incorporated into internal medicine (IM) residency training, programs have been slow to respond.2–4 While models screening for SDH in adult-care settings have been described,5 there have been no published trials of SDH education targeting IM residents. We implemented a pilot SDH educational intervention to improve resident knowledge, confidence, and ability to address patients’ unmet social needs.
KEY WORDSSocial determinants of health Residency curriculum Internal medicine
We would like to thank Carla Spagnoletti, MD, MS, for her invaluable feedback and assistance editing this manuscript. We would also like to thank Mike Elnicki, MD; Julia Fleming, MD; Asha Isable, MD; Jon Giftos, MD; Brian Dorsey, MD; and Maritza Casillas, LSW, for their feedback and contributions to this study.
Prior Presentations: This study was presented in part at the Society of General Internal Medicine Conference April 2017, Beyond Flexner Conference September 2016, and Society of General Internal Medicine Conference May 2016.
Compliance with ethical standards
Albert Einstein College of Medicine IRB approved this study.
Conflict of interest
The authors declare that they do not have a conflict of interest.
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- 3.American Medical Association Wire. What future doctors need to know about health determinants. November 20, 2014. Available at: https://wire.ama-assn.org/education/what-future-doctors-need-know-about-health-determinants. Accessed October 30, 2017.
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