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Quality Enhancement Plan (QEP) Resource Portal

The resource portal is intended to provide resources in support of the educational program development and implementation towards social determinants of health (SDOH).

How to Access Articles via PIMD Link

If available via PubMed@UTHSC, the link is included at the end of each citation with the PMID.

In order to see the UT Links, 

  • You register for an My NCBI account 
  • Go to “NCBI Site Preferences
  • Click on “Outside Tool
  • Select the button for “University of Tennessee Health Science Center” and click “Save” at the bottom of the page.

UTHSC Student Learning Outcomes

Sample Student Learning Outcomes

Each students’ personal development of cultural competence, can be scored from: Level 1: No insight about the influence of culture on health care, to Level 5: Integration of attention to culture into all areas of interprofessional practice, with assessments being conducted at determined intervals (Crandall et al., 2003).

Students will:

  • Identify impact of practitioner bias and stereotyping on interaction with patients (knowledge, AAMC 2005).
  • Use negotiating and problem-solving skills in shared decision-making with a patient (skills, AAMC 2005).
  • Ask questions and listen to patients discuss their health beliefs in a nonjudgmental manner (attitudes, AAMC 2005).
  • Understand the impact of race and ethnicity, social class, disability status, gender, sexual orientation, age, and religion on health beliefs, practices, status, and outcomes.
  • Understand own cultural beliefs and perspectives
  • Describe how subconscious and conscious bias impacts delivery of care

For more information, visit UTHSC QEP website

Social Determinants of Health (SDOH)

SDOH: Conceptual Model for Strengthening Health Professional Education














Source: Committee on Educating Health Professionals to Address the Social Determinants of Health, Board on Global Health, Institute of Medicine, & National Academies of Sciences, Engineering, and Medicine. (2016). A framework for educating health professionals to address the social determinants of health. Retrieved from:

Ventres, Kravitz, and Dharamsi's article explores the connections among societal forces, social determinants, and health outcomes.
PEARLS+ organizes several key societal forces that influence social determinants and, in turn, shape health outcomes.

P= Politics
E= Economics/Environment/Ethics
A= Arms
R= Religion
L= Life circumstances
S= Social roles/social structures
+= Other force

Examples of adverse determinants: classism, corruption, ecosystem degradation, gender discrimination, globalization, income inequality, migration, militarism, poverty, racism, social isolation, and violence. 

Societal forces influence social determinants and, in turn, shape health outcomes in morbidity and mortality across categories (including, among others, income, gender, ethnicity, geography, and education) in both domestic and international settings. 

Source: Ventres, W., Kravitz, J.D., & Dharamsi, S. (2018). PEARLS+: Connecting societal forces, social determinants, and health outcomes. Academic Medicine, 93(1), 143.  [Epub ahead of print]  doi: 10.1097/ACM.0000000000002012. PMID: 29116976.

Dr. Lori Gonzalez and Dustin Fulton, of UTHSC, host a podcast with Dr. Will Ross, MD, MPH, to discuss the social disparities in health care. Dr. Ross, a Memphis native, is a professor of medicine and associate dean of diversity at Washington University School of Medicine in St. Louis.

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