Research Guides: Quality Enhancement Plan (QEP) Resource Portal: Discussions on SDOH

MedEd Chat

January 2018
March 2018

M edEd Chat hosted a Twitter chat session: Teaching Socioeconomic Determinants of Health on Clinical Rotations (January 4, 2018).

Three topics were discussed:

How can faculty help learners ‘see’ the impact of social determinants of health on individual patients’ health during clinical rotations?
What role does faculty play in fostering medical students' understanding of addressing SDOH in communities?
What faculty development is needed to effectively teach SDOH? What other resources are needed?

Resources shared during the chat:

Martinez, I.L., Artze-Vega, I., Wells, A.L., Mora, J.C., & Gillis, M. (2015). Twelve tips for teaching social determinants of health in medicine, Medical Teacher, 37(7), 647-652. doi: 10.3109/0142159X.2014.975191 PMID: 25373885
Behforouz, H.L., Drain, P.K., & Rhatigan, J.J. (2014). Rethinking the social history. New England Journal of Medicine, 371(14),1277-9. doi: 10.1056/NEJMp1404846. PMID: 25271600.
Education-Centered Medical Home (ECMH): A learning module, created by the Northwestern University Feinberg School of Medicine, provides students with early and comprehensive educational exposure to team-based medicine in an authentic outpatient environment. Students work with the same preceptor and peers over four years to help care for patients and measure their progress. This learning model helps students build a professional identity as early as the first year of medical school, offers 360-degree assessment opportunities, and allows for patients, peers and preceptors to give feedback on the student's progress in their eight core competencies.
Health and Well-being for All: Accelerating Learning about Social Determinants Meeting-in-a-Box: Resources collected by CDC Foundation.
Ventres, W., Kravitz, J.D., & Dharamsi, S. (2018). PEARLS+: Connecting societal forces, social determinants, and health outcomes. Academic Medicine, 93(1), 143. doi: 10.1097/ACM.0000000000002012. PMID: 29116976.
Skochelak, S.E., Hawkins, R.E., Lawson, L.E., Starr, S.R., Borkan, J., & Gonzalo, J.D. (2016). Health systems science (1st ed.). Retrieved from https://www.elsevier.com/books/health-systems-science/skochelak/978-0-323-46116-0 (Requested the library to purchase this book).
Resources from the Children's Law Center: It provides screening questions to identify housing, education and other environmental factors that affect children's health.
Practice Tips: Tools for screening for basic and social needs and connecting families to community resources: It was created by the American Academy of Pediatrics (AAP). Addressing “Poverty and Child Health” is an AAP strategic priority.

MedEd Twitter Chat Transcripts 01/04/2018

M edEd Chat hosted a Twitter chat session: Creative Ways to Teach Cultural Humility (March 1, 2018).

Three topics were discussed:

What is your understanding of cultural humility vs. cultural competency?
How do we enhance self-awareness of health care providers to develop cultural humility?
How can we teach learners cultural humility? How will this help in the care of patients?

Resources shared during the chat:

Association of American Medical Colleges. (2018). Group on diversity and inclusion. Resources and support for AAMC-member institutions recognizing the importance of inclusion and diversity in health sciences.
Centers for Disease Control and Prevention. (2015). Cultural competence. Examines cultural competence in healthcare delivery as a way to address health disparities among race, ethnicity, and culture in the U.S.
Dr. Pamela Hays: Books. (2017). Resources discussing the interaction of culture and psychotherapy.
Friar, G. (2017). Combating bias in medicine: Insights from HMS course offer model to counter inequitable care. Harvard Medicine News. Provides a model for education countering physician biases and healthcare disparities.
Haidet, P. (2015). When I say...patient-centredness. Medical Education, 49(11), 1063-1064. PMID: 26494060. Explores a patient-centered approach to healthcare delivery, including relationships among the patient, physician, and medical system.
Hays, P. A. (2008). Addressing Cultural Complexities in Practice: Assessment, Diagnosis, and Therapy (2nd ed.). Washington, DC: American Psychological Association. Examines cultural complexities related to culturally responsive psychotherapy.
Isaacson, M. (2014). Clarifying concepts: Cultural humility or competency. Journal of Professional Nursing, 30(3), 251-258. PMID: 24939335. Studies perceptions of cultural competence of senior nursing students after immersion on an Indian reservation.
Lu, F. G. (n.d.). Cultural psychiatry. Notable resources on cultural psychiatry.
Matthew, S., Hockett, E., & Samek, L. (2018). Learning cultural humility through stories and global service-learning. Journal of Christian Nursing, 35(1), 33-37. PMID: 29227389. Discusses the development of cultural humility among nursing students and educators on a service-learning trip to Kenya.
Murray-García, J., & Tervalon, M. (1998). Cultural humility versus cultural competence: A critical distinction in defining physician training outcomes in multicultural education. Journal of Health Care for the Poor and Underserved, 9(2), 117-125. PMID: 10073197. Compares cultural humility and cultural competence in clinical training.
Ndiwane, A., Baker, N., Makosky, A., Reidy, P., & Guarino, A. (2017). Use of simulation to integrate cultural humility into advanced health assessment for nurse practitioner students. Journal of Nursing Education, 56(9), 567-571. PMID: 28876446. Explores the application of knowledge and skills among nursing students, including simulation with use of the Objective Structured Clinical Examination (OSCE).
Project Implicit. (2011). Provides tests of implicit social cognition outside of conscious awareness, including your beliefs, thoughts, and feelings.
Royal College of Physicians and Surgeons of Canada. (2013). Indigenous health values and principles statement. Discusses actions that can be taken in medical education to reduce healthcare disparities.

MedEd Twitter Chat Transcripts 03/01/2018