Addressing social determinants of health in an ambulatory setting: quasi-experimental controlled study of a curricular intervention for residents

Date of Review: May, 2019

This resource describes a two-year longitudinal course in social determinants of health (SDoH) for Internal Medicine residents in the Bronx, NY. The packet includes: a diagram outlining the curriculum format; slide overviews with goals, outcomes, and objectives; sample slides for resident workshops describing the local impact of food insecurity, housing insecurity, incarceration, and immigration on patients from the community; faculty development resources and plan to aid preceptors in addressing SDoH in clinic with residents; sample case scenarios for resident workshops; a link to a website residents can access to address SDoH resources in the moment with patients. While much of the information is specific to the Bronx community, the resources may serve as a model for others hoping to build a community-based SDoH curriculum in their own setting. Measured outcomes include gains in knowledge, resident satisfaction, and confidence in addressing SDoH in clinic. – Brigid Dolan, MD, NCEAS

Corresponding Author’s Email:

ihassan@montefiore.org

Institution:

Montefiore Medical Center

Where Was the Curriculum Implemented?

Bronx, NYC, NY

Source of the Curriculum/Resource:

JGIM publication

Relevant Specialty:

Family and Community Medicine and Internal Medicine

Outcomes that Have Been Reported for the Curriculum:

Learner satisfaction or reaction

Self-reported learner attitude

Measured in learner knowledge

Outcome and Study Design:

Pre/Post

Level of Learner Assessment

Knowledge Acquisition (MCQ, IRAT, GRAT)