Development of a Case-Based-Learning Curriculum to Engage Pre-clerkship Students in Principles of Health Equity, Quality, Safety, Teamwork, and Economics

Date of Review: September, 2018

This resource describes a curriculum for second year medical students designed to help students begin to understand the health care system and how social determinants of health, payment structures, and design of care interact to impact patient care and outcomes. The full curriculum contains 3 sessions designed to be spaced across the second year medical school curriculum, ideally placed within organ system modules that correspond to topic areas (i.e. retinopathies, diabetes, and cancer). The modules include facilitator guides and student learning guides that could be easily used elsewhere; scoring rubrics for assignments and teamwork are institution-specific but could be adapted by other schools. SDoH topics include regional variations in care, access, health belief models, literacy/numeracy, and how payment systems can exacerbate disparities. Only student satisfaction and knowledge acquisition are assessed.    —Brigid Dolan, MD, NCEAS

Corresponding Author’s Email:


Feinberg School of Medicine, Northwestern University

Where Was the Curriculum Implemented?

Chicago, IL

Source of the Curriculum/Resource:

Submitted by Author

Clinical Specialty:

Family and community medicine and internal medicine

Outcomes that Have Been Reported for the Curriculum:

Learner satisfaction or reaction measured in learner knowledge

Outcome and Study Design:

Non-randomized, controlled, pre/post, comparison to historic controls

Level of Learner Assessment:

Appreciation of content/attitude assessment (self-reflection, blogging with rubric) and knowledge application (case vignette, non-reflective essay)

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