Social and Structural Determinants of Urban American Indian and Alaska Native Health: A Case Study in Los Angeles

Date of Review: August, 2019

This resource, from MedEdPORTAL, is a 90 minute detailed workshop that introduces key concepts about the structural and social determinants of health and their effects on the urban America Indian and Alaskan Native (AIAN) communities that can be taught to a general or mixed health care audience. The workshop is very interactive with videos with discussion questions; traditional didactic and a unique storytelling experiential activity where individuals learn about outcomes and the major policies and practices that contributed to these. The facilitator guide is very detailed and allows any facilitator to present the material –i.e. faculty who may be Social Determinants of Health (SDH) expert but not an American Indian and Alaska Native would be possible. The PowerPoint outlines the entire agenda and timeline for the workshop which can be useful for all trainees and health professionals at all levels. Pre- and post- evaluations are included. All didactic portions have facilitator notes and I believe that it would be very easy to implement this detailed curriculum. Finding the right place in the curriculum is the real challenge with this resource as it pertains to a very specific population and works well as a workshop. In my opinion; however; the approach taken by the authors using a historical lens to explain structural determinants is well-executed and changing the language to look at indigenous values rather than stereotypes is laudable. –Ashti Doobay-Persaud, MD, NCEAS

Corresponding Author’s Email:


UCLA David Geffen School of Medicine

Where was the Curriculum Implemented:

New York & New Jersey

Source of the Curriculum/Resource:


Outcomes that Have Been Reported for the Curriculum:

Learner Satisfaction or reaction

Self-reported learner attitude

Self-reported learner knowledge

Measured in learner knowledge

Outcome and Study Design:


Level of Learner Assessment:

Knowledge Acquisition (MCQ, IRAT, GRAT)

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