PDF(Pubmed)
Abstract：
OBJECTIVE: Social determinants of health (SDoH) education has gained popularity in undergraduate medical education; however, emphasis varies, and the curricula or assessment methods are not uniform. This study sought to examine the current SDoH teaching and assessment methods within family medicine clerkships and to identify characteristics associated with SDoH curriculum with multicomponent (two or more) teaching strategies and higher Kirkpatrick levels of assessment (Level 3-behavior change and Level 4-results).
METHODS: An online survey was conducted through the 2023 Council of Academic Family Medicine Educational Research Alliance (CERA) Clerkship Directors Survey.
RESULTS: The survey response rate was 56.8% (96/169). The degree of SDoH emphasis in the medical school was positively associated with the number of teaching strategies (r=0.48; P<.001). We found a trend toward degree of SDoH emphasis being associated with higher Kirkpatrick levels of assessment (H[3]=7.83; P=.05). Having an SDoH faculty champion was associated with more teaching strategies (F[1,77]=8.73; P=.004), more types of assessments (F[1,78]=5.88; P=.018), and higher Kirkpatrick levels of assessment (H[1]=4.46; P=.035). Underrepresented in medicine clerkship director identity was not associated with the number of teaching strategies or higher Kirkpatrick levels of assessment.
CONCLUSIONS: Greater degrees of SDoH emphasis and having a faculty champion were associated, or trended toward association, with multicomponent teaching strategies and higher Kirkpatrick levels of assessment, which prepare students to provide SDoH responsive care that could lead to reduction in health inequities.
METHODS: An online survey was conducted through the 2023 Council of Academic Family Medicine Educational Research Alliance (CERA) Clerkship Directors Survey.
RESULTS: The survey response rate was 56.8% (96/169). The degree of SDoH emphasis in the medical school was positively associated with the number of teaching strategies (r=0.48; P<.001). We found a trend toward degree of SDoH emphasis being associated with higher Kirkpatrick levels of assessment (H[3]=7.83; P=.05). Having an SDoH faculty champion was associated with more teaching strategies (F[1,77]=8.73; P=.004), more types of assessments (F[1,78]=5.88; P=.018), and higher Kirkpatrick levels of assessment (H[1]=4.46; P=.035). Underrepresented in medicine clerkship director identity was not associated with the number of teaching strategies or higher Kirkpatrick levels of assessment.
CONCLUSIONS: Greater degrees of SDoH emphasis and having a faculty champion were associated, or trended toward association, with multicomponent teaching strategies and higher Kirkpatrick levels of assessment, which prepare students to provide SDoH responsive care that could lead to reduction in health inequities.
摘要：
目的：健康的社会决定因素（SDoH）教育在本科医学教育中越来越受欢迎；然而，重点各不相同，课程或评估方法也不统一。这项研究旨在研究家庭医学职员中当前的SDoH教学和评估方法，并通过多组件（两个或多个）教学策略和更高的Kirkpatrick评估水平（3级行为变化和4级结果）来确定与SDoH课程相关的特征。
方法：通过2023年学术家庭医学教育研究联盟理事会（CERA）职员董事调查进行了一项在线调查。
结果：调查应答率为56.8%（96/169）。医学院对SDoH的重视程度与教学策略的数量呈正相关（r=0.48；P＆lt;.001）。我们发现SDoH重视程度的趋势与较高的Kirkpatrick评估水平相关（H[3]=7.83；P=0.05）。拥有SDoH教师冠军与更多的教学策略相关（F[1,77]=8.73；P=.004），更多类型的评估(F[1,78]=5.88；P=0.018)，和更高的Kirkpatrick评估水平（H[1]=4.46；P=.035）。在医学文员中代表性不足的主任身份与教学策略的数量或更高的柯克帕特里克评估水平无关。
结论：更大程度地强调SDoH并拥有教职员工冠军，或者倾向于联想，通过多成分教学策略和更高的柯克帕特里克评估水平，准备学生提供SDoH响应式护理，这可能导致减少健康不平等。
方法：通过2023年学术家庭医学教育研究联盟理事会（CERA）职员董事调查进行了一项在线调查。
结果：调查应答率为56.8%（96/169）。医学院对SDoH的重视程度与教学策略的数量呈正相关（r=0.48；P＆lt;.001）。我们发现SDoH重视程度的趋势与较高的Kirkpatrick评估水平相关（H[3]=7.83；P=0.05）。拥有SDoH教师冠军与更多的教学策略相关（F[1,77]=8.73；P=.004），更多类型的评估(F[1,78]=5.88；P=0.018)，和更高的Kirkpatrick评估水平（H[1]=4.46；P=.035）。在医学文员中代表性不足的主任身份与教学策略的数量或更高的柯克帕特里克评估水平无关。
结论：更大程度地强调SDoH并拥有教职员工冠军，或者倾向于联想，通过多成分教学策略和更高的柯克帕特里克评估水平，准备学生提供SDoH响应式护理，这可能导致减少健康不平等。
