Structural Competency: Curriculum for Medical Students, Residents, and Interprofessional Teams on the Structural Factors That Produce Health Disparities.
Cultural Competency
Cultural Humility
Diversity
Health Disparities
Health Equity
Inclusion
Racism
Social Determinants of Health
Structural Competency
Structural Determinants of Health
Structural Violence
Journal
MedEdPORTAL : the journal of teaching and learning resources
ISSN: 2374-8265
Titre abrégé: MedEdPORTAL
Pays: United States
ID NLM: 101714390
Informations de publication
Date de publication:
13 03 2020
13 03 2020
Historique:
entrez:
29
4
2020
pubmed:
29
4
2020
medline:
25
6
2021
Statut:
epublish
Résumé
Research on disparities in health and health care has demonstrated that social, economic, and political factors are key drivers of poor health outcomes. Yet the role of such structural forces on health and health care has been incorporated unevenly into medical training. The framework of structural competency offers a paradigm for training health professionals to recognize and respond to the impact of upstream, structural factors on patient health and health care. We report on a brief, interprofessional structural competency curriculum implemented in 32 distinct instances between 2015 and 2017 throughout the San Francisco Bay Area. In consultation with medical and interprofessional education experts, we developed open-ended, written-response surveys to qualitatively evaluate this curriculum's impact on participants. Qualitative data from 15 iterations were analyzed via directed thematic analysis, coding language, and concepts to identify key themes. Three core themes emerged from analysis of participants' comments. First, participants valued the curriculum's focus on the application of the structural competency framework in real-world clinical, community, and policy contexts. Second, participants with clinical experience (residents, fellows, and faculty) reported that the curriculum helped them reframe how they thought about patients. Third, participants reported feeling reconnected to their original motivations for entering the health professions. This structural competency curriculum fills a gap in health professional education by equipping learners to understand and respond to the role that social, economic, and political structural factors play in patient and community health.
Identifiants
pubmed: 32342010
doi: 10.15766/mep_2374-8265.10888
pmc: PMC7182045
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
10888Subventions
Organisme : NCCIH NIH HHS
ID : T32 AT003997
Pays : United States
Organisme : NIGMS NIH HHS
ID : T32 GM007618
Pays : United States
Informations de copyright
Copyright © 2020 Neff et al.
Déclaration de conflit d'intérêts
None to report.
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