Instead of finding a niche that interests you, maybe creating your own is a better option...good advice in this article that may help you get there. Use These 5 Steps to Quickly Become an Expert in Anything https://t.co/VR5Pn0o3cQ#meded
T1 #meded We want to know how to help #medstudents see the impact of social determinants of health in patient care settings. Thoughts? Ideas? Best practices?
#TBT 2015: Medical Mandarin Course Offered in School of Medicine. >> This program started in the Fall of 2014. Brilliant use of Standardized Patients in this #UNCsim. #MedEdhttps://t.co/w0RNynwSg7
T1 #meded I am curious about this. Once had a physician try to address this and was accused of being racially insensitive about noting potential disparities. How is it best addressed?
T1: Continuity is key. When students see patients over time they are better able to appreciate the barriers that patients face. One example of this model is the ECMH clerkship at @NUFeinbergMedhttps://t.co/Ng9GVwFHHu
#meded I think students and faculty both are challenged to clarify #SDoH from stereotypes and bias. Early discussion on these topics before the clinical rotations and via faculty development might help
Show interest in SH outside of substance use. For chronic conditions, ask how person learns about/manages disease & what barriers get in the way T1 #meded
We love having trainees learn and serve at our community-based FQHCs. We make use of an advocacy code card and outstanding medical-legal partnerships. #SDoH#meded@MedEdChat
T2: At start of med school students should have health equity and data on impact of #SDoH as early learning. Students needs to see equal care as one of the 6 IOM dimensions of quality linked inextricably to the @TheIHI Triple Aim and to their role as physicians #MedEd
T2 That's a piece - but #MedEd students need to see that regardless of their specialty #SDoH has an impact on patients at individual and population level. We need to link their drive to be in medicine with a drive to address #SDoH
T2: At start of med school students should have health equity and data on impact of #SDoH as early learning. Students needs to see equal care as one of the 6 IOM dimensions of quality linked inextricably to the @TheIHI Triple Aim and to their role as physicians #MedEd
T2 No evidence this is effective approach, but early M1s are still idealistic and passionate about #SDoH We need to link this to professional identity, evidence-based medicine (impact of det. on outcomes), quality and the other MD roles they will have #MedEd
T2 #meded Agreed....but how do you do that effectively? We are attempting that locally and I haven't seen from student evaluations that it is appreciated.
T2: I have seen this work great with teaching students in multi-specialty clinics with social work involvement, such as in the care of #cysticfibrosis. #meded
T2 #MedEd We are hearing that students want more preclinical content (part of our #healthsystemsscience curriculum) on #SDoH -- we are working on what to include and how to 'thread' that effectively into the clinical years
T2 #MedEd Our general peds clinics are perhaps the lowest hanging fruit! Could design an exercise (for students, residents) to 'find and report' #SDoH issues they encountered and discuss strategies to mitigate negative impact
Topic 3: What faculty development is needed to ensure effective learning about SDoH by students and residents? What tools/resources do you share with learners to help them screen for SDoH impact in patients’ health?
Primary care teams have been thinking about #SDoH for a long time - but some of us have not been making this explicit for learners. This chat will hopefully help! T2 #MedEd
T3 #meded - Building a community of practice with other educators is a great way to share & learn resources. Here are some of the tools and curricula descriptions shared with us from our community of practice: https://t.co/J0JsDuA8b9
T1 #meded giving students the time with patients, exposure to community health centers, and incorporating students into medical home interprofessional teams.
T3 #meded I'm curious to know how important is it to ensure you have ample community opportunities for trainees to get exposure? How do you partner with them?
This study explores the process in which trainees engage to navigate difficult conversations - participants described how they responded when checklist approaches became ineffective during moments of unexpected uncertainty and complexity https://t.co/jGpabrBCTW
Last Word: A big thanks to @StephRStarr for coming up with the questions for tonight's topic. Great resources have been shared which will be invaluable. #meded
#meded designing continuity clinical experiences in community health centers for both UME and GME- we are fortunate to have a network of CHCs affiliated with our AMC. The physicians are all faculty.
I am so thankful to our #meded community for sharing resources and ideas - it has widened my community of practice in many ways! Thanks @GLBDallaghan for choosing this topic.
Never a simple well child check. Always more we can seek to understand and do to help.
And teach the #medstudents. Pediatrics is advocacy.
#meded#SDoH@MedEdChat
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