Katz Benjamin C, Syverud Emily P, Garza Oscar W, Silva Rachel, Kirsch Jonathan D
Department of Pediatrics, University of Minnesota Medical School, Minneapolis, Minnesota, USA.
Department of Internal Medicine, University of Minnesota Medical School, Minneapolis, Minnesota, USA.
Health Equity. 2022 Feb 22;6(1):132-139. doi: 10.1089/heq.2021.0114. eCollection 2022.
Medical educators recognize the importance of addressing social determinants of health and providing opportunities for learners to work with diverse populations. Still, social, geographic, resource, and language barriers prevent institutions from connecting with globally diverse populations within their own communities. In this article, we describe the migrant farmworker health course at the University of Minnesota, the importance of longitudinal partnership with community-based organizations, and ways to increase access to care and educate health professional learners in health equity. The migrant farmworker health course is a clinical rotation that combines didactic learning on social determinants of health with hands-on clinical experience. Learners work with community organizations to provide mobile health care while learning about a diverse and underserved rural population. Twenty-eight learners who participated in the course between 2015 and 2019 were surveyed about their experience, knowledge, and skills gained, and recommendations for improvement. Over 90% of participants rated their overall experience in the course as "good" or "outstanding." Most learners increased confidence in the subjects that were covered during didactic sessions. Qualitative feedback provided insight on how the migrant farmworker health course shaped learners' understanding of social determinants of health and influenced their career trajectories. The migrant farmworker health course has educated interprofessional learners and is expanding to include more opportunities for mobile health care. The feedback from this survey helped improve didactic teaching and will help deepen relationships with community partners. Learning through service with global populations locally in a "global is local" rotation is a rewarding way to engage in and learn about health equity.
医学教育工作者认识到解决健康的社会决定因素以及为学习者提供与不同人群合作机会的重要性。然而,社会、地理、资源和语言障碍阻碍了机构与所在社区内全球多样化人群建立联系。在本文中,我们描述了明尼苏达大学的流动农业工人健康课程、与社区组织建立长期伙伴关系的重要性,以及增加医疗服务可及性和对健康专业学习者进行健康公平教育的方法。流动农业工人健康课程是一门临床轮转课程,将关于健康社会决定因素的理论学习与实践临床经验相结合。学习者与社区组织合作提供流动医疗服务,同时了解多样化且服务不足的农村人口。对2015年至2019年期间参加该课程的28名学习者进行了调查,询问他们获得的经验、知识和技能,以及改进建议。超过90%的参与者将他们在课程中的总体体验评为“良好”或“优秀”。大多数学习者在理论课程涵盖的主题方面信心增强。定性反馈提供了关于流动农业工人健康课程如何塑造学习者对健康社会决定因素的理解以及影响他们职业轨迹的见解。流动农业工人健康课程已经对跨专业学习者进行了教育,并正在扩大以包括更多流动医疗服务机会。本次调查的反馈有助于改进理论教学,并将有助于加深与社区伙伴的关系。通过在当地以“全球即本地”的轮转方式为全球人群提供服务来学习,是参与并了解健康公平的一种有益方式。