Departments of Internal Medicine, Pediatrics, and Epidemiology and Prevention, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Med Teach. 2022 Nov;44(11):1260-1267. doi: 10.1080/0142159X.2022.2056007. Epub 2022 Apr 6.
There has been increasing interest among national organizations for medical schools to provide students experiential training in the social determinants of health (SDH) through community partnerships. Despite this interest, there is limited data about how these experiential activities can be designed most effectively, and community organizations' views of partnering with medical schools on these curricula is unknown. The authors' objective was to determine community organizations' and clinical clerkship directors' perceptions of the benefits and challenges of utilizing academic-community partnerships to improve medical students' understanding of the SDH.
The authors conducted a qualitative study consisting of open-ended, semi-structured interviews (between 2018 and 2021). All community organizations and clinical clerkship directors who partnered with a health equity curriculum were eligible to participate. Semi-structured interviews elicited participants' perceptions of the academic-community partnership; experience with the curriculum and the students; and recommendations for improving the curriculum. All interviews were audio recorded and transcribed. The authors used a directed content analysis approach to code the interviews inductively and identified emerging themes through an iterative process.
Of the fifteen participants interviewed, ten were from community organizations and five from clinical clerkships. Three primary themes emerged: (1) community organizations felt educating students about the SDH aligned with the organization's mission and they benefited from consistent access to volunteers; (2) students benefited through greater exposure to the SDH; (3) participants suggested standardizing students' experiences, ensuring the students and organizations are clear about the goals and expectations, and working with organizations that have experience with or the capacity for a large volume of volunteers as ways to improve the experiential activity.
This study found that community organizations were very willing to partner with a medical school to provide students experiential learning about the SDH, and this partnership was beneficial for both the students and the organizations.
越来越多的国家组织希望医学院通过社区伙伴关系为学生提供社会决定因素健康（SDH）方面的实践培训。尽管对此很感兴趣，但关于如何最有效地设计这些实践活动的数据有限，而且社区组织对与医学院在这些课程上合作的看法也不得而知。作者的目的是确定社区组织和临床实习主任对利用学术-社区伙伴关系提高医学生对 SDH 的理解的看法，包括其益处和挑战。
作者进行了一项定性研究，包括开放式、半结构式访谈（2018 年至 2021 年）。所有与健康公平课程合作的社区组织和临床实习主任都有资格参加。半结构式访谈引出了参与者对学术-社区伙伴关系的看法；对课程和学生的体验；以及对课程改进的建议。所有访谈均进行录音和转录。作者采用定向内容分析方法对访谈进行归纳编码，并通过迭代过程确定了新出现的主题。
在接受访谈的十五名参与者中，有十名来自社区组织，五名来自临床实习。出现了三个主要主题：（1）社区组织认为教育学生了解 SDH 符合组织的使命，并且他们从与志愿者的持续接触中受益；（2）学生通过更多地接触 SDH 受益；（3）参与者建议标准化学生的体验，确保学生和组织清楚目标和期望，并与有经验或有能力接受大量志愿者的组织合作，作为改进实践活动的方法。
本研究发现，社区组织非常愿意与医学院合作，为学生提供关于 SDH 的实践学习机会，这种伙伴关系对学生和组织都有益。
