Director of Community Engagement & Scholarship, Assistant Professor of Medical Science, The Warren Alpert Medical School of Brown University, Providence, Rhode Island.
Medical Education Research Fellow, Brown Emergency Medicine, The Warren Alpert Medical School of Brown University, Providence, Rhode Island.
R I Med J (2013). 2023 Oct 2;106(9):14-19.
Incorporating opportunities for community engagement into undergraduate medical education (UME) can help learners to identify and address social determinants of health (SDoH). Multiple challenges exist in operationalizing these experiences.
Using the Assessing Community Engagement (ACE) model, course directors at the Warren Alpert Medical School of Brown University (AMS) mapped community engagement initiatives to the four-year curriculum.
Service-learning, community engagement projects, and clinical rotations at health centers and free clinics aim to equip learners at AMS with the necessary skills to address SDoH. Careful consideration should be given to the time and resources required to facilitate relationships with community-based agencies, learner reflection, program evaluation, and community-level outcomes.
Community engagement activities should be aligned with learning objectives during the pre-clerkship and clerkship stages of the existing UME curricula. Embarking on a curriculum redesign can create opportunities to expand partnerships with local agencies and deepen student engagement.
将社区参与的机会纳入本科医学教育（UME）可以帮助学习者识别和解决健康的社会决定因素（SDoH）。在实施这些经验方面存在多种挑战。
使用评估社区参与（ACE）模型，布朗大学沃伦阿尔珀特医学院（AMS）的课程主任将社区参与计划映射到四年制课程中。
服务学习、社区参与项目以及在医疗中心和免费诊所的临床轮转旨在使 AMS 的学习者具备解决 SDoH 的必要技能。应该仔细考虑与基于社区的机构建立关系、学习者反思、项目评估和社区层面结果所需的时间和资源。
社区参与活动应与现有 UME 课程的预科和实习阶段的学习目标保持一致。进行课程重新设计可以为扩大与当地机构的伙伴关系并加深学生参与创造机会。
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