Jones Christopher, Reilly Kandice, Peacock Brian, Denizard-Thompson Nancy, Walters-Stewart Alicia, McDowell Leslie Doroski, Valente Jessica, Aguilar Aylin A, Lischke Michael, Montez Kimberly
Department of Implementation Science, Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Northwest Area Health Education Center, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
J Clin Transl Sci. 2024 Sep 6;8(1):e113. doi: 10.1017/cts.2024.588. eCollection 2024.
This study explores the transformative effects of the Community Plunge, an educational program at the Wake Forest University School of Medicine (WFUSOM), on healthcare delivery, community engagement, and trainee perspectives. It addresses the broader context of health outcomes, where clinical care only accounts for 20%, emphasizing the critical role of social determinants of health (SDOH) and individual behaviors in the remaining 80%.
WFUSOM's Community Plunge, established in 2002, involves a guided tour of the community, discussions with residents, and debriefing sessions. Qualitative interviews with 20 clinicians were conducted to extract key themes and insights.
The study identified several key outcomes. First, participants gained crucial insights into the community's history, structural challenges, and prevalent SDOH, enhancing their understanding of the diverse patient populations they serve. Second, the program positively influenced clinician attitudes, fostering empathy, reducing paternalism, and promoting holistic patient care. Third, participants expressed a desire for increased community involvement and reported career trajectory changes toward advocacy and volunteerism. However, challenges such as time constraints were acknowledged.
The study advocates for collaborative efforts to enhance the program's impact, including proactive measures to ensure respectful engagement during community tours. It positions the Community Plunge as an innovative, scalable, and transformative strategy for experiential SDOH exposure, crucial for the evolving social consciousness of healthcare learners.
本研究探讨了维克森林大学医学院（WFUSOM）的一项教育项目——社区沉浸式体验项目对医疗服务、社区参与度以及学员观点的变革性影响。它阐述了健康结果的更广泛背景，其中临床护理仅占20%，强调健康的社会决定因素（SDOH）和个体行为在其余80%中所起的关键作用。
WFUSOM于2002年设立的社区沉浸式体验项目包括社区导览、与居民的讨论以及汇报会。对20名临床医生进行了定性访谈，以提取关键主题和见解。
该研究确定了几个关键成果。首先，参与者对社区历史、结构性挑战和普遍存在的SDOH有了重要见解，增强了他们对所服务的不同患者群体的理解。其次，该项目对临床医生的态度产生了积极影响，培养了同理心，减少了家长式作风，并促进了整体患者护理。第三，参与者表示希望更多地参与社区事务，并报告职业轨迹向倡导和志愿服务方向转变。然而，也认识到了时间限制等挑战。
该研究倡导通过合作努力来增强该项目的影响，包括采取积极措施确保在社区导览期间进行尊重性的互动。它将社区沉浸式体验项目定位为一种创新的、可扩展的、变革性的策略，用于体验式SDOH接触，这对医疗学习者不断发展的社会意识至关重要。
