Assistant Professor of Clinical Pediatrics, Division of Pediatric Hospital Medicine, Department of Pediatrics, Louisiana State University Health Sciences Center New Orleans.
Associate Professor of Clinical Pediatrics, Division of Pediatric Hospital Medicine, Department of Pediatrics, Louisiana State University Health Sciences Center New Orleans.
MedEdPORTAL. 2024 Oct 29;20:11458. doi: 10.15766/mep_2374-8265.11458. eCollection 2024.
Education on social determinants of health (SDH) aligns with national standards for medical education. However, there are minimal existing resources targeted to medical students specific to the care of the pediatric population. We designed a case-based curriculum on SDH for third-year medical students on their pediatric clerkship to address this deficit.
Third-year medical students on their pediatric clerkship received a case-based flipped classroom educational series on SDH in four 10-minute segments. Students completed voluntary and anonymous surveys delivered via an electronic survey tool before and after completion of the curriculum. Surveys were a self-assessment of knowledge and skills related to SDH in pediatrics and analysis of a pediatric case.
One hundred sixty-seven third-year medical students completed the curriculum during their pediatric clerkship. Pre- and postsurvey response rates were 50% and 39%, respectively, for the self-assessment and 51% and 38%, respectively, for the case analysis components of the survey. Students demonstrated statistically significant improvement in knowledge and skills regarding SDH. After completion of the curriculum, students were more likely to identify SDH as factors contributing to the patient's health status and to propose questions targeted at SDH they would ask the patient or family when presented with a pediatric case.
A case-based curriculum on SDH using a multisession flipped classroom approach advanced student knowledge and skills regarding SDH in the pediatric context. The curriculum has the potential for expansion to other institutions and to serve as a model for other subspecialties.
关于社会决定因素健康（SDH）的教育与医学教育的国家标准相一致。然而，针对儿科人群的医疗学生，几乎没有现有的专门针对 SDH 的资源。我们为正在儿科实习的三年级医学生设计了一个基于案例的 SDH 课程，以解决这一不足。
正在儿科实习的三年级医学生接受了一个基于案例的翻转课堂教育系列，内容是关于 SDH 的四个 10 分钟的片段。学生在完成课程前后通过电子调查工具完成了自愿和匿名的调查。调查是对儿科 SDH 相关知识和技能的自我评估，以及对儿科病例的分析。
167 名三年级医学生在儿科实习期间完成了课程。自我评估调查的预调查和后调查的回复率分别为 50%和 39%，病例分析部分的预调查和后调查的回复率分别为 51%和 38%。学生在 SDH 方面的知识和技能方面表现出统计学上的显著提高。完成课程后，学生更有可能将 SDH 视为影响患者健康状况的因素，并提出他们在遇到儿科病例时将针对 SDH 向患者或家属提出的问题。
使用多阶段翻转课堂方法的基于案例的 SDH 课程提高了学生在儿科背景下关于 SDH 的知识和技能。该课程有可能扩展到其他机构，并作为其他专业的模型。
