Lynn Shaull, Paolo C Martin, Jessica Bunin, Tasha R Wyatt
Professionalism Policies and Practices as Experienced by First-Generation Medical Students, Residents, and Physicians
Teaching and learning in medicine
objective review explore known implementing evaluating structural competency framework undergraduate graduate health science programs review also sought identify outcomes reported result adding training various curricula structural competency framework introduced 2014 train prehealth health professionals understand broader structures influence health inequities outcomes health across globe programs incorporating structural competency curricula address structural issues impact interactions clinical setting implementation evaluation structural competency training across multiple health science programs poorly understood deserve examination scoping review considered papers described implementation evaluation outcomes structural competency training undergraduate graduate students postgraduate trainees health science programs geographic location papers published english addressed implementation evaluation structural competency frameworks undergraduate graduate health science programs included date restrictions imposed databases searched included medline pubmed cinahl ebsco scopus embase europepubmed central european bioinformation institute psycinfo ebsco education resources information center eric sources unpublished studies gray literature searched included proquest dissertations theses proquest papersfirst worldcat opengrey screening fulltext papers data extraction performed independently 2 reviewers thirtyfour papers included review implementation structural competency training described 33 papers evaluation training described 30 papers outcomes reported 30 papers throughout included papers methodspedagogical approaches implementing structural competency curricula varied evaluations focused knowledge skills abilities attitudes students quality perceptions effectiveness training review revealed health educators successfully implemented structural competency training medical pharmacy nursing residency social work prehealth programs multiple methods teaching structural competency trainers adapt delivery methods different educational contexts neighborhood exploration photovoice including communitybased organizations clinical rotations incorporating teambuilding exercises casebased scenarios peerteaching among innovative approaches used deliver training training provided short intervals incorporated throughout entire study plan enhance students structural competency skills methods evaluating structural competency training vary include qualitative quantitative mixed methods