Lauren A. Gard|Jonna Peterson|Corinne H. Miller|Nina Ghosh|Quentin R. Youmans|Aashish Didwania|Stephen D. Persell|Muriel Jean?Jacques|Paul Ravenna|Matthew J. O’Brien|Mita Sanghavi Goel
Social Determinants of Health Training in U.S. Primary Care Residency Programs: A Scoping Review
Northwestern University|Northwestern University|Northwestern University|Northwestern University|Northwestern University|Northwestern University|Northwestern University|Northwestern University|Northwestern University|Northwestern University|Northwestern University
purpose medical training traditionally focused proximate determinants disease little focus social conditions influence health authors conducted scoping review existing curricula understand current programs designed teach primary care residents social determinants health sdh method january march 2017 authors searched seven databases eligible articles focused primary care residents described curriculum related sdh published january 2007 january 2017 based united states results initial 5523 articles identified 43 met study eligibility criteria programs 29 67 internal medicine sixteen studies 37 described curriculum development process overall 20 programs 47 short onetime sessions 15 35 longitudinal programs lasting least 6 months thirtytwo programs 74 reported teaching sdh content using didactics 22 51 incorporated experiential learning many programs n 38 88 employed studies reported satisfaction andor selfperceived changes knowledge attitudes conclusions authors identified wide variation curriculum development implementation evaluation highlight curricula considered community resident needs used conceptual frameworks engaged multiple stakeholders select content used multiple delivery methods focused evaluation changes skills behaviors review highlights need systematic standardized approaches developing delivering sdh curricula also developing rigorous evaluation curricula particularly effects resident behavior