학술논문

The experiences of community organizations partnering with a medical school to improve students' understanding of the social determinants of health: A qualitative study.
Document Type
Article
Source
Medical Teacher. Nov2022, Vol. 44 Issue 11, p1260-1267. 8p.
Subject
*PUBLIC relations
*SOCIAL determinants of health
*MEDICAL students
*RESEARCH methodology
*INTERVIEWING
*QUALITATIVE research
*MEDICAL schools
*INTERPROFESSIONAL relations
*CONTENT analysis
*THEMATIC analysis
*STUDENT attitudes
Language
ISSN
0142-159X
Abstract
There has been increasing interest among national organizations for medical schools to provide students experiential training in the social determinants of health (SDH) through community partnerships. Despite this interest, there is limited data about how these experiential activities can be designed most effectively, and community organizations' views of partnering with medical schools on these curricula is unknown. The authors' objective was to determine community organizations' and clinical clerkship directors' perceptions of the benefits and challenges of utilizing academic-community partnerships to improve medical students' understanding of the SDH. The authors conducted a qualitative study consisting of open-ended, semi-structured interviews (between 2018 and 2021). All community organizations and clinical clerkship directors who partnered with a health equity curriculum were eligible to participate. Semi-structured interviews elicited participants' perceptions of the academic-community partnership; experience with the curriculum and the students; and recommendations for improving the curriculum. All interviews were audio recorded and transcribed. The authors used a directed content analysis approach to code the interviews inductively and identified emerging themes through an iterative process. Of the fifteen participants interviewed, ten were from community organizations and five from clinical clerkships. Three primary themes emerged: (1) community organizations felt educating students about the SDH aligned with the organization's mission and they benefited from consistent access to volunteers; (2) students benefited through greater exposure to the SDH; (3) participants suggested standardizing students' experiences, ensuring the students and organizations are clear about the goals and expectations, and working with organizations that have experience with or the capacity for a large volume of volunteers as ways to improve the experiential activity. This study found that community organizations were very willing to partner with a medical school to provide students experiential learning about the SDH, and this partnership was beneficial for both the students and the organizations. [ABSTRACT FROM AUTHOR]