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Neighbourhood walking tours for physicians-in-training.

Jeremiah Joseph Cross1, Anita Arora2, Benjamin Howell3

  • 1Emergency Medicine Residency Program, Highland Hospital, Oakland, California, USA jeremiah.cross22@gmail.com.

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|December 8, 2020
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Summary
This summary is machine-generated.

Neighbourhood walking tours effectively educated physician-residents on social determinants of health (SDoH) and community resources. This training improved their understanding of factors impacting patient health and broadened patient counselling strategies.

Keywords:
medical education & trainingpublic healthsocial medicine

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Area of Science:

  • Medical Education
  • Public Health
  • Community Medicine

Background:

  • Social and economic factors significantly influence patient health outcomes.
  • Residency training has inconsistently integrated education on social and economic factors affecting health.
  • Neighbourhood walking tours offer a potential method for teaching physician-residents about social determinants of health (SDoH).

Purpose of the Study:

  • To assess the impact of a neighbourhood walking tour on physician-residents' perceptions of SDoH.
  • To evaluate changes in physician-residents' plans for patient counselling.
  • To measure physician-residents' knowledge of community resources post-tour.

Main Methods:

  • A community-based participatory research approach was used to implement a neighbourhood walking tour curriculum in 2017.
  • Physician-residents from various specialties participated in pre- and post-tour surveys.
  • Surveys assessed participants' ranking of health factors, strategies for health behavior improvement, and knowledge of community resources.

Main Results:

  • Post-tour, 'income' and 'transportation' were ranked higher as health factors compared to pre-tour 'access to primary care'.
  • The proportion of participants discussing neighbourhood-level strategies for health behavior improvement increased significantly (16% to 37%).
  • Awareness of community resources surged from 5% to 76% (p<0.001).

Conclusions:

  • Neighbourhood walking tours enhance physician-residents' recognition of SDoH importance.
  • These tours effectively increase awareness and utilization of community resources.
  • The intervention shows potential for broadening physician-residents' approaches to patient counselling on healthy lifestyles.