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A Graduate Medical Orientation Intervention Focused on Local Health Inequities.

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This study developed and implemented a health equity curriculum for medical residents, showing it was feasible and acceptable. The program improved residents' knowledge, skills, behaviors, and attitudes regarding social drivers of health.

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Area of Science:

  • Medical Education
  • Health Equity
  • Social Determinants of Health

Background:

  • Understanding social drivers of health is crucial for quality patient care.
  • Many medical residency orientations lack content on social determinants of health, inequity, and community-specific care delivery.
  • Addressing these gaps is essential for training competent and socially conscious physicians.

Purpose of the Study:

  • To develop and implement a novel, patient-centered health equity orientation curriculum for medical residents.
  • To assess the feasibility and acceptability of this new curriculum.
  • To evaluate preliminary self-reported outcomes related to residents' knowledge, skills, behaviors, and attitudes (KSBAs) in health equity.

Main Methods:

  • Curriculum co-developed by faculty and community health equity champions.
  • Content focused on local history of inequities and racism, utilizing didactic, video, and virtual site visits.
  • Administered to 270 incoming residents at Vanderbilt University Medical Center over two half-days, with anonymous pre- and post-surveys.

Main Results:

  • 80% response rate for pre-surveys (N=216); 51.1% for post-surveys (N=138).
  • Significant pre- to post-survey improvements in residents' self-reported KSBAs related to health equity.
  • Greatest improvements observed in KSBAs pertaining to local history and population-specific health issues.

Conclusions:

  • The health equity orientation curriculum is feasible and acceptable for incoming medical residents.
  • The curriculum effectively improved residents' self-reported KSBAs concerning health equity issues.
  • This novel approach enhances resident preparedness to address social drivers of health and reduce health disparities.