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"The Water in Which We Swim:" A Unique, Post-Clerkship Multidisciplinary Course.

Jessica N Laird-Gion1,2, Laura F Garabedian2,3, Rachel Conrad2,4

  • 1Department of Pediatrics, Boston Children's Hospital, Boston, MA, USA.

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Summary

Medical students need social science education to understand patient contexts and improve health equity. A new course, Essentials of the Profession II (EOP2), successfully integrates these topics, enhancing humanism and activism in future physicians.

Keywords:
Undergraduate medical educationburnouthumanism

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Area of Science:

  • Medical Education
  • Social Sciences in Medicine
  • Health Equity

Background:

  • Medical education traditionally emphasizes biomedicine, neglecting social sciences crucial for understanding patient contexts.
  • A gap exists in required, longitudinal curricula covering social determinants of health and healthcare systems.

Purpose of the Study:

  • To introduce a required, multidisciplinary social sciences course for medical students.
  • To enhance students' understanding of patient contexts, promoting health equity and improving patient outcomes.

Main Methods:

  • Development and implementation of a two-part course sequence, "Essentials of the Profession I and II," at Harvard Medical School starting in 2015.
  • Essentials of the Profession II (EOP2) is a post-clerkship course covering clinical epidemiology, population health, healthcare delivery, policy, ethics, and social medicine, using patient narratives and student experiences.

Main Results:

  • Student evaluations show a high overall course rating (1.7/5), with improvements over time and success in virtual formats.
  • The course was highly rated for critical thinking application, interdisciplinary integration, and clinical relevance.
  • Key strengths identified were topic breadth, faculty, and small group discussions; weaknesses included workload and lecture time.

Conclusions:

  • Essentials of the Profession II (EOP2) is deemed essential for post-clerkship medical education.
  • The course re-ignites humanism and activism, equipping students with tools to address healthcare challenges and improve patient outcomes.
  • EOP2 provides frameworks applicable to future medical training and practice.