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Critical Pedagogical Approaches to Structural Drivers of Health
1Senior policy analyst at the American Medical Association in Chicago, Illinois.
AMA Journal of Ethics
|September 1, 2025
Summary
This study focuses on social accountability in pediatric education, emphasizing the need to address social and structural factors affecting children's health. It proposes strategies for health justice advocacy and interdisciplinary training to combat health inequities.
Area of Science:
- Pediatric Health
- Medical Education
- Social Determinants of Health
Background:
- Social accountability is crucial in health professions education.
- Pediatric trainees need specific skills to address children's health inequities.
- Current education may not adequately prepare trainees for advocacy and addressing structural drivers of health.
Purpose of the Study:
- To outline key components of social accountability in pediatric education.
- To propose strategies for health justice advocacy training.
- To enhance cross-disciplinary teaching on screening for structural health drivers in children.
Main Methods:
- Literature review on social accountability in pediatrics.
- Development of proposed strategies for advocacy and education.
- Conceptual framework for integrating social and structural drivers into practice.
Main Results:
- Identified three core competencies for social accountability in pediatric education.
- Suggested practical approaches for health justice advocacy.
- Recommended methods for interdisciplinary collaboration and screening.
Conclusions:
- Health professions education must prioritize social and structural factors for child health.
- Effective strategies are needed to equip pediatric trainees for advocacy and health equity.
- Cross-disciplinary teaching is essential for addressing the root causes of child health disparities.
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