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Riding into Reality: How Ride-Alongs with Mobile Integrated Healthcare Shape Medical Student Understanding of Social
Dieu Thao Nguyen1, Mirinda Ann Gormley1,2,3, Jose Correa-Ibarra2
1Department of Biomedical Sciences, University of South Carolina School of Medicine Greenville, Greenville, South Carolina.
Prehospital Emergency Care
|March 6, 2026
Summary
Medical students gained crucial insights into social determinants of health (SDOH) through mobile integrated healthcare (MIH) ride-alongs. This experience enhanced their understanding of SDOH
Area of Science:
- Medical Education
- Public Health
- Healthcare Delivery
Background:
- Medical students often lack direct exposure to the impact of social determinants of health (SDOH) on patient care within their communities.
- Mobile Integrated Healthcare (MIH) programs, utilizing community paramedics (CPs), address patient-specific SDOH to improve care continuity and access.
Purpose of the Study:
- To establish an MIH ride-along program for medical students.
- To evaluate the influence of MIH ride-alongs on medical students' knowledge and perceptions of SDOH.
- To assess the role of SDOH in patients' access to healthcare resources.
Main Methods:
- First- and second-year medical students participated in 8-hour MIH ride-alongs.
- Pre- and post-shift surveys measured SDOH knowledge and perceived educational value.
- Paired t-tests analyzed changes in knowledge scores across five SDOH categories.
Main Results:
- Participants (N=33) reported a significant improvement in understanding all five SDOH categories and community healthcare challenges.
- Students engaged in home visits, medication reconciliation, chronic disease education, and resource referrals.
- Over 94% of students felt the MIH program enhanced their comprehension of SDOH.
Conclusions:
- MIH ride-alongs effectively increase medical students' knowledge of SDOH and its impact on patient care.
- The majority of students recommended integrating MIH ride-alongs into the medical school curriculum.
- Medical educators should consider incorporating MIH experiences to provide practical SDOH insights.
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