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Health Equity Morning Report: A Novel Case-Based Resident Curriculum to Address the Social Drivers in Hospitalized
Tai Kyung Hairston1, Jawaria Khan1, Carly Byrd1
1Johns Hopkins Children's Center, 1800 Orleans St., Baltimore, Maryland 21287, USA.
Objective:
To evaluate whether participation in the Health Equity Morning Report (HEMR), a novel case-based curriculum, was associated with increased pediatric residents' observable mentions or plans related to social/structural determinants of health (SSDOH) during inpatient rounds.
Methods:
In academic year 2024-2025, the authors developed a direct-observational checklist informed by national health-related social needs screening tools and generated validity evidence through expert review and calibration. Pediatric interns were observed twice before and twice after curriculum exposure. Each encounter received an ordinal score (0 = no SSDOH content, 1 = SSDOH mention, 2 = SSDOH plan). Mann-Whitney U tests compared ordinal scores; Fisher's exact tests compared proportions. A brief post-session survey assessed perceived educational value.
Results:
We analyzed 132 patient encounters, including 52 pre-curriculum encounters and 80 post-curriculum encounters. No SSDOH-related mention or plan occurred during the pre-curriculum period, whereas 9 of 80 post-curriculum encounters (11.3%) included engagement (six plans, three mentions). Differences were statistically significant (U = 1846.0, P =.01; Fisher's exact test P =.01). Among survey respondents (n = 65), 41 (79%) rated the session Very or Extremely educational.
Conclusions:
Participation in HEMR was associated with increased SSDOH-related engagement during rounds and was rated highly by learners.
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