The Development of Online Social Medicine Modules for Medical Students at the Emory University School of Medicine Open Access

Lane, Courtney (2016)

Permanent URL: https://etd.library.emory.edu/concern/etds/d217qp67r?locale=en
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Abstract

Health inequities are associated with the social determinants of health. Though there is potential to impact inequities and social determinants through clinical patient-provider interactions, providers often feel ill equipped to address these non-clinical aspects of patient care and may even perpetuate inequities. The overarching goal of this project was to develop an online foundational level set of modules that could help Emory University medical students to develop and embed these skills prior to their practical post-graduate (residency and/or fellowship) training. Using an initial template from the existing social medicine course as the basic framework, modules were supplemented with skills development centered resources and translated into an interactive format. Three modules were developed, covering the social determinants of health, race and bias, and patient advocacy, respectively. These modules also included a set of pre-post test questions to evaluate short term knowledge acquisition. Further efforts should be made to pilot the program for refinement and to develop a long term evaluation plan.

Table of Contents

Table of Contents

I) Introduction.............................................................................................................................. 1 Problem Statement........................................................................................................................ 2 Purpose Statement......................................................................................................................... 3

Research Objectives...................................................................................................................... 3

Significance Statement.................................................................................................................. 3

Definition of Terms...................................................................................................................... 4

II. Literature Review...................................................................................................................... 6

1) Role of Formative Research in Developing a Course............................................................. 6

2) The Value of Social Medicine Training.................................................................................. 8

A) The Patient's Social Context........................................................................................... 9

B) Provider Bias.................................................................................................................. 9

C) Skills Development through Social Medicine Training.................................................. 11

3) Medical Education............................................................................................................... 12

A) General Medical Education................................................................................................. 12

B) Socio-Medical Education.................................................................................................... 13

C) Online approach........................................................................................................... 16

4) Evaluating Social Medicine Programs................................................................................... 18

5) Emory University SOM's Social Medicine Offerings........................................................... 19

6) Conclusions......................................................................................................................... 20

III. Methods................................................................................................................................... 21

Introduction................................................................................................................................. 21 Target Audience.......................................................................................................................... 21 Procedures................................................................................................................................... 22

A) Review of Existing Tools and Materials........................................................................ 22

B) PowerPoint, Voiceover, and Supplemental Material Development................................ 23

C) Module Development................................................................................................... 24

Institutional Review Board (IRB) Approval................................................................................. 24

IV. Results...................................................................................................................................... 25

A) Module 1: Social Determinants of Health......................................................................... 25

B) Module 2: Race and Bias.................................................................................................. 25

C) Module 3: Patient Advocacy............................................................................................ 26

V. Discussion.................................................................................................................................. 28

Strengths and Limitations of the Project...................................................................................... 28

Strengths and Limitations with Regard to the Literature............................................................... 29

Future Steps and Recommendations............................................................................................ 30

Implications of Social Medicine.................................................................................................. 31

Bibliography................................................................................................................................... 33 Appendix A.................................................................................................................................... 37 Appendix B................................................................................................................................... 132 Appendix C................................................................................................................................... 133

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