The Impact of "See the City You Serve" Field Trip: An Educational Tool for Teaching Social Determinants of Health

Aileen Y. Chang; Tracie L. Bass; Monique Duwell; Jeffrey S. Berger; Raksha Bangalore; Nancy S. Lee; Richard L. Amdur; Marcus Andrews; Esme Fahnestock; Lamek Kahsay; Jehan El-Bayoumi

doi:10.4300/JGME-D-16-00212.1

The Impact of "See the City You Serve" Field Trip: An Educational Tool for Teaching Social Determinants of Health

Aileen Y. Chang, Tracie L. Bass, Monique Duwell, Jeffrey S. Berger, Raksha Bangalore, Nancy S. Lee, Richard L. Amdur, Marcus Andrews, Esme Fahnestock, Lamek Kahsay, Jehan El-Bayoumi

Research output: Contribution to journal › Article › peer-review

16 Scopus citations

Abstract

BACKGROUND : There has been limited evaluation of tools for teaching social determinants of health (SDOH).

OBJECTIVE : We evaluated a field trip as a tool for teaching SDOH to incoming medical interns.

METHODS : Incoming interns from The George Washington University participated in a bus field trip of Washington, DC, guided by community partners. The field trip introduced trainees to local neighborhoods. Pre- and postactivity surveys developed by the authors were analyzed using a Wilcoxon signed rank test. Reflection responses were recorded and counted for recurrent themes.

RESULTS : Incoming interns participated in 2015 (85 of 90, 94%) and in 2016 (96 of 116, 83%). Postactivity, basic knowledge of DC geographic health disparities increased, and a greater percentage of interns reported being at least somewhat comfortable understanding the neighborhoods from which their patients come (2015: 58% versus 89%, P < .0001; 2016: 65% versus 88%, P < .0001); identifying challenges to health care that affect low-income patients (2015: 74% versus 90%, P < .0023); describing community resources (2015: 29% versus 67%, P < .0001; 2016: 29% versus 50%, P < .0001); and referring patients to local community resources (2015: 25% versus 64%, P < .0001; 2016: 36% versus 52%, P < .0001). Interns reported that this experience improved their understanding of patients' background and local resources, and that they would change the way they practice.

CONCLUSIONS : A bus field trip guided by community partners is a feasible way to increase residents' perception of their understanding of local disparities and comfort in addressing SDOH.

Original language	English (US)
Pages (from-to)	118-122
Number of pages	5
Journal	Journal of graduate medical education
Volume	9
Issue number	1
DOIs	https://doi.org/10.4300/JGME-D-16-00212.1
State	Published - Feb 1 2017
Externally published	Yes

ASJC Scopus subject areas

General Medicine

Access to Document

10.4300/JGME-D-16-00212.1

Cite this

Chang, A. Y., Bass, T. L., Duwell, M., Berger, J. S., Bangalore, R., Lee, N. S., Amdur, R. L., Andrews, M., Fahnestock, E., Kahsay, L., & El-Bayoumi, J. (2017). The Impact of "See the City You Serve" Field Trip: An Educational Tool for Teaching Social Determinants of Health. Journal of graduate medical education, 9(1), 118-122. https://doi.org/10.4300/JGME-D-16-00212.1

@article{0303586452d34a41a6099bfa55c8c1f4,

title = "The Impact of {"}See the City You Serve{"} Field Trip: An Educational Tool for Teaching Social Determinants of Health",

abstract = "BACKGROUND : There has been limited evaluation of tools for teaching social determinants of health (SDOH).OBJECTIVE : We evaluated a field trip as a tool for teaching SDOH to incoming medical interns.METHODS : Incoming interns from The George Washington University participated in a bus field trip of Washington, DC, guided by community partners. The field trip introduced trainees to local neighborhoods. Pre- and postactivity surveys developed by the authors were analyzed using a Wilcoxon signed rank test. Reflection responses were recorded and counted for recurrent themes.RESULTS : Incoming interns participated in 2015 (85 of 90, 94%) and in 2016 (96 of 116, 83%). Postactivity, basic knowledge of DC geographic health disparities increased, and a greater percentage of interns reported being at least somewhat comfortable understanding the neighborhoods from which their patients come (2015: 58% versus 89%, P < .0001; 2016: 65% versus 88%, P < .0001); identifying challenges to health care that affect low-income patients (2015: 74% versus 90%, P < .0023); describing community resources (2015: 29% versus 67%, P < .0001; 2016: 29% versus 50%, P < .0001); and referring patients to local community resources (2015: 25% versus 64%, P < .0001; 2016: 36% versus 52%, P < .0001). Interns reported that this experience improved their understanding of patients' background and local resources, and that they would change the way they practice.CONCLUSIONS : A bus field trip guided by community partners is a feasible way to increase residents' perception of their understanding of local disparities and comfort in addressing SDOH.",

author = "Chang, {Aileen Y.} and Bass, {Tracie L.} and Monique Duwell and Berger, {Jeffrey S.} and Raksha Bangalore and Lee, {Nancy S.} and Amdur, {Richard L.} and Marcus Andrews and Esme Fahnestock and Lamek Kahsay and Jehan El-Bayoumi",

year = "2017",

month = feb,

day = "1",

doi = "10.4300/JGME-D-16-00212.1",

language = "English (US)",

volume = "9",

pages = "118--122",

journal = "Journal of graduate medical education",

issn = "1949-8349",

publisher = "University of Finance and Management",

number = "1",

}

TY - JOUR

T1 - The Impact of "See the City You Serve" Field Trip

T2 - An Educational Tool for Teaching Social Determinants of Health

AU - Chang, Aileen Y.

AU - Bass, Tracie L.

AU - Duwell, Monique

AU - Berger, Jeffrey S.

AU - Bangalore, Raksha

AU - Lee, Nancy S.

AU - Amdur, Richard L.

AU - Andrews, Marcus

AU - Fahnestock, Esme

AU - Kahsay, Lamek

AU - El-Bayoumi, Jehan

PY - 2017/2/1

Y1 - 2017/2/1

N2 - BACKGROUND : There has been limited evaluation of tools for teaching social determinants of health (SDOH).OBJECTIVE : We evaluated a field trip as a tool for teaching SDOH to incoming medical interns.METHODS : Incoming interns from The George Washington University participated in a bus field trip of Washington, DC, guided by community partners. The field trip introduced trainees to local neighborhoods. Pre- and postactivity surveys developed by the authors were analyzed using a Wilcoxon signed rank test. Reflection responses were recorded and counted for recurrent themes.RESULTS : Incoming interns participated in 2015 (85 of 90, 94%) and in 2016 (96 of 116, 83%). Postactivity, basic knowledge of DC geographic health disparities increased, and a greater percentage of interns reported being at least somewhat comfortable understanding the neighborhoods from which their patients come (2015: 58% versus 89%, P < .0001; 2016: 65% versus 88%, P < .0001); identifying challenges to health care that affect low-income patients (2015: 74% versus 90%, P < .0023); describing community resources (2015: 29% versus 67%, P < .0001; 2016: 29% versus 50%, P < .0001); and referring patients to local community resources (2015: 25% versus 64%, P < .0001; 2016: 36% versus 52%, P < .0001). Interns reported that this experience improved their understanding of patients' background and local resources, and that they would change the way they practice.CONCLUSIONS : A bus field trip guided by community partners is a feasible way to increase residents' perception of their understanding of local disparities and comfort in addressing SDOH.

AB - BACKGROUND : There has been limited evaluation of tools for teaching social determinants of health (SDOH).OBJECTIVE : We evaluated a field trip as a tool for teaching SDOH to incoming medical interns.METHODS : Incoming interns from The George Washington University participated in a bus field trip of Washington, DC, guided by community partners. The field trip introduced trainees to local neighborhoods. Pre- and postactivity surveys developed by the authors were analyzed using a Wilcoxon signed rank test. Reflection responses were recorded and counted for recurrent themes.RESULTS : Incoming interns participated in 2015 (85 of 90, 94%) and in 2016 (96 of 116, 83%). Postactivity, basic knowledge of DC geographic health disparities increased, and a greater percentage of interns reported being at least somewhat comfortable understanding the neighborhoods from which their patients come (2015: 58% versus 89%, P < .0001; 2016: 65% versus 88%, P < .0001); identifying challenges to health care that affect low-income patients (2015: 74% versus 90%, P < .0023); describing community resources (2015: 29% versus 67%, P < .0001; 2016: 29% versus 50%, P < .0001); and referring patients to local community resources (2015: 25% versus 64%, P < .0001; 2016: 36% versus 52%, P < .0001). Interns reported that this experience improved their understanding of patients' background and local resources, and that they would change the way they practice.CONCLUSIONS : A bus field trip guided by community partners is a feasible way to increase residents' perception of their understanding of local disparities and comfort in addressing SDOH.

UR - http://www.scopus.com/inward/record.url?scp=85017561868&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85017561868&partnerID=8YFLogxK

U2 - 10.4300/JGME-D-16-00212.1

DO - 10.4300/JGME-D-16-00212.1

M3 - Article

C2 - 28261406

AN - SCOPUS:85017561868

SN - 1949-8349

VL - 9

SP - 118

EP - 122

JO - Journal of graduate medical education

JF - Journal of graduate medical education

IS - 1

ER -

The Impact of "See the City You Serve" Field Trip: An Educational Tool for Teaching Social Determinants of Health

Abstract

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this