Lindsay G Grossman1, Oren J Mechanic2,3, Zvika Orr4, Eric C Cioe-Peña5, Alden Landry6, Shifra Unger4, Josh Greenstein7, Evan Avraham Alpert8. 1. Perelman School of Medicine The University of Pennsylvania Philadelphia Pennsylvania USA. 2. Harvard Medical Faculty Physicians Boston Massachusetts USA. 3. Department of Emergency Medicine Mount Sinai Medical Center Miami Beach Florida USA. 4. Department of Nursing Jerusalem College of Technology Jerusalem Israel. 5. Center for Global Health Northwell Health New Hyde Park New York USA. 6. Department of Emergency Medicine Beth Israel Deaconess Medical Center Boston Massachusetts USA. 7. Department of Emergency Medicine Northwell Staten Island University Hospital Staten Island New York USA. 8. Department of Emergency Medicine Shaare Zedek Medical Center Faculty of Medicine, Hebrew University of Jerusalem Jerusalem Israel.
Abstract
BACKGROUND: Clinicians must be aware of the structural forces that affect their patients to appropriately address their unique health care needs. This study aimed to assess the participation of global emergency medicine (GEM) fellowship programs in formal social determinants of health (SDH) and structural competency (SC) training to evaluate the existence and procedures of such programs. METHODS: A cross-sectional study conducted with a short, online survey with questions regarding the presence of curriculum focused on SDH, SC, educational metrics, and the desire for further formal training in this domain was sent to all 25 GEM fellowship directors through the Global Emergency Medicine Fellowship Consortium (GEMFC) email listserv. RESULTS: Eighty percent (20/25) of GEM fellowship directors responded to the survey. All (20/20) of participating fellowship programs included SDH and SC training in their didactic curriculum, and eight of 20 (40%) programs offered similar training for faculty. Additionally, 19 of 20 (95%) of respondents indicated interest in an open-source tool for emergency medicine (EM) fellowship training in SDH and SC. CONCLUSIONS: While multiple GEM programs offer formal training on SDH and SC, gaps exist regarding similar training for faculty. Additionally, there is a lack of metrics to determine fellows' comfort with the content of this training. As a majority of GEMFC programs requested, an open-source tool would allow a uniform curriculum and measurement of EM fellowship training in SDH and SC.
BACKGROUND: Clinicians must be aware of the structural forces that affect their patients to appropriately address their unique health care needs. This study aimed to assess the participation of global emergency medicine (GEM) fellowship programs in formal social determinants of health (SDH) and structural competency (SC) training to evaluate the existence and procedures of such programs. METHODS: A cross-sectional study conducted with a short, online survey with questions regarding the presence of curriculum focused on SDH, SC, educational metrics, and the desire for further formal training in this domain was sent to all 25 GEM fellowship directors through the Global Emergency Medicine Fellowship Consortium (GEMFC) email listserv. RESULTS: Eighty percent (20/25) of GEM fellowship directors responded to the survey. All (20/20) of participating fellowship programs included SDH and SC training in their didactic curriculum, and eight of 20 (40%) programs offered similar training for faculty. Additionally, 19 of 20 (95%) of respondents indicated interest in an open-source tool for emergency medicine (EM) fellowship training in SDH and SC. CONCLUSIONS: While multiple GEM programs offer formal training on SDH and SC, gaps exist regarding similar training for faculty. Additionally, there is a lack of metrics to determine fellows' comfort with the content of this training. As a majority of GEMFC programs requested, an open-source tool would allow a uniform curriculum and measurement of EM fellowship training in SDH and SC.
Authors: Michael Harvey; Joshua Neff; Kelly R Knight; Joia S Mukherjee; Sriram Shamasunder; Phuoc V Le; Robin Tittle; Yogesh Jain; Héctor Carrasco; Daniel Bernal-Serrano; Tinashe Goronga; Seth M Holmes Journal: Glob Public Health Date: 2020-12-22
Authors: James Love-Koh; Susan Griffin; Edward Kataika; Paul Revill; Sibusiso Sibandze; Simon Walker Journal: Global Health Date: 2020-01-13 Impact factor: 4.185