Learning social medicine in the Bronx

An orientation for primary care residents

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Background: Primary care educators face the challenge of teaching the social context of health and disease to clinicians. Description: Since 1975, the Residency Program in Social Medicine has trained clinicians to practice in urban underserved communities. During Orientation Month, 1st-year residents are relieved of inpatient duties and participate in learning activities addressing social and cultural aspects of health. Learning objectives include understanding patients' social context, their community, and the role of physicians as professionals. Recent innovations include incorporating an overall theme, weekly case studies, "triple jump" exercises, community mapping projects, patient-led community tours, and theme-specific visits to community institutions (e.g., prisons). Evaluation: Residents complete weekly formative evaluations, a summative evaluation, and narrative reflections. Faculty complete an evaluative questionnaire. Conclusions: Orientation is a highly rated and valued part of our curriculum. Its success derives from ongoing curricular innovation and evolution, a departmental commitment to social medicine, and positive community response to our learners' interest and energy.

Original languageEnglish (US)
Pages (from-to)85-89
Number of pages5
JournalTeaching and Learning in Medicine
Volume23
Issue number1
DOIs
StatePublished - Jan 14 2011

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social medicine
Social Medicine
Primary Health Care
Learning
resident
learning
community
evaluation
innovation
Physician's Role
Prisons
learning objective
Health
Internship and Residency
health
Curriculum
correctional institution
Inpatients
Teaching
physician

ASJC Scopus subject areas

  • Medicine(all)
  • Education

Cite this

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abstract = "Background: Primary care educators face the challenge of teaching the social context of health and disease to clinicians. Description: Since 1975, the Residency Program in Social Medicine has trained clinicians to practice in urban underserved communities. During Orientation Month, 1st-year residents are relieved of inpatient duties and participate in learning activities addressing social and cultural aspects of health. Learning objectives include understanding patients' social context, their community, and the role of physicians as professionals. Recent innovations include incorporating an overall theme, weekly case studies, {"}triple jump{"} exercises, community mapping projects, patient-led community tours, and theme-specific visits to community institutions (e.g., prisons). Evaluation: Residents complete weekly formative evaluations, a summative evaluation, and narrative reflections. Faculty complete an evaluative questionnaire. Conclusions: Orientation is a highly rated and valued part of our curriculum. Its success derives from ongoing curricular innovation and evolution, a departmental commitment to social medicine, and positive community response to our learners' interest and energy.",
author = "Alice Fornari and Anderson, {Matthew R.} and Sherenne Simon and Korin, {Eliana Catao De} and Swiderski, {Deborah M.} and Strelnick, {Alvin H.}",
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AU - Strelnick, Alvin H.

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