TY - JOUR
T1 - The Structural Analysis
T2 - Incorporating Structurally Competent Clinical Reasoning into Case-Based Presentations
AU - Hassan, Iman F.
AU - Bui, Thuy
N1 - Publisher Copyright:
© 2022, The Author(s), under exclusive licence to Society of General Internal Medicine.
PY - 2022/10
Y1 - 2022/10
N2 - Structural and social determinants of health account for the health disparities we see along social hierarchies, and their impact has been made more evident by the recent COVID-19 pandemic. There have been increasing calls to incorporate structural competency into medical education. The structural and social context, however, has yet to be fully integrated into everyday clinical practice and little has been published on how to concretely imbed structural competency into clinical reasoning. The authors provide a framework for structural analysis, which incorporates four key steps: (1) developing a prioritized clinical problem list, (2) identifying social and structural root causes for clinical problems, (3) constructing and documenting a prioritized structural problem list, and (4) brainstorming solutions to address structural barriers and social needs. They show how structural analysis can be used to operationalize structural reasoning into everyday inpatient and outpatient clinical assessments.
AB - Structural and social determinants of health account for the health disparities we see along social hierarchies, and their impact has been made more evident by the recent COVID-19 pandemic. There have been increasing calls to incorporate structural competency into medical education. The structural and social context, however, has yet to be fully integrated into everyday clinical practice and little has been published on how to concretely imbed structural competency into clinical reasoning. The authors provide a framework for structural analysis, which incorporates four key steps: (1) developing a prioritized clinical problem list, (2) identifying social and structural root causes for clinical problems, (3) constructing and documenting a prioritized structural problem list, and (4) brainstorming solutions to address structural barriers and social needs. They show how structural analysis can be used to operationalize structural reasoning into everyday inpatient and outpatient clinical assessments.
KW - medical education
KW - social determinants of health
KW - structural competency
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U2 - 10.1007/s11606-022-07751-7
DO - 10.1007/s11606-022-07751-7
M3 - Article
C2 - 35922707
AN - SCOPUS:85135521431
SN - 0884-8734
VL - 37
SP - 3465
EP - 3470
JO - Journal of general internal medicine
JF - Journal of general internal medicine
IS - 13
ER -