Evaluation of an Innovative Postgraduate Medical Education Model Incorporating Social Determinants of Health.

Autor:	Chiang IH; Department of Family and Community Medicine, E-Da Hospital, I-Shou University, Kaohsiung, Taiwan., Huang CH; Department of Family and Community Medicine, E-Da Hospital and College of Medicine, I-Shou University, Kaohsiung, Taiwan., Hsieh YW; Department of Occupational Therapy and Graduate Institute of Behavioral Sciences, College of Medicine, Chang Gung University, Taoyuan, Taiwan., Lin YF; Social Work Section, Department of Family and Community Medicine, E-Da Hospital, Kaohsiung, Taiwan., Huang RY; Department of Family Medicine, Taipei Tzu Chi Hospital, Taipei, Taiwan.; Buddhist Tzu Chi Medical Foundation and School of Medicine, Tzu Chi University, Hualien, Taiwan.; Data Science Degree Program, National Taiwan University and Academia Sinica, Taipei, Taiwan., Lin CW; Department of Family and Community Medicine, E-Da Hospital, I-Shou University, Kaohsiung, Taiwan.; School of Medicine, College of Medicine, I-Shou University, Kaohsiung, Taiwan.
Jazyk:	angličtina
Zdroj:	Medical teacher [Med Teach] 2024 Oct 09, pp. 1-7. Date of Electronic Publication: 2024 Oct 09.
DOI:	10.1080/0142159X.2024.2413022
Abstrakt:	Purpose: Incorporating social determinants of health (SDH) into medical education is crucial. However, there are limited data on standard education models and comprehensive SDH curricula in Taiwan are insufficient. This study presents a systematic SDH curriculum instructed primarily by social workers for postgraduate doctors and aims to examine the training outcomes of the innovative curriculum. Method: This study assessed training outcomes using Kirkpatrick model levels 1 and 2 regarding trainees' satisfaction and improvement of their knowledge and skills in written and standardized patient (SP) pre- and posttests conducted between 1 August 2021 and 31 July 2022. Results: A total of 28 trainees completed the training. The trainees' overall satisfaction score regarding the curriculum was high (4.6 out of 5). The median pretest scores for the written and SP tests were 66.25 ± 14.38 and 14.50 ± 5.13, respectively, whereas the median posttest scores were 80.00 ± 7.50 and 20.50 ± 6.13, respectively. Both written and SP posttest scores were significantly improved compared to the pretest scores ( p < .001). Conclusions: The presented education model significantly improved postgraduate doctors' SDH knowledge and biopsychosocial assessment skills, and received high satisfaction scores from the trainees. Adopting social workers as primary teachers may enhance interdisciplinary collaboration between social workers and trainee doctors.
Databáze:	MEDLINE
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