Suman Pal, Miranda Aragon, Nancy Pandhi, Natalie Mariam Salas
{"title":"Using Authentic Patient Narratives to Introduce Social Determinants of Health in Graduate Medical Education Orientation.","authors":"Suman Pal, Miranda Aragon, Nancy Pandhi, Natalie Mariam Salas","doi":"10.4300/JGME-D-25-00560.1","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Residency orientation provides a unique opportunity to introduce an interdisciplinary group of resident physicians to locally relevant social determinants of health (SDOH).</p><p><strong>Objective: </strong>To compare residents' ability to address SDOH before and after an orientation workshop and describe the feasibility and acceptance of utilizing authentic patient narratives in teaching SDOH.</p><p><strong>Methods: </strong>All incoming residents at the University of New Mexico in 2 consecutive academic years (AY 2023-2024 and 2024-2025) participated in the workshop. Large group lectures complemented small-group case-based exercises on recognizing and addressing SDOH. In the second year, video excerpts of real patients narrating their experiences with health care were incorporated. A post-session survey measured self-reported ability to recognize and address SDOH.</p><p><strong>Results: </strong>One hundred seven of 164 (65%) residents in AY 2023-2024 and 91 of 173 (53%) residents in AY 2024-2025 completed the survey. Both sessions demonstrated statistically significant (<i>P</i><.001) improvement in resident self-reported ability to: (1) recognize SDOH (pre- and post-workshop mean scores 8.32 [SD 1.17] vs 6.83 [SD 1.89] in AY 2023-2024; 8.67 [SD 1.06] vs 6.97 [SD 2.06] in AY 2024-2025), and (2) address SDOH (7.98 [SD 1.37] vs 6.32 [SD 1.96]; 8.48 [SD 1.28] vs 6.99 [SD 2.00]). Patient videos supported learning, demonstrated by an increase in effect size (Cohen's <i>d</i> 0.1 vs 1.04). Twelve to 18 hours were needed to develop workshop materials, with an additional 6.5 hours required for administrative and facilitator time.</p><p><strong>Conclusions: </strong>A workshop during graduate medical education orientation introducing SDOH using authentic patient narratives increased residents' self-reported ability to address SDOH specific to their new patient populations.</p>","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"18 3","pages":"351-357"},"PeriodicalIF":0.0000,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13267230/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of graduate medical education","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4300/JGME-D-25-00560.1","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/6/15 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Residency orientation provides a unique opportunity to introduce an interdisciplinary group of resident physicians to locally relevant social determinants of health (SDOH).
Objective: To compare residents' ability to address SDOH before and after an orientation workshop and describe the feasibility and acceptance of utilizing authentic patient narratives in teaching SDOH.
Methods: All incoming residents at the University of New Mexico in 2 consecutive academic years (AY 2023-2024 and 2024-2025) participated in the workshop. Large group lectures complemented small-group case-based exercises on recognizing and addressing SDOH. In the second year, video excerpts of real patients narrating their experiences with health care were incorporated. A post-session survey measured self-reported ability to recognize and address SDOH.
Results: One hundred seven of 164 (65%) residents in AY 2023-2024 and 91 of 173 (53%) residents in AY 2024-2025 completed the survey. Both sessions demonstrated statistically significant (P<.001) improvement in resident self-reported ability to: (1) recognize SDOH (pre- and post-workshop mean scores 8.32 [SD 1.17] vs 6.83 [SD 1.89] in AY 2023-2024; 8.67 [SD 1.06] vs 6.97 [SD 2.06] in AY 2024-2025), and (2) address SDOH (7.98 [SD 1.37] vs 6.32 [SD 1.96]; 8.48 [SD 1.28] vs 6.99 [SD 2.00]). Patient videos supported learning, demonstrated by an increase in effect size (Cohen's d 0.1 vs 1.04). Twelve to 18 hours were needed to develop workshop materials, with an additional 6.5 hours required for administrative and facilitator time.
Conclusions: A workshop during graduate medical education orientation introducing SDOH using authentic patient narratives increased residents' self-reported ability to address SDOH specific to their new patient populations.
背景：住院医师指导提供了一个独特的机会，向一个跨学科的住院医师小组介绍当地相关的健康社会决定因素（SDOH）。目的：比较住院医师在培训前后解决SDOH问题的能力，并描述在SDOH教学中使用真实患者叙述的可行性和可接受性。方法：所有新墨西哥大学连续2个学年（ay2023 -2024和ay2024 -2025）的新生都参加了研讨会。大型小组讲座补充了小组案例练习，以识别和解决SDOH问题。第二年，加入了真实病人讲述他们医疗保健经历的视频摘录。会后的调查测量了自我报告的识别和解决SDOH的能力。结果：2023-2024年的164名居民中有107名（65%）完成了调查，2024-2025年的173名居民中有91名（53%）完成了调查。两组均表现出统计学意义（Pd为0.1 vs 1.04）。编写讲习班材料需要12至18个小时，另外还需要6.5个小时的行政和辅助时间。结论：在研究生医学教育方向的研讨会上，使用真实的患者叙述介绍SDOH，提高了住院医师自我报告的能力，以解决他们新患者群体的SDOH问题。
期刊介绍：
- Be the leading peer-reviewed journal in graduate medical education; - Promote scholarship and enhance the quality of research in the field; - Disseminate evidence-based approaches for teaching, assessment, and improving the learning environment; and - Generate new knowledge that enhances graduates'' ability to provide high-quality, cost-effective care.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
