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Tuskegee as a History Lesson Tuskegee as Metaphor: Addressing Discrimination as a Social Determinant of Health in the Classroom

机译:Tuskegee作为历史教训托斯凯格作为隐喻:解决歧视作为课堂健康的社会决定因素

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摘要

While basic science and social medicine are fundamental to the practice of medicine, the former is often prioritized in preclinical medical education at the expense of the latter. In this perspective, we discuss ways to introduce the concept of interpersonal, institutional, and structural discrimination as social determinants of health (SDOH) into a preclinical microbiology and infectious diseases medical course. We offer 5 specific steps to creating a comprehensive curriculum on discrimination as a social determinant of health: define and use standardized terminology; integrate the concept of SDOH throughout the course; encourage critical appraisal of lay and medical resources; encourage student feedback; and provide faculty development supported by key faculty stakeholders that focuses on increasing comfort and facility with teaching such concepts. This approach offers a template for ongoing discussion in the setting of curricular reform.
机译:虽然基本的科学和社会医学是医学实践的基础,但前者通常在后者的临床医学教育处优先考虑。在这种观点中,我们讨论了介绍了介绍了人际,制度和结构歧视作为健康(SdOH)的社会决定因素的方法,进入临床前微生物学和传染病医疗疗程。我们提供5个具体步骤,以创建全面课程,以歧视为健康的社会决定因素:定义和使用标准化术语;在整个课程中整合SDOH的概念;鼓励对奠定和医疗资源的关键评估;鼓励学生反馈;并提供关键教师利益相关者支持的教师发展,专注于提高舒适和设施与教学此类概念。这种方法提供了在课外改革的设置中进行讨论的模板。

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