School of Medicine >   Mission Statement >   Social and Community Contexts of Healthcare

IX. Social and Community Contexts of Healthcare

Graduates provide patient care and education that reflects an awareness of the cultural, psychological, sociologic, familial, economic, environmental, legal, political and spiritual needs and beliefs of patients. They utilize principles of public health in assessing needs of their patients and communities. Graduates use their knowledge, skills and attitudes in this domain to better identify and respond to the needs of individuals and their communities.

Criteria for Assessment/Sub-competencies
Educational Strategies
Evaluation Methodologies
Appreciates the importance of all factors that may influence health, disease, disability and access to care, in addition to biological factors    
1. Develops an awareness of one’s own social and community context and obtains information regarding these factors in the patients history Lectures and small group (including at the bedside)
OSCE-standardized patients
Mentor reports, OSCE-standardized patients
2. Communicates an awareness and respect for the influence of these factors Lectures and small group (including at the bedside) Mentor and self-reports, patient feedback
3. Engages the familial, cultural, and spiritual supports of the patient in the care of the patient where indicated and recognizes when these
supports are detrimental
Case-study and small group (including at the bedside), readings Mentor and self-reports, patient feedback
4. Monitors and discourages racist, sexist, homophobic language and actions, etc. in oneself and colleagues and regcognizes and deals with the same in others Lecture or video example (not patients) when appropriate especially in the workplace Mentor, peer, self-reports
5. Recognizes the barriers to health care that these factors impose Case study, readings, lectures Self-reports, essays
Utilizes appropriate resources in the community to promote health, prevent disease and manage illness    
1. Becomes familiar with role of and services provided by community resources Lectures, small groups, projects(team learning), observations, site visits, discussions Peer, teacher/tutor, self
2. Communicates the availability of community resources to patients and their families Bedside-small group, OSCE-standardized patients Mentor reports, OSCE-standardized patients
3. Initiates referral to community resources for patients and their families in conjunction with appropriate staff Bedside-small group, OSCE-standardized patients Mentor reports, OSCE-standardized patients
4. Works cooperatively with social service providers valuing and incorporating their input into treatment plan Project or rotation with social workers Mentor reports
Acts as an advocate for better health for patients and the community    
1. Recognizes the importance of outreach and social marketing of health care to increase utilization of health care services and identifies
potentially detrimental marketing tools
Case-based learning Tutor and peer
2. Places patients’ and community’s welfare above narrow self-interest including, but not limited to financial arrangements with patients Small group case Tutor, peer and self-reports
3. Encourages policies and actions designed to enhance the health and well-being of individuals, families and communities Community Projects (e.g. screening populations) Mentors, self-reports, paper
4. Recognizes and attempts to reduce sociocultural, economic and language barriers to health care including problems of accessibility,
acceptability, availability and literacy
Bedside, Community Projects Mentors, self-reports
5. Gains an understanding of and learns to seek out information relevant to various local, national and global health care systems and discusses the issues in a manner appropriate for an informed professional student Case-based learning, lectures, reading Mentors, peer and self-reports
 


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Last Modified on 04/30/2008