Teaching social determinants of child health in a pediatric advocacy rotation: Small intervention, big impact
Abstract
Melissa Kleina*b & Lisa M. Vaughnaca Cincinnati Children's Hospital Medical Center, Division of General and Community Pediatrics, Cincinnati, OH 45229-3039, USAb MELISSA KLEIN, MD, is an assistant professor and her primary interests include resident education and underserved populations.c LISA M. VAUGHN, PhD, is an associate professor and she is formally trained as a social psychologist and medical educator with primary research interests in socio–cultural issues affecting the health of families, especially immigrant and minority populations.* Correspondence: Melissa Klein, Cincinnati Children's Hospital Medical Center, Division of General and Community Pediatrics, Cincinnati, OH 45229-3039, USA 513-636-4506 513-636-7247 melissa.klein@cchmc.orgBackground: Traditionally, medical education does not specifically address the social determinants of health or how to advocate for families’ cultural, social or economic needs in spite of our increasingly diverse society.Aim: This article describes a new social–legal curriculum added to a Pediatric Resident's Advocacy course.Methods: Pediatric interns completed ‘Memos To Myself’ after the Advocacy rotation.Results: The curriculum impacted residents’ (1) realization regarding family circumstances; (2) reflections regarding self and personal practice; and (3) knowledge about advocacy issues and community partnerships for solutions.Conclusions: This curriculum raised awareness about topics that are traditionally not covered in medical education.
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The majority of included pediatric curricula were published after 2001 and directly referenced the inclusion of child advocacy in the requirements as part of the rationale for their creation.
“the majority were published after and directly referenced the inclusion of child advocacy in the requirements as part of the rationale for their creation.”
From A Systematic Review of Advocacy Curricula in Graduate Medical Education (2019) · cites this paper as [40]
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- Authors
- Klein, M., & Vaughn, L. M.
- Affiliations
- Cincinnati Children's Hospital Medical Center (US)
- Corresponding author
- Klein, Melissa
- Venue
- Medical Teacher
- Publisher
- Informa UK Limited
- Published
- 2010-08-26
- Volume
- 32
- Issue
- 9
- Pages
- 754-759
- ISSN
- 0142-159X (ISSN-L)
- 1466-187X
- OpenAlex
- W2157465682
- Cited by
- 33
- References
- 29
- Citations by year
- 2026: 1 · 2024: 1 · 2023: 1 · 2021: 2 · 2020: 2 · 2019: 5 · 2018: 4 · 2017: 3 · 2016: 3 · 2015: 3 · 2014: 2 · 2013: 4 · 2012: 2
- FWCI
- 1.91
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Medical Teacher (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
- Health Sciences › Health Professions › General Health Professions › Health and Medical Education
- Health Sciences › Health Professions › General Health Professions › Child and Adolescent Health
- Keywords
- social determinants of health, child health, pediatric residency education, family situation, community partnerships, underserved populations
- MeSH terms
- Child, Child Advocacy, Child Welfare, Humans, Internship and Residency, Medical Assistance, Ohio, Pediatrics, Public Housing, Social Problems, Socioeconomic Factors, Needs Assessment, Vulnerable Populations, Health Status Disparities
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