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Cited by 59Innovations in Medical EducationPharmacy and Medical PracticesProblem and Project Based Learning

A Scoping Review of Active-Learning Strategies for Teaching Social Determinants of Health in Pharmacy

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Kiles, Tyler, Jasmin, Hilary, Nichols, Brittany, Haddad, Romena, Renfro, Chelsea P.·2020·American Journal of Pharmaceutical Education
DOI 10.5688/ajpe8241PMC PMC7712738
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Abstract

Objective. To review current conceptualizations and measurements of active-learning education within Doctor of Pharmacy degree programs as it pertains to social determinants of health (SDOH) and to determine the gaps and limitations in available literature. A secondary objective was to assess simulation-based educational methods related to SDOH in pharmacy.Findings. Sixteen articles were eligible for inclusion. Many simulation-based and non-simulation-based teaching strategies are described. The majority of articles included active-learning activities related to social/community context and health/health care, the other three 3 social determinants of health domains: education, economic stability, and neighborhood/built community, were not equally addressed. In the studies included in this review, schools and colleges of pharmacy did not appear to not be integrating all five components of SDOH into active learning curricula. The sparsity of literature and lack of diversity in published types of simulated experiences and assessments may suggest there is room for innovation in this area.Summary. More research is needed in order to fully characterize conceptualizations of social determinants of health in Doctor of Pharmacy degree programs in order to ensure students are provided with a full understanding of the SDOH factors that affect patient outcomes.

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  • Pharmacy and nursing education programs have employed poverty simulations, cultural role-plays, and standardized patient encounters to build empathy, cultural competence, and practical problem-solving skills.

    “For instance, pharmacy and nursing education programs have employed poverty simulations, cultural role-plays, and standardized patient encounters to build empathy, cultural competence, and practical problem-solving skills [58].”

    From Then, Now, Next: Unpacking the Shifting Trajectory of Social Determinants of Health (2025) · cites this paper as [58]

  • Simulation-based strategies often overemphasize cultural competency at the expense of broader structural insights.

    “Moreover, simulation-based strategies often overemphasize cultural competency at the expense of broader structural insights [58].”

    From Then, Now, Next: Unpacking the Shifting Trajectory of Social Determinants of Health (2025) · cites this paper as [58]

  • Many programs still underrepresent upstream determinants such as policy, governance, and systemic racism, focusing instead on midstream and downstream factors.

    “Many programs still underrepresent upstream determinants such as policy, governance, and systemic racism, focusing instead on midstream and downstream factors.”

    From Then, Now, Next: Unpacking the Shifting Trajectory of Social Determinants of Health (2025) · cites this paper as [58]

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Related

Authors
Kiles, T., Jasmin, H., Nichols, B., Haddad, R., & Renfro, C. P.
Affiliations
University of Tennessee Health Science Center (US)
ORCID
Venue
American Journal of Pharmaceutical Education
Publisher
Elsevier BV
Published
2020-11
Volume
84
Issue
11
Pages
8241
ISSN
0002-9459 (ISSN-L)
DOI
10.5688/ajpe8241
PMC
PMC7712738
OpenAlex
W3087014555
Cited by
59
References
39
Citations by year
2026: 9 · 2025: 8 · 2024: 12 · 2023: 13 · 2022: 9 · 2021: 8
FWCI
1.25
Type
journal article
Language
en
Open access
Licence
Locations
  • American Journal of Pharmaceutical Education (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
  • Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Pharmacy and Medical Practices
  • Social Sciences › Education › Problem and Project Based Learning
Keywords
active learning, social determinants of health, pharmacy education, Doctor of Pharmacy curriculum, simulation-based education, pharmacy students, health equity, economic stability, neighborhood and built environment, social and community context
MeSH terms
Curriculum, Education, Pharmacy, Humans, Pharmacy, Problem-Based Learning, Social Determinants of Health

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