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Transforming a family physician-led home visit program to teach social determinants of health in undergraduate education: a longitudinal curricular and experiential program

Jovern TEO and Lay Hoon GOH

Social determinants of health (SDH) impact health more than biological factors. Yet, research shows a lack of training on SDH in both undergraduate and postgraduate medical education, with studies confirming that social needs of patients are not routinely identified or addressed by healthcare professionals in clinical practice. Family physicians can be involved in education at both graduate and undergraduate levels. Teaching SDH as early as the undergraduate medical years increases the chances of graduating physicians who can address the patients’ needs better.How do you design and implement a SDH curriculum in undergraduate medical education using a home visit program led by family doctors?The Institute of Medicine’s Behavioral and Social Science Knowledge Domains were used as a framework to guide the design of the SDH program. The program was created by enhancing the didactic component with interactive workshops, adding reflective practice training and ensuring that the family physicians’ home visit program becomes a longitudinal experiential program that integrates medical home visits with social activities in collaboration with community partners.Student surveys, reflective essay analysis, and reflection on the experiential program facilitate by faculty all showed an increased awareness of SDH and increased readiness to address them.Home visit programs led by family doctors can be transformed into powerful tools to educate about SDH. Pairing them with some interactive workshops, reflective practice and partnerships with the community enhances the outcomes.Building on family medicine home visit programs can increase students’ awareness of SDH.