Surgery service learning in preclinical years improves medical student attitudes toward surgery,clinical confidence,and social determinants of health screening |
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| Affiliation: | 1. Department of Surgery, Boston Medical Center, Boston University School of Medicine, Boston, MA, USA;2. Boston University School of Medicine, Boston, MA, USA;3. Department of Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, The Bronx, NY, USA;1. University of California San Francisco School of Medicine, Department of Surgery, San Francisco, CA, USA;2. Zuckerberg San Francisco General Hospital, Department of Surgery, San Francisco, CA, USA;1. Department of Surgery, Brigham and Women''s Hospital, Center for Surgery and Public Health, Harvard Medical School, Harvard T.H. Chan School of Public Health, Boston, Massachusetts;2. Department of Surgery, Howard University Hospital, Washington, D.C;3. Yale School of Medicine, New Haven, Connecticut;4. Harvard Medical School, Boston, Massachusetts;1. Department of Surgery, University of Arizona, USA;2. Department of Surgery, University of North Carolina, USA;1. Department of Surgery, Montefiore Medical Center, 1865 Eastchester Rd, Suite 2S7, Bronx, NY, 10461, USA;2. 121 County Rd 449, Collinsville, AL, 35961, USA;3. Department of Surgery, Montefiore Medical Center, 3400 Bainbridge Avenue, MMC-MAP, Bronx, NY, 10467, USA;4. Department of Surgery, Montefiore Medical Center, 3415 Bainbridge Avenue, Bronx, NY, 10467, USA;5. Department of Surgery, Montefiore Medical Center, 3400 Bainbridge Avenue, MMC-MAP, Room 4409, Bronx, NY, 10467, USA;6. Department of Surgery, Montefiore Medical Center, 1865 Eastchester Rd, Bronx, NY, 10461, USA |
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| Abstract: | IntroductionPatient health literacy is paramount for optimal outcomes. The Service Learning Project (SLP) aims to merge the need for patient education with the desire of medical students for early clinical experience.MethodsThis pretest-posttest study examined the effect of the SLP on medical students. First-year students spent 8 h each month educating inpatients and screening for social determinants of health (SDH). Students completed a 30-question survey pre- and post-SLP, and longitudinally throughout medical school. We used t-tests to assess changes in attitudes towards surgery, clinical confidence, and SDH screening.ResultsStudent self-perceived value on surgical teams increased significantly (2.49 vs 3.63 post-SLP, p < 0.001), as did their confidence interacting with patients (3.66–4.14, p = 0.002) and confidence assessing for SDH (3.13–4.75, p = 0.002). 100% of students continued to assess for SDH on clerkships.ConclusionsThe SLP model improves medical students’ skills and confidence working with patients and addressing SDH. |
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| Keywords: | Medical student education Social determinants of health Service learning |
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