Evidence map›Paper›PMID 27896692›Full record

ArticleJournal of general internal medicine2017

Teaching Structure: A Qualitative Evaluation of a Structural Competency Training for Resident Physicians.

Joshua Neff, Kelly R Knight, Shannon Satterwhite, Nick Nelson, Jenifer Matthews, Seth M Holmes

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed.

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  6. Learning Language, Un/Learning Empathy in Medical School.Culture, medicine and psychiatry · 2025
    Article
  7. Structural Competency: A Faculty Development Workshop Series for Anti-racism in Medical Education.MedEdPORTAL : the journal of teaching and learning resources · 2025
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Joshua NeffJoint Medical Program, UC Berkeley-UCSF, Berkeley, CA, USA.
Kelly R KnightDepartment of Anthropology, History, and Social Medicine, UCSF, San Francisco, CA, USA.
Shannon SatterwhiteMedical Scientist Training Program, UCSF, San Francisco, CA, USA.
Nick NelsonDepartment of Medicine, Highland Hospital, Oakland, CA, USA.
Jenifer MatthewsDepartment of Adolescent Medicine, UCSF Benioff Children's Hospital Oakland, Oakland, CA, USA.
Seth M HolmesJoint Medical Program, UC Berkeley-UCSF, Berkeley, CA, USA. sethmholmes@berkeley.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe influence of societal inequities on health has long been established, but such content has been incorporated unevenly into medical education and clinical training. Structural competency calls for medical education to highlight the important influence of social, political, and economic factors on health outcomes.

aimThis article describes the development, implementation, and evaluation of a structural competency training for medical residents.

settingA California family medicine residency program serving a patient population predominantly (88 %) with income below 200 % of the federal poverty level.

participantsA cohort of 12 residents in the family residency program. PROGRAM DESCRIPTION: The training was designed to help residents recognize and develop skills to respond to illness and health as the downstream effects of social, political, and economic structures. PROGRAM EVALUATION: The training was evaluated via qualitative analysis of surveys gathered immediately post-training (response rate 100 %) and a focus group 1 month post-training (attended by all residents not on service). DISCUSSION: Residents reported that the training had a positive impact on their clinical practice and relationships with patients. They also reported feeling overwhelmed by increased recognition of structural influences on patient health, and indicated a need for further training and support to address these influences.

Indexed as

Clinical CompetenceCaliforniaCommunity MedicineCultural CompetencyCurriculumEvaluation Studies as TopicFocus GroupsHealth Status DisparitiesHumansInternship and ResidencyPhysician-Patient RelationsProgram Evaluationcultural competencymedical educationsocial determinants of healthstructural competencystructural vulnerability

Identifiers

PMID27896692
PMCPMC5377882

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.