ArticleAcademic medicine : journal of the Association of American Medical Colleges2017
Integrating and Assessing Structural Competency in an Innovative Prehealth Curriculum at Vanderbilt University.
Article in Academic medicine : journal of the Association of American Medical Colleges, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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24 citing papers in PubMed, 66 citations in OpenAlex.
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- Anti-oppression pedagogy in health professions: a scoping review.Advances in health sciences education : theory and practice · 2025Article
- Health Justice and Systems of Care: A Required Longitudinal Course for MD Students.Perspectives on medical education · 2024Article
- Structural competency in pre-health and health professional learning: A scoping review.Journal of interprofessional care · 2023Article
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- The Structural Analysis: Incorporating Structurally Competent Clinical Reasoning into Case-Based Presentations.Journal of general internal medicine · 2022Article
- Implementation and Evaluation of a 10-Week Health Equity Curriculum for Pharmacy Students.American journal of pharmaceutical education · 2021Article
- Integrating equity and social justice for indigenous peoples in undergraduate health professions education in Canada: a framework from a critical review of literature.International journal for equity in health · 2021Review
- The Structural and Intercultural Competence for Epidemiological Studies (SICES) guidelines: a 22-item checklist.BMJ global health · 2021Review
- Quality of care for Black and Latina women living with HIV in the U.S.: a qualitative study.International journal for equity in health · 2020Article
- Structural Competency: Curriculum for Medical Students, Residents, and Interprofessional Teams on the Structural Factors That Produce Health Disparities.MedEdPORTAL : the journal of teaching and learning resources · 2020Article
- Structural Competency of Pre-health Students: Can a Single Course Lead to Meaningful Change?Medical science educator · 2020Article
- What knowledge is needed? Teaching undergraduate medical students to "go upstream" and advocate on social determinants of health.Canadian medical education journal · 2020Article
- A Structural Competency Curriculum for Primary Care Providers to Address the Opioid Use Disorder, HIV, and Hepatitis C Syndemic.Frontiers in public health · 2020Article
- Substance Use Stigma and Antiretroviral Therapy Adherence Among a Drug-Using Population Living with HIV.AIDS patient care and STDs · 2019Article
- Developing and Evaluating an Innovative Structural Competency Curriculum for Pre-Health Students.The Journal of medical humanities · 2017Article
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Authors and funding
2 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
problemStructural competency is a framework for conceptualizing and addressing health-related social justice issues that emphasizes diagnostic recognition of economic and political conditions producing and racializing inequalities in health. Strategies are needed to teach prehealth undergraduate students concepts central to structural competency (e.g., structural inequity, structural racism, structural stigma) and to evaluate their impact. APPROACH: The curriculum for Vanderbilt University's innovative prehealth major in medicine, health, and society (MHS) was reshaped in 2013 to incorporate structural competency concepts and skills into undergraduate courses. The authors developed the Structural Foundations of Health (SFH) evaluation instrument, with closed- and open-ended questions designed to assess undergraduate students' core structural competency skills. They piloted the SFH instrument in 2015 with MHS seniors. OUTCOMES: Of the 85 students included in the analysis, most selected one or more structural factors as among the three most important in explaining U.S. regional childhood obesity rates (85%) and racial disparities in heart disease (92%). More than half described individual- or family-level structural factors (66%) or broad social and political factors (56%) as influencing geographic disparities in childhood obesity. Nearly two-thirds (66%) described racial disparities in heart disease as consequences of socioeconomic differences, discrimination/stereotypes, or policies with racial implications. NEXT STEPS: Preliminary data suggest that the MHS major trained students to identify and analyze relationships between structural factors and health outcomes. Future research will include a comparison of structural competency skills among MHS students and students in the traditional premedical track and assessment of these skills in incoming first-year students.
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