ArticleMedEdPORTAL : the journal of teaching and learning resources2020
Structural Competency: Curriculum for Medical Students, Residents, and Interprofessional Teams on the Structural Factors That Produce Health Disparities.
Article in MedEdPORTAL : the journal of teaching and learning resources, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 92 papers, 2 of them syntheses that pooled it.
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Who cites it
92 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Embedding structural and social determinants of cardiovascular health into medical education: a systematic review of pedagogical frameworks.Frontiers in medicine · 2026Pooled it
- Advocacy Curricula in Graduate Medical Education: an Updated Systematic Review from 2017 to 2022.Journal of general internal medicine · 2023Pooled it
- The English-Only Nature of Vaccine Deservedness and Harms of Racialized Administrative Burdens.Journal of racial and ethnic health disparities · 2026Article
- Diversity, equity, and inclusion considerations for anti-racist, equity-focused NICU family mental health.Journal of perinatology : official journal of the California Perinatal Association · 2026Review
- Education and training for health professionals on disability inclusion: a scoping review.BMC medical education · 2026Article
- Article
- The complexity of inequity: rethinking global health through lived experience, power, and structural vulnerability.International journal for equity in health · 2026Article
- Person-centred, community-oriented, and diversity sensitive primary care for migrants; a EFPC position paper.Primary health care research & development · 2026Review
- Shifting the National Paradigm: From DEIA to C.A.R.E. (Community, Advocacy, Resilience, and Empowerment) in Pharmacy Education.Pharmacology research & perspectives · 2026Article
- Liberation Medicine: Past, Present, and Future.Culture, medicine and psychiatry · 2025Article
- Tackling healthcare providers bias: a systematic review of interventions with implications for inclusive clinical research.EClinicalMedicine · 2025Article
- The upstream-downstream tension in the global health classroom.BMJ global health · 2025Article
- Adverse Childhood Experiences, Psychological Distress, and Resilience in Health Professions Students.Academic medicine : journal of the Association of American Medical Colleges · 2025Article
- Cultural competence in refugee healthcare: exploring the training needs and challenges of healthcare professionals in Greece.Health education research · 2025Article
- Improving Equity at Premature Discharge: Reframing Discharge Against Medical Advice Using the Structural Competency Framework.Journal of general internal medicine · 2025Article
- Addressing a Gap in Health Equity Education: A Qualitative Analysis of a Longitudinal GME Course.Journal of general internal medicine · 2025Article
- Learning Language, Un/Learning Empathy in Medical School.Culture, medicine and psychiatry · 2025Article
- American Indian community engagement and the structural and social determinants of health: results from the THRIVE assessment.Frontiers in public health · 2025Article
- Advocating with Community: A Community-Engaged Advocacy Curriculum for Internal Medicine Residents.Journal of general internal medicine · 2025Article
- Structural Competency: A Faculty Development Workshop Series for Anti-racism in Medical Education.MedEdPORTAL : the journal of teaching and learning resources · 2025Article
32 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
20 authors.
Funding
Abstract
Introduction: Research on disparities in health and health care has demonstrated that social, economic, and political factors are key drivers of poor health outcomes. Yet the role of such structural forces on health and health care has been incorporated unevenly into medical training. The framework of structural competency offers a paradigm for training health professionals to recognize and respond to the impact of upstream, structural factors on patient health and health care. Methods: We report on a brief, interprofessional structural competency curriculum implemented in 32 distinct instances between 2015 and 2017 throughout the San Francisco Bay Area. In consultation with medical and interprofessional education experts, we developed open-ended, written-response surveys to qualitatively evaluate this curriculum's impact on participants. Qualitative data from 15 iterations were analyzed via directed thematic analysis, coding language, and concepts to identify key themes. Results: Three core themes emerged from analysis of participants' comments. First, participants valued the curriculum's focus on the application of the structural competency framework in real-world clinical, community, and policy contexts. Second, participants with clinical experience (residents, fellows, and faculty) reported that the curriculum helped them reframe how they thought about patients. Third, participants reported feeling reconnected to their original motivations for entering the health professions. Discussion: This structural competency curriculum fills a gap in health professional education by equipping learners to understand and respond to the role that social, economic, and political structural factors play in patient and community health.
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Registered trials
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.