Discover and read the best of Twitter Threads about #StructuralCompetency
Most recents (3)
1/💡📝🧵"Building structural competency through community engagement" | @ClinicalTeacher
I tweet often about WHY health equity curricula should center #StructuralCompetency & community voices.
Our new #MedEd paper shows HOW we've tried to make it happen.
onlinelibrary.wiley.com/doi/10.1111/tc…
I tweet often about WHY health equity curricula should center #StructuralCompetency & community voices.
Our new #MedEd paper shows HOW we've tried to make it happen.
onlinelibrary.wiley.com/doi/10.1111/tc…
2/ My first #MedTwitter foray was sharing this project 👇🏽 in 2019.
Our vision was simple: Moving #MedEd from ahistorical discussions of health disparities ➡️ exploring fundamental causes, centering community voices, and honing in on hyperlocal inequities.
Our vision was simple: Moving #MedEd from ahistorical discussions of health disparities ➡️ exploring fundamental causes, centering community voices, and honing in on hyperlocal inequities.
3/ We drew from two main pedagogical frameworks: #StructuralCompetency and community-engaged pedagogy (similar to CEnR/CBPR).
Though "community-based medical education" and "service learning" are widely used, we know these approaches often aren't enough:
pubmed.ncbi.nlm.nih.gov/21169780/
Though "community-based medical education" and "service learning" are widely used, we know these approaches often aren't enough:
pubmed.ncbi.nlm.nih.gov/21169780/
1/ What do #racism & #redlining have to do with inequities in #HIV outcomes?
Our new study just published in #ClinInfectDis examines neighborhood deprivation, race/ethnicity, and HIV viral suppression. Thread 👇🏾
#MedTwitter #MedStudentTwitter #IDTwitter
doi.org/10.1093/cid/ci…
Our new study just published in #ClinInfectDis examines neighborhood deprivation, race/ethnicity, and HIV viral suppression. Thread 👇🏾
#MedTwitter #MedStudentTwitter #IDTwitter
doi.org/10.1093/cid/ci…
2/ #Redlining in the 1930s involved racialized federal mapping of housing "desirability" (L) --> ⬆️💰 into White/affluent areas + systematic disinvestment in "undesirable" areas.
To this day, HOLC maps of urban areas like Omaha STILL align w/deprivation & racial segregation (R).
To this day, HOLC maps of urban areas like Omaha STILL align w/deprivation & racial segregation (R).
3/ Omaha is among the most segregated U.S. cities. Our HIV clinic serves ~50% Black and Latinx pts, who disproportionately live in deprived neighborhoods.
We assessed neighborhood disadvantage using the ADI, outlined by @amyjhkind et al. in @NEJM.
nejm.org/doi/full/10.10…
We assessed neighborhood disadvantage using the ADI, outlined by @amyjhkind et al. in @NEJM.
nejm.org/doi/full/10.10…
1/ So, today was a big day for @DrJRMarcelin and I. We've been developing curricula on "Structural Challenges & Inequities in Healthcare Delivery" for the @UNMCCOM M1 students as part of the Health Systems Science coil.
Thread on this #MedEd project + today's capstone 👇🏾
Thread on this #MedEd project + today's capstone 👇🏾
2/ With inspiration from @JonathanMetzl & Dr. Helena Hanson's work on #StructuralCompetency, we wanted to assemble a pilot set of experiences that would give @UNMC students a glimpse into local health inequities, from historical & community perspectives:
3/ We gave the M1s several introductory lectures & assignments focused on big-picture issues like #SDoH & disparities, creating a "structural DDx" for patients, unconscious #bias & #microaggressions, developing structural humility, and #racism in medicine...
