Discover and read the best of Twitter Threads about #structuralcompetency

Most recents (3)

1/๐Ÿ’ก๐Ÿ“๐Ÿงต"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/tcโ€ฆ Masthead for our manuscript in The Clinical Teacher, titled
2/ My first #MedTwitter foray was sharing this project ๐Ÿ‘‡๐Ÿฝ in 2019.

Our vision was simple: Moving #MedEd from ahistorical discussions of health disparities โžก๏ธ 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/
Read 9 tweets
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 ๐Ÿ‘‡๐Ÿพ

#MedTwitter #MedStudentTwitter #IDTwitter

doi.org/10.1093/cid/ciโ€ฆ ACCEPTED MANUSCRIPT "Neighborhood Deprivation and Racia
2/ #Redlining in the 1930s involved racialized federal mapping of housing "desirability" (L) --> โฌ†๏ธ๐Ÿ’ฐ 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). An official U.S. Home Owners Loan Corporation (HOLC) map of Area Deprivation Index (ADI) map of the Greater Omaha Area, Racial Dot Map of Greater Omaha Area, demonstrating clear pr
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/10.10โ€ฆ
Read 8 tweets
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 ๐Ÿ‘‡๐Ÿพ
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...
Read 11 tweets

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