Purpose
Kentucky is expected to need an additional 640 primary care physicians (PCPs) by 2030. Funding from the Health Resources and Services Administration enabled the University of Kentucky College of Medicine to launch a multifaceted approach to address our primary care shortage through 1) tailored exposure programs for secondary school students, 2) pre-matriculation programming for medical students, and 3) scholarship support for students selected to complete an inventive Primary Care Scholarly Concentration. This poster describes a new course supporting these efforts, Primary Care Health Inequities and Delivery.

Methods
Healthcare access and inequities limit opportunities for optimal health. Through active learning experiences, this course explores the social determinants of health (SDoH) and how systemic factors impact access. This second-year course, first offered in Fall 2024, meets two hours each week. Approaches to instruction are varied: presentations by medical specialists, shadowing in a free clinic, workshop training addressing physician bias and cultural humility, standardized patient training emphasizing SDoHs, a trip to a regional community hospital producing rural PCPs, and a panel of legislative and policy leaders discussing advocacy and access. Student learning is facilitated through readings, reflective essays, and student presentations.

Results
Students completed pre-course Qualtrics surveys regarding expectations and attitudes toward inequities, health policy, and adverse childhood experiences. They journaled general impressions of the utility and interest generated by class activities. Preliminary evaluation data suggests students completing the elective thought course content reinforced the importance of PCPs in facilitating early and comprehensive care. End-of-course evaluations will be summarized for the IAMSE 2025 Conference.

Conclusions
A variety of speakers, a range of instructional methods, group interactions, and student presentations contributed to a unique level of engagement among primary care scholars reinforcing the connection made between health access and outcomes.