Purpose
The social determinants of health (SDoH) are increasingly incorporated into medical school curricula in the US, but experiential learning is uncommon and community impact is unclear. For medical educators, the challenge of achieving best practices in teaching the SDoH is to simultaneously create experiential learning cross-linked with curricular goals while building mutually beneficial community relationships. Service learning as an established pedagogy is a potential framework for SDoH training.
Methods
In 2021, we designed a learning collaborative called Praxis in Social Medicine (PRISM) to address interest in SDoH education. SOM students are connected with non-profit organizations for two purposes: (1) to enhance service learning while cross-linking SDoH and (2) to improve relationships with community partners. For students, the PRISM model involves community work, reflection exercises, modular lecture content, group discussions, and presentations at university-wide research symposiums. For community partners, PRISM fosters bidirectional communication and ensures attainment of mutual goals.
Results
Since inception, PRISM has involved 54 student participants and currently includes 10 teams and 8 linked community organizations. The model has been improved iteratively through cross-linking required course material, refining learning objectives, and navigating continuity of community-based efforts. Students report high value in linking SDoH with service learning and positive impacts on professional development. Community partners note improved relationships with their students and the school itself. Notable team achievements include addressing food insecurity, improving social needs screening, and developing a better tool for detection of intimate partner violence (IPV).
Conclusion
The PRISM model has been effective at transforming student volunteer activity into experiential learning in SDoH. Participating individuals and community partners are learning together how to achieve mutual educational and community health goals. The PRISM model can be easily adapted for other health professions and institutions, serving as a reproducible model for like-minded individuals to grow engagement and integrate curricular requirements.