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Assessment of Resident Physician Comfort in Screening for Social Determinants of Health in a Specialty Clinic Population

Published online by Cambridge University Press:  13 March 2024

Erika L. Silverman
Affiliation:
OBERMAYER REBMANN MAXWELL & HIPPEL LLP, PHILADELPHIA, PA
Danielle K. Sandsmark
Affiliation:
HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA, PHILADELPHIA, PA, US
Robert I. Field
Affiliation:
DREXEL UNIVERSITY KLINE SCHOOL OF LAW, PHILADELPHIA, PA, USA

Abstract

Through qualitative surveys, a team of law students, law professors, physicians, and residents explored the perceptions of neurology residents towards referral to appropriate legal resources in an academic training program. Respondents reported feeling uncomfortable screening their patients for health-harming legal needs, which many attributed to a lack of training in this area. These findings indicate that neurology residents would benefit from training on screening for social factors that may be impacting their patients’ health.

Type
Symposium Articles
Copyright
© 2024 The Author(s)

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References

National Center for Medical-Legal Partnerships, Home Page, available at <https://medical-legalpartnership.org> (last visited July 20, 2023).+(last+visited+July+20,+2023).>Google Scholar
Tyler, E. Tobin, “Medical-Legal Partnership in Primary Care: Moving Upstream in the Clinic,” American Journal of Lifestyle Medicine 13, no. 3 (2019): 282291.CrossRefGoogle Scholar
See National Center for Medical-Legal Partnerships, supra note 1.Google Scholar
Girard, V. W., Perry, D. F., and Kessler, L. P. et al., The Academic Medical-Legal Partnership: Training the Next Generation of Health & Legal Professionals to Work Together to Advance Health Justice (Washington, DC: Georgetown Law Faculty Publications and Other Works, 2022).Google Scholar
Id.; Maalouf, M. et al., “Neurological Complications of Poverty: The Associations Between Poverty as a Social Determinant of Health and Adverse Neurologic Outcomes,” Current Neurology and Neuroscience Reports 21, no. 29 (2021).Google ScholarPubMed
Paul, E. G., Curran, M., and Tyler, E. Tobin, “The Medical-Legal Partnership Approach to Teaching Social Determinants of Health and Structural Competency in Residency Programs,” Journal of the Association of American Medical Colleges 92, no. 3 (2017): 292298.CrossRefGoogle ScholarPubMed
Klein, M.D., Kahn, R.S., and Baker, R.C., “Training in Social Determinants of Health in Primary Care: Does it Change Resident Behavior?Academic Pediatrics 11, no. 5 (2011): 387393.CrossRefGoogle ScholarPubMed
See E.G. Paul, supra note 13.Google Scholar
See M. Maalouf, supra note 12.Google Scholar
Dobson, R. et al., “Social Determinants of Health in Multiple Sclerosis,” Nature Reviews Neurology 18 (2022): 723734; E.G. Paul, supra note 13.CrossRefGoogle ScholarPubMed
See V. W. Girard, supra note 8; E. G. Paul, supra note 13.Google Scholar
Shafi, S. et al., “Racial Disparities in Long Term Functional Outcomes After Traumatic Brain Injury,” Journal of Trauma and Acute Care Surgery 63, no. 6 (2007): 12631270.CrossRefGoogle ScholarPubMed
The Association of American Medical Colleges, AHEAD Medical-Legal Partnership Survey, available at <https://www.aamc.org/what-we-do/mission-areas/medical-research/health-equity/medical-legal-partnerships> (last visited July 20, 2023).+(last+visited+July+20,+2023).>Google Scholar