Publications by authors named "Lauren Gard"

Purpose: Integrating social care into clinical care requires substantial resources. Use of existing data through a geographic information system (GIS) has the potential to support efficient and effective integration of social care into clinical settings. We conducted a scoping literature review characterizing its use in primary care settings to identify and address social risk factors.

View Article and Find Full Text PDF

Unlabelled: Medical-legal partnerships (MLP) address legal needs that contribute to health inequities. Health providers express discomfort accessing legal services and a desire for greater training, however best practices remain unclear.

Methods: We conducted a scoping literature review and interviews with key informants to identify essential components of MLP training and best practices in MLP training.

View Article and Find Full Text PDF

Background: Longitudinal clerkships provide students with meaningful clinical care roles that promote learning and professional development. It remains unclear how longitudinal primary care clerkships inform students' perceptions of primary care.

Objective: To explore perceptions of primary care among medical students enrolled in longitudinal primary care clerkships.

View Article and Find Full Text PDF

Phenomenon: Classroom studies of peer-led teaching and mentoring report benefits for students both as teachers and learners. Such benefits include both improved content mastery and personal and professional development. While benefits of peer-led teaching in the clinical setting have been well characterized among other health professions, less is known within undergraduate medical education.

View Article and Find Full Text PDF

Background: Up to 60% of preventable mortality is attributable to social determinants of health (SDOH), yet training on SDOH competencies is not widely implemented in residency. The objective of this study was to assess internal and family medicine residents' competence at identifying and addressing SDOH.

Methods: Residents' perceived competence at identifying, discussing, and addressing SDOH in outpatient settings was assessed using a single questionnaire administered in March 2017.

View Article and Find Full Text PDF

Background: Most residency programs do not provide trainees with health equity data for their clinic patients.

Methods: Equity report cards were developed for internal and family medicine residents in a large health system. After considering which equity indictors were available, how to attribute patients to residents, and what level of granularity was feasible, equity reports were created for five ambulatory quality measures.

View Article and Find Full Text PDF

Purpose: Infusing continuity of care into medical student clerkships may accelerate professional development, preserve patient-centered attitudes, and improve primary care training. However, prospective, randomized studies of longitudinal curricula are lacking.

Method: All entering Northwestern University Feinberg School of Medicine students in 2015 and 2016 were randomized to the Education Centered Medical Home (ECMH), a 4-year, team-based primary care clerkship; or a mentored individual preceptorship (IP) for 2 years followed by a traditional 4-week primary care clerkship.

View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to assess how medical training incorporates social determinants of health (SDH) for primary care residents, as traditional curricula focus mainly on disease mechanisms.
  • The authors reviewed 5,523 articles published between 2007 and 2017, ultimately identifying 43 relevant programs, with a majority (67%) located in internal medicine.
  • Findings revealed a wide range of curriculum designs, with 74% using lectures and many employing hands-on learning, but highlighted a lack of standardized evaluations to measure the impact on residents' skills and behaviors.
View Article and Find Full Text PDF

Objective: To understand how medical students perceive their roles in early longitudinal primary care clerkships.

Methods: Medical students enrolled in one of two longitudinal primary care clerkships - Education-Centered Medical Home (ECMH) or Individual Preceptorship (IP) - participated in semi-structured interviews. Interviews were recorded, transcribed, and analyzed using a grounded theory and constant comparative approach.

View Article and Find Full Text PDF