Background: There is a clear mandate for resident training in social determinants of health (SDOH) and health equity stemming from patients' needs and program accreditation requirements.
Objective: To explore residents' perspectives on the impact of an SDOH curriculum.
Methods: In 2017, we developed an SDOH curriculum for 38 PGY-2 Internal medicine residents at our institution. Half of the residents completed semi-structured interviews and online reflections. We conducted a thematic analysis of the transcripts to identify common themes in their perspectives on the curriculum and its impact.
Results: Residents valued the curriculum and were motivated to change their practice. Participants cited lack of time and resources as important barriers limiting advocacy to the patient level.
Conclusions: Graduate medical education training in SDOH is critical. By addressing the learner-defined barriers to advocacy and incorporating curricular elements learners have identified, residency programs can structure their SDOH curriculum to optimize the impact for patients and trainees.
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