From education to action: Development and evaluation of a student-directed service learning program.

PSYCHOLOGY of medical students; SOCIAL determinants of health; EDUCATION; CONFIDENCE; PATIENT participation; SELF-perception; COMMUNITIES; SERVICE learning; PRE-tests & post-tests; SURVEYS; PROFESSIONAL competence; AT-risk people; STUDENT attitudes; NEEDS assessment; MEDICAL education; REFLECTION (Philosophy)

Service learning consists of service activities that respond to community-identified concerns, active learning about the population being served, and self-reflecting on the experience. The Service Learning Program (SLP) is a novel, student-led, longitudinal volunteering experience designed to address social determinants of health (SDOH) education in the undergraduate medical school curriculum. In this program, medical students complete requirements in three domains of service, education, and self-reflection over the span of one academic year. Participating students are sent surveys prior to and after a year of participation in SLP, which are aimed to measure changes in their perceived knowledge, attitudes, and skills in multiple domains related to service learning and social determinants of health. Over the course of the 2019–2020 year, 110 students who participated in SLP responded to both pre- and post-surveys. These students reported significant improvements in their confidence in various knowledge and skills related to SDOH, such as identifying vulnerable populations and assessing community needs. They also were more likely to report that learning about social determinants of health was 'very important' after participating the program. Medical students participating in a longitudinal service learning program focused on SDOH can acquire knowledge and skills that will empower them to understand, advocate, and care for underserved populations as future physicians. This program provides a model for integrating service learning into undergraduate medical education. [ABSTRACT FROM AUTHOR]

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