M is a 65-year-old homeless African-American man who returned to the hospital for the sixth time this year for a COPD exacerbation.
Keywords: Population health Health equity Social determinants of health Residency education Quality improvement Health disparities Clinical Vignette
This model, if implemented within academic medical centers has the potential to reach over 100,000 residents and fellows. The model includes five components: strengthening of existing health equity curricula, interdisciplinary collaboration, hospital-wide QI focused on population health, advocacy skills training, and supporting health equity research. We propose a curricular model for teaching health equity to residents across clinical specialties, based on initiatives at medicalcenters at the forefront of care for the undeserved. With the Clinical Learning Environment Review (CLER), the ACGME has recognized the importance of teaching residents to confront health disparities.
Despite enormous racial and socioeconomic disparities of care, the QI movement has traditionally focused on healthcare delivery over health equity. The principles of quality improvement (QI) are becoming a greater part of healthcare and residency training.
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