Gostelow, N;
Barber, J;
Gishen, FS;
Berlin, A;
(2018)
Flipping social determinants on its head: Medical student perspectives on the flipped classroom and simulated patients to teach social determinants of health.
Medical Teacher
, 40
(7)
pp. 728-735.
10.1080/0142159X.2018.1436757.
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Abstract
Background: Inequalities in healthcare are increasing. Engaging medical students to tackle this urgent challenge alongside clinical sciences can be demanding. This study examines medical student perceptions of a flipped approach to health inequalities co-designed by faculty and sixth-year students. Innovation: A flipped learning session was piloted for year 4 medical students combining an online lesson followed by a tutorial with a simulated patient. Methods: A mixed-methods approach collected questionnaire data using 4-point Likert scales and free text answers. A semi-structured group interview was conducted with six voluntary participants. Results: Two hundred and eighty-nine students completed questionnaires. 85% (n = 246) completed the online lesson. Students agreed the session helped their understanding of key concepts (mean 3.2), was improved by having an actor (mean = 3.6), and was enjoyable (mean = 3.2). Thematic analysis of qualitative questionnaire and interview data revealed three themes: engagement; structure; and attitudes towards social determinants of health. The simulation increased clinical relevance and students gained understanding of the impact of health inequalities upon individuals. Conclusions: This paper indicates flipped learning can increase clinical relevance and engagement in population health and person-centered care. Further work could assess changes in practice and attitudes of future doctors in tackling such global health challenges.
| Type: | Article |
|---|---|
| Title: | Flipping social determinants on its head: Medical student perspectives on the flipped classroom and simulated patients to teach social determinants of health |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1080/0142159X.2018.1436757 |
| Publisher version: | https://doi.org/10.1080/0142159X.2018.1436757 |
| Language: | English |
| Additional information: | This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > UCL Medical School |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10042244 |
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