title: The Impact of "See the City You Serve" Field Trip: An Educational Tool for Teaching Social Determinants of Health.
abstract: BACKGROUND
  There has been limited evaluation of tools for teaching social determinants of health (SDOH).
  
  
  OBJECTIVE
  We evaluated a field trip as a tool for teaching SDOH to incoming medical interns.
  
  
  METHODS
  Incoming interns from The George Washington University participated in a bus field trip of Washington, DC, guided by community partners. The field trip introduced trainees to local neighborhoods. Pre- and postactivity surveys developed by the authors were analyzed using a Wilcoxon signed rank test. Reflection responses were recorded and counted for recurrent themes.
  
  
  RESULTS
  Incoming interns participated in 2015 (85 of 90, 94%) and in 2016 (96 of 116, 83%). Postactivity, basic knowledge of DC geographic health disparities increased, and a greater percentage of interns reported being at least somewhat comfortable understanding the neighborhoods from which their patients come (2015: 58% versus 89%,P< .0001; 2016: 65% versus 88%,P< .0001); identifying challenges to health care that affect low-income patients (2015: 74% versus 90%,P< .0023); describing community resources (2015: 29% versus 67%,P< .0001; 2016: 29% versus 50%,P< .0001); and referring patients to local community resources (2015: 25% versus 64%,P< .0001; 2016: 36% versus 52%,P< .0001). Interns reported that this experience improved their understanding of patients' background and local resources, and that they would change the way they practice.
  
  
  CONCLUSIONS
  A bus field trip guided by community partners is a feasible way to increase residents' perception of their understanding of local disparities and comfort in addressing SDOH.
authors.forename: Aileen Y
authors.initials: AY
authors.lastname: Chang
authors.forename: Tracie L
authors.initials: TL
authors.lastname: Bass
authors.forename: Monique
authors.initials: M
authors.lastname: Duwell
authors.forename: Jeffrey S
authors.initials: JS
authors.lastname: Berger
authors.forename: Raksha
authors.initials: R
authors.lastname: Bangalore
authors.forename: Nancy S
authors.initials: NS
authors.lastname: Lee
authors.forename: Richard L
authors.initials: RL
authors.lastname: Amdur
authors.forename: Marcus
authors.initials: M
authors.lastname: Andrews
authors.forename: Esme
authors.initials: E
authors.lastname: Fahnestock
authors.forename: Lamek
authors.initials: L
authors.lastname: Kahsay
authors.forename: Jehan
authors.initials: J
authors.lastname: El-Bayoumi
mesh_terms: D001291:Attitude of Health Personnel; D002947:Cities; D004219:District of Columbia; D004503:Education, Medical, Graduate; D054625:Healthcare Disparities; D006801:Humans; D007396:Internship and Residency / Q000379:methods*; D011203:Poverty; D064890:Social Determinants of Health; D012946:Social Welfare; D011795:Surveys and Questionnaires