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[Representation of Social Determinants of Health in German Medical Education].

Abstract

OBJECTIVE

The World Health Organization (WHO) has emphasized the need for a health workforce trained in recognising, understanding and acting on the social determinants of health (SDH). However, little is known about how current medical education prepares graduates to meet this challenge. This study analyses the extent to which content on SDH is incorporated in the German medical curriculum.

METHOD

This work is based on a qualitative and quantitative content analysis of 3 key document groups, outlining what medical schools are expected to teach and defining what medical students are expected to know on graduation.

RESULTS

The assessment reveals important gaps in the representation of SDH in key frameworks for German medical education. Only between 4 and 27% of the analysed document-elements contained reference to any SDH-related issues, with 0-3% of those elements containing explicit references to SDH. While some aspects were widely covered (e. g. topics of occupational health), other topics such as health inequalities or determinants outside of the health care system were not or hardly represented.

CONCLUSIONS

A stronger and more explicit representation of SDH during medical education could help to prepare the new health workforce for current and future challenges in our globalised world. The current reform process of the National Competency-Based Catalogue of Learning Objectives for Medicine should strive to fill the gaps, e. g. by putting more emphasis on aspects of poverty and health, health inequalities and issues of access to healthcare.

Authors+Show Affiliations

Nachwuchsnetzwerk Öffentliche Gesundheit, Berlin. Bundesvertretung der Medizinstudierenden in Deutschland e.V. (bvmd), Globalisation and Health Initiative (GandHI), Berlin.Nachwuchsnetzwerk Öffentliche Gesundheit, Berlin. Charité Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin.Nachwuchsnetzwerk Öffentliche Gesundheit, Berlin. Bundesvertretung der Medizinstudierenden in Deutschland e.V. (bvmd), Globalisation and Health Initiative (GandHI), Berlin. Institut für Medizinische Informatik, Biometrie und Epidemiologie, Pettenkofer School of Public Health, LMU München, München.Nachwuchsnetzwerk Öffentliche Gesundheit, Berlin. Institut für Medizinische Informatik, Biometrie und Epidemiologie, Pettenkofer School of Public Health, LMU München, München.Nachwuchsnetzwerk Öffentliche Gesundheit, Berlin. Institut für Medizinische Informatik, Biometrie und Epidemiologie, Pettenkofer School of Public Health, LMU München, München.

Pub Type(s)

English Abstract
Journal Article

Language

ger

PubMed ID

31639862

Citation

Hommes, Franziska, et al. "[Representation of Social Determinants of Health in German Medical Education]." Gesundheitswesen (Bundesverband Der Arzte Des Offentlichen Gesundheitsdienstes (Germany)), 2019.
Hommes F, Drees S, Geffert K, et al. [Representation of Social Determinants of Health in German Medical Education]. Gesundheitswesen. 2019.
Hommes, F., Drees, S., Geffert, K., Philipsborn, P. V., & Stratil, J. (2019). [Representation of Social Determinants of Health in German Medical Education]. Gesundheitswesen (Bundesverband Der Arzte Des Offentlichen Gesundheitsdienstes (Germany)), doi:10.1055/a-1005-7082.
Hommes F, et al. [Representation of Social Determinants of Health in German Medical Education]. Gesundheitswesen. 2019 Oct 22; PubMed PMID: 31639862.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Representation of Social Determinants of Health in German Medical Education]. AU - Hommes,Franziska, AU - Drees,Simon, AU - Geffert,Karin, AU - Philipsborn,Peter von, AU - Stratil,Jan, Y1 - 2019/10/22/ PY - 2019/10/23/entrez PY - 2019/10/23/pubmed PY - 2019/10/23/medline JF - Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) JO - Gesundheitswesen N2 - OBJECTIVE: The World Health Organization (WHO) has emphasized the need for a health workforce trained in recognising, understanding and acting on the social determinants of health (SDH). However, little is known about how current medical education prepares graduates to meet this challenge. This study analyses the extent to which content on SDH is incorporated in the German medical curriculum. METHOD: This work is based on a qualitative and quantitative content analysis of 3 key document groups, outlining what medical schools are expected to teach and defining what medical students are expected to know on graduation. RESULTS: The assessment reveals important gaps in the representation of SDH in key frameworks for German medical education. Only between 4 and 27% of the analysed document-elements contained reference to any SDH-related issues, with 0-3% of those elements containing explicit references to SDH. While some aspects were widely covered (e. g. topics of occupational health), other topics such as health inequalities or determinants outside of the health care system were not or hardly represented. CONCLUSIONS: A stronger and more explicit representation of SDH during medical education could help to prepare the new health workforce for current and future challenges in our globalised world. The current reform process of the National Competency-Based Catalogue of Learning Objectives for Medicine should strive to fill the gaps, e. g. by putting more emphasis on aspects of poverty and health, health inequalities and issues of access to healthcare. SN - 1439-4421 UR - https://www.unboundmedicine.com/medline/citation/31639862/[Representation_of_Social_Determinants_of_Health_in_German_Medical_Education] L2 - http://www.thieme-connect.com/DOI/DOI?10.1055/a-1005-7082 DB - PRIME DP - Unbound Medicine ER -