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Acad Med. 2017 Sep;92(9):1254-1258. doi: 10.1097/ACM.0000000000001581.

Interprofessional Medical-Legal Education of Medical Students: Assessing the Benefits for Addressing Social Determinants of Health.

Author information

1
R. Pettignano is professor of pediatrics, Emory University, and medical director, Health Law Partnership, Atlanta, Georgia, as well as chair, Advisory Board, National Center for Medical-Legal Partnership, Washington, DC. L. Bliss is clinical professor of law, dean of experiential education, and codirector, Health Law Partnership Legal Services Clinic, Georgia State University College of Law, Atlanta, Georgia. S. McLaren is senior research associate, Georgia Health Policy Center, Georgia State University, Atlanta, Georgia. S. Caley is clinical professor of law, codirector, Health Law Partnership Legal Services Clinic, and legal director, Health Law Partnership, Georgia State University College of Law, Atlanta, Georgia.

Abstract

PROBLEM:

Screening tools exist to help identify patient issues related to social determinants of health (SDH), but solutions to many of these problems remain elusive to health care providers as they require legal solutions. Interprofessional medical-legal education is essential to optimizing health care delivery.

APPROACH:

In 2011, the authors implemented a four-session didactic interprofessional curriculum on medical-legal practice for third-year medical students at Morehouse School of Medicine. This program, also attended by law students, focused on interprofessional collaboration to address client/patient SDH issues and health-harming legal needs. In 2011-2014, the medical students participated in pre- and postintervention surveys designed to determine their awareness of SDH's impact on health as well as their attitudes toward screening for SDH issues and incorporating resources, including a legal resource, to address them. Mean ratings were compared between pre- and postintervention respondent cohorts using independent-sample t tests.

OUTCOMES:

Of the 222 medical students who participated in the program, 102 (46%) completed the preintervention survey and 100 (45%) completed the postintervention survey. Postintervention survey results indicated that students self-reported an increased likelihood to screen patients for SDH issues and an increased likelihood to refer patients to a legal resource (P < .001).

NEXT STEPS:

Incorporating interprofessional medical-legal education into undergraduate medical education may result in an increased likelihood to screen patients for SDH and to refer patients with legal needs to a legal resource. In the future, an additional evaluation to assess the curriculum's long-term impact will be administered prior to graduation.

PMID:
28177959
DOI:
10.1097/ACM.0000000000001581
[Indexed for MEDLINE]

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