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Acad Med. 2019 Aug;94(8):1094-1098. doi: 10.1097/ACM.0000000000002668.

Advancing the Biosocial Perspective in the Clinical Training Environment: Surmounting the Barriers and Constructing the Framework.

Author information

1
B.R. Taira is health sciences assistant professor of emergency medicine, Olive View-UCLA Medical Center and the UCLA David Geffen School of Medicine, Los Angeles, California, and director, Section of International and Domestic Health Equity and Leadership (IDHEAL), UCLA Department of Emergency Medicine, Sylmar, California; ORCID: https://orcid.org/0000-0002-2510-651X. D. Hsieh is health sciences assistant professor of emergency medicine, Harbor-UCLA Medical Center and UCLA David Geffen School of Medicine, Los Angeles, California, and director, Medical Legal Community Partnerships for Whole Person Care, Los Angeles County Department of Health Services, Torrance, California; ORCID: http://orcid.org/0000-0003-1531-8321.

Abstract

Calls for integrating the biosocial perspective into medical education are abundant. The core curricula of most of health professions education, however, have yet to fully integrate this concept. In this Invited Commentary, the authors describe barriers to implementation-the lack of a shared vocabulary, core curriculum, and clinical metrics-and propose a framework for implementing curricula in social medicine and structural competence. Advancing the biosocial perspective necessitates concerted efforts to link classroom training in social medicine to the clinical training environment by implementing tools to identify and address structural vulnerability in the clinical setting. Creating clinical metrics that value health outcomes instead of processes will enable educators to model clinical practice that integrates the social determinants of health as a core component. Finally, formalizing and emphasizing social medicine in graduate medical education will reinforce and solidify the importance of the biosocial perspective in the future clinical practice of our trainees.

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