Integrating Social and Behavioral Sciences into Undergraduate Medical Education

描述（由申请人提供）：医学教育的主流模式不能充分培养医生来满足多样化人群快速发展的需求。了解行为和社会因素在健康中的作用，如何改变这些因素，以及认识到自我是一种治疗手段，这些都是高质量医学教育的重要组成部分。根据lOM关于医学教育中的社会和行为科学（SBS）的报告，该项目将开发适用于所有医学教育年的SBS课程，特别侧重于将SBS知识“发扬”到三年级和四年级，并“接种”学生免受贬低SBS的隐性课程的影响。“管道”学生和教师将通过特殊的专注领域和教师发展计划接受SBS教学，领导和研究方面的高级培训。基于技能的能力评估和学习者档案将提供形成性反馈并推动持续的质量改进。模块化教育产品和过程的传播将扩大价值和影响。

DESCRIPTION (provided by applicant): Dominant models of medical education do not sufficiently prepare physicians to meet the rapidly evolving needs of a diverse population. Knowledge of the roles of behavioral and social factors in health, how to change these factors, and awareness of the self as an instrument of healing are essential components of a quality medical education. Building from the lOM's report on the social and behavioral sciences (SBS) in medical education, this project will develop SBS curricula for all years of medical education with a particular focus on "carrying forward" SBS knowledge to the 3rd and 4th years and "inoculating" students against a hidden curriculum that devalues SBS. "Pipeline" students and faculty will receive advanced training in SBS teaching, leadership, arid research through special Areas of Concentration and faculty development programs. Skill-based competency assessments and learner portfolios will provide formative feedback and drive continuous quality improvement. Dissemination of modular educational products and processes will broaden value and impact. This project's broad goals of creating new curricula for all years of undergraduate medical education, nationally disseminating SBS curricula, and fostering health-related research and careers in SBS will be achieved through 4 specific aims over five years: 1) Expand the UCSF undergraduate medical student curriculum (MS 1-4) to ensure adequate coverage of the 6IOM content domains. Special focus will be given to the development and "carrying forward" of social and behavioral science training in the clinical clerkships (MP3) and in the advanced studies year (MSC) for all students; 2) Develop the student-selected Areas of Concentration (MS 1-4) that target special "pipeline" students with promise to be SBS leaders in research, education, and patient care. Prepare "pipeline" faculty in new faculty development and mentor recruitment programs. Promote SBS research in both pipeline students and faculty in coordination with the Center for Health and Community; 3) Develop, implement, and evaluate social and behavioral science skill-based competencies and competency assessments by year of learner. Evaluate developed curricular materials and overall project impact; 4) Disseminate educational products - including an SBS case book and teaching guide - to other medical and health professional schools. This project impacts public health by improving physician skills in interviewing, promoting behavior change, and building therapeutic relationships. Supported SBS research will help improve the understanding of social and behavioral factors in health and disease.