This activity is comprised of five multiple-choice questions based on the content of an AMA Journal of Ethics podcast about screening children for structural drivers of health. The featured guests are Laura Gottlieb, MD, MPH, a professor of Family Community…
Access to health care is a key structural determinant of health, with lack of health insurance as a main barrier. In the United States, nearly half of children rely on Medicaid or the Children’s Health Insurance Program for health insurance….
Screening for structural drivers or determinants of health (SDoH), as mandated by recent federal regulations, raises ethical questions about screening processes and tools. Early childhood adversity and trauma, which can influence a person’s health throughout their lifespan and contribute to…
Structural determinants of health (SDoH) screening is key to good pediatric care, but fear of life-altering consequences can prevent adults from disclosing information, while time constraints disincentivize clinicians from addressing some awkward but important SDoH topics relevant to good care…
Unmet social and structural needs negatively influence children’s health outcomes. Even in pediatric health systems in the United States that have implemented social needs screening programs, little guidance exists about best practices for how clinical teams should respond to children’s…
Social accountability in health professions education prominently has to do with preparing students and trainees in pediatrics to do 3 key things: prioritize social and structural drivers as preconditions of children’s health, work to mitigate health inequity among children by…
This article problematizes the normalization of social pediatrics as extracurricular or optional rather than necessary for children’s health care. Drawing on critical pedagogical frameworks like structural competency and accompaniment, this article illuminates clinical, institutional, and structural obstacles to mainstreaming social…
Surgical research involving patients who are incarcerated is fraught with ethical, logistical, and practical questions. This article first considers important moments in the history of research with people who are incarcerated and suggests how they have contributed to evolution in…
Safety-net hospitals care for patients who are incarcerated and are key environments in which surgical trainees learn to wield their professional autonomy. This article explores ethical questions raised by surgical trainees’ participation in carceral care and canvasses possible responses to…
This activity is comprised of five multiple-choice questions based on the CJ featured guest is Cynthia Chandler, JD, director of the Bay Area Legal Incubator in Oakland, California; and Anthony Loria, MD, a research resident at the University of Rochester…
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