Social Determinants of Health
Abdominal Pain and Vaginal Discharge: An Eye-Opening Simulation Case about Human Trafficking
Nicole E Exeni McAmis, MD*^†, Richard S Feinn, PhD**, Monica R Saxena, MD, JD†and Kelly N Roszczynialski, MD, MS†
At the conclusion of this case, learners should be able to: 1) review red flags of identifying victims of human trafficking in healthcare settings, 2) identify common indicators and injuries associated with human trafficking, 3) demonstrate a trauma-informed care approach when interviewing potential victims, 4) list and provide patients with national resources for human trafficking,5) understand federal and state mandatory reporting laws and the role of the healthcare provider, 6) determine best treatment options in patients with limited healthcare access, including counseling on empiric treatment of sexually transmitted infection (STI), 7) review management options for an undesired pregnancy according to local institutional policies and state laws for the senior case.
Code Social: Integrating SDoH into Emergency Resident Education
Layla Abubshait, MD*^, Sandra Guirguis, MD*, Savannah Pocquette, DO*, Timothy Cofer, DO* and Angelina Birrell-Lopez, MD*
The educational objectives of this activity are to: 1) enhance residents' understanding and recognition of (SDoH) in emergency medicine; 2) develop residents' skills in addressing SDoH within the emergency medicine setting; 3) foster a patient-centered approach that promotes health equity in emergency medicine; and 4) identify local resources available to address various SDOH.
The Silent Saboteur: Teaching the Clinical Implications of Occult Hypoxemia & Social Determinants of Health via a Pulmonary Embolism Case
Eugene Marrone, MD*, John Cafaro, MD* and Jared Klein, DO*
By the end of this oral board case, learners will be able to: 1) obtain appropriate history of present illness (HPI) and physical exam elements for the undifferentiated chest pain patient, 2) identify elements of history and physical exam that are compatible with pulmonary embolism, 3) formulate a differential diagnosis for chest pain and perform the appropriate work-up to narrow this differential diagnosis, 4) appropriately manage pulmonary embolism, 5) review and discuss the diversity, equity and inclusion (DEI) elements of the case, and 6) review and discuss the importance of social determinants of health (SDH) in disposition decisions and patient outcomes.
