Holistic Approach to Social Determinants of Health

Needs Statement

Global health programming across Baylor College of Medicine (BCM) and Texas Children’s Hospital (TCH) is rich and diverse with mature global partnerships and high-quality training for learners. Lack of coordination of educational activities, however, limits the reliable exposure to the core competencies of global health practice, such as ethics and cross-cultural communication. The goal of this series is to leverage program- specific expertise to emphasize these competencies and provide leadership development by sharing knowledge, networking, and collaborating. The global health competency framework proposed by the Sustaining Technical and Analytic Resources (STAR) project, administered by the Public Health Institute with support from the United States Agency for International Development (USAID), will be adapted for this series. Developed for global health professionals, this competency framework aligns with the goal of developing global health leadership skills in our target audience of physicians, advanced practice providers, fellows, residents, and any other healthcare providers interested in global health at BCM and TCH.

Educational Objectives

At the conclusion of the session, the participants should be able to:

• Review the concept of social determinants of health (SDoH).
• Recognize the commonest, most widely accepted SDoH.
• Differentiate the specific socioeconomic, biological, and behavioral factors that influence health outcomes of the indigenous community in La Guajira, Colombia.
• Describe how these social determinants contribute to high rates of infant and maternal mortality in La Guajira.
• Explain the holistic approach to SDoH, as applied to the community in La Guajira.

Target Audience

Activity Evaluation

Evaluation by questionnaire will address program content, presentation, and possible bias.

Educational Methods

• Lectures
• Case Presentations
• Literature Review
• Panel Discussion

Accreditation/Credit Designation

Baylor College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Baylor College of Medicine designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This activity has been designated by Baylor College of Medicine for 1 credit of education in medical ethics and/or professional responsibility.

Term of Approval

September 1, 2023 through September 30, 2025. Original release date: September 1, 2023.

Disclosure Policy

Baylor College of Medicine (BCM) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education (CME) for physicians. BCM is committed to sponsoring CE activities that are scientifically based, accurate, current, and objectively presented.

In accordance with the ACCME Standards for Commercial Support, BCM has implemented a mechanism requiring everyone in a position to control the content of an educational activity (i.e., directors, planning committee members, faculty) to disclose any relevant financial relationships with commercial interests (drug/device companies) and manage/resolve any conflicts of interest prior to the activity. Individuals must disclose to participants the existence or non-existence of financial relationships at the time of the activity or within 24 months prior.

In addition, BCM has requested activity faculty/presenters to disclose to participants any unlabeled use or investigational use of pharmaceutical/device products; to use scientific or generic names (not trade names) in referring to products; and, if necessary to use a trade name, to use the names of similar products or those within a class. Faculty/presenters have also been requested to adhere to the ACCME's validation of clinical content statements.

BCM does not view the existence of financial relationships with commercial interests as implying bias or decreasing the value of a presentation. It is up to participants to determine whether the relationships influence the activity faculty with regard to exposition or conclusions. If at any time during this activity you feel that there has been commercial/promotional bias, notify the Activity Director or Activity Coordinator. Please answer the questions about balance and objectivity in the activity evaluation candidly.

All of the relevant financial relationships listed for these individuals have been mitigated.