Peer-reviewed article
Health Equity Morning Report: A Novel Case-Based Resident Curriculum to Address the Social Drivers in Hospitalized Children.
Hairston TK, Khan J, Byrd C, Shilkofski N, Murphy E et al. ·
Summary
Written by AI, not yet AICS's view · claude-haiku-4-5-20251001This study evaluated a curriculum called the Health Equity Morning Report designed to teach pediatric residents about social and structural factors affecting children's health. Residents who participated in the curriculum were more likely to discuss or plan interventions related to social determinants of health during patient rounds. The curriculum was well-received by learners, with most rating it as highly educational.
Key points
- No mentions or plans related to social determinants of health occurred during pre-curriculum observations
- After curriculum exposure, 11.3% of patient encounters (9 of 80) included social determinant engagement
- The difference was statistically significant (P = .01)
- 79% of survey respondents rated the session as very or extremely educational
- Curriculum included six documented care plans and three mentions of social/structural determinants
Limitations
This study only measured immediate changes in residents' observable behaviour during rounds and did not track whether these mentions or plans resulted in actual improved outcomes for children or sustained practice changes over time.
Abstract
Objective To evaluate whether participation in the Health Equity Morning Report (HEMR), a novel case-based curriculum, was associated with increased pediatric residents' observable mentions or plans related to social/structural determinants of health (SSDOH) during inpatient rounds. Methods In academic year 2024-2025, the authors developed a direct-observational checklist informed by national health-related social needs screening tools and generated validity evidence through expert review and calibration. Pediatric interns were observed twice before and twice after curriculum exposure. Each encounter received an ordinal score (0 = no SSDOH content, 1 = SSDOH mention, 2 = SSDOH plan). Mann-Whitney U tests compared ordinal scores; Fisher's exact tests compared proportions. A brief post-session survey assessed perceived educational value. Results We analyzed 132 patient encounters, including 52 pre-curriculum encounters and 80 post-curriculum encounters. No SSDOH-related mention or plan occurred during the pre-curriculum period, whereas nine of 80 post-curriculum encounters (11.3%) included engagement (six plans, three mentions). Differences were statistically significant (U = 1846.0, P = .01; Fisher's exact test P = .01). Among survey respondents (n = 65), 41 (79%) rated the session Very or Extremely educational. Conclusions Participation in HEMR was associated with increased SSDOH-related engagement during rounds and was rated highly by learners.
Findings the Hub has extracted
Each claim below is labelled by its type of design and links back to this report.
- Intervention
- Health Equity Morning Report (HEMR), a case-based curriculum designed to increase residents' awareness and engagement with social determinants of health
- Population
- Pediatric interns in an academic residency program
Key finding
Zero SSDOH-related mentions or plans in pre-curriculum period versus 9 of 80 (11.3%) in post-curriculum period
TK et al. · Europe PMC · 8 Jul 2026