A study exploring the transformative effects of the Community Plunge, an educational
program at Wake Forest University School of Medicine (WFUSOM), on healthcare delivery,
community engagement, and trainee perspectives was recently published in the Journal of
Clinical and Translational Science. Led by Dr. Christopher A. Jones of Northwest AHEC, the
study highlights the broader context of health outcomes, where clinical care accounts for
only 20%, emphasizing the critical role of social determinants of health (SDOH) and
individual behaviors in shaping the remaining 80%.
WFUSOM’s Community Plunge, established in 2002, involves a guided tour of the community, discussions with residents, and debriefing sessions. Qualitative interviews with 20 clinicians were conducted to extract key themes and insights.
The study identified several key outcomes. First, participants gained crucial insights into the community’s history, structural challenges, and prevalent SDOH, enhancing their understanding of the diverse patient populations they serve. Second, the program positively influenced clinician attitudes, fostering empathy, reducing paternalism, and promoting holistic patient care. Third, participants expressed a desire for increased community involvement and reported career trajectory changes toward advocacy and volunteerism. However, challenges such as time constraints were acknowledged.
The study advocates for collaborative efforts to enhance the program’s impact, including proactive measures to ensure respectful engagement during community tours. It positions the Community Plunge as an innovative, scalable, and transformative strategy for experiential SDOH exposure, crucial for the evolving social consciousness of healthcare learners.
The publication, co-authored by Christopher Jones, Kandice Reilly, Brian Peacock, Nancy Denizard-Thompson, Alicia Walters-Stewart, Leslie Doroski McDowell, Jessica Valente, Aylin A. Aguilar, Michael Lischke, Kimberly Montez
Published online by Cambridge University Press: 06 September 2024