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Determinants of Health-PURCH (DOH-P)

Course Overview

DOH-P 1&2 lays the foundation for understanding the many complex and interrelated factors affecting the health of individuals and populations.

Rather than being presented as a separate course, DOH content is delivered as a complement to your Doctoring and Clinical Skills-PURCH course—and woven throughout your entire time at Baystate.

Includes Population Health Clerkship (PHC)

Course Details

DOH-P builds upon the content in the core UMMS DOH1 course and DOH2 course—covering fundamental understandings of determinants of health, and relationships between community, culture, medical care systems, and the health of individuals and populations. Students also get a taste for advocacy in their Population Health Clerkship in the second year. 

In addition, DOH-P provides a robust interactive curriculum on biases, and explores how unconscious biases can impact the care delivered to patients.

Population Health Clerkship (PHC)

PHC provides you with a meaningful 2-week, community-engaged experience in western Massachusetts to complement your preclinical coursework.

This is an immersive experience—you will partner with a community-based organization that provides services in communities within Baystate Health’s primary catchment areas—Franklin, Hampshire, and Hampden counties.

It is also an interprofessional experience—learners from other disciplines may be on your team.

To provide a meaningful longitudinal community-based experience, community partners are identified who can expand upon topics covered in DOH-P or DCS1-P. Examples may include: food insecurity, transportation justice, and veteran’s health and housing.

PHC explores public health concepts such as, the effects of social determinants on the health of the population served by your community organization, how to examine populations as units of care, and how you might apply knowledge and understanding of community resources to advocate for your population of focus.

Embedded in a community organization, you will gain an understanding of how different health professionals and other local advocates work separately, and collaboratively, within their communities.

As part of your PHC field experience you will work with a community faculty preceptor and an academic faculty preceptor to:

  • Collect, synthesize, and manipulate relevant population-level data
  • Identify interprofessional teams of care available to a population
  • Explore ways organizations can advocate for a population
  • Apply your knowledge toward a meaningful service project in the community

Throughout the two weeks you will reflect on your experiences and encounters with community members, advocates, and other organizations or care systems that you collaborate with.

At the end of the PHC, you will present to UMMS-Baystate faculty, Baystate Health leadership, and community stakeholders, with the goal of recommending actionable strategies to advocate for your population of focus.