Medical Journal of the Islamic Republic Of Iran

en Social Determinants of Health (SDH) History Taking in Medical Students’ Curriculum; Challenges and Opportunities Community Medicine Community Medicine Original Research Original Research Background: The aim of the current study was to evaluate the feasibility of implementing SDH history taking by medical students using a checklist, as well as to identify the advantages and barriers associated with this implementation. The checklist was developed during the first phase of an action research study, which comprised three phases: development, implementation, and assessment of SDH history taking during the clerkship course of medical education.    Methods: The implementation of history taking of SDH by medical students involved a briefing session on the importance of SDH for medical students, utilizing a developed checklist for taking SDH history, presenting interesting cases during morning reports, conducting community medicine consultations, and establishing connections with community organizations to support cases. Medical students were instructed to take SDH history alongside routine patient history taking in the pediatric ward of a teaching hospital during their clerkship rotation.    Results: One hundred SDH history-taking forms were collected and reviewed following a briefing session conducted by medical students during their pediatrics ward rotation. The briefing session concluded with a question-and-answer segment, providing an opportunity for discussion and clarification. The complex cases identified in the history-taking forms were presented during the morning report. Of these, five cases were referred for community medical counseling. When necessary, patients were referred to a community mental health center.    Conclusion: Despite several implementation challenges, the incorporation of SDH history taking by medical students using the checklist was feasible during the clerkship course. The program supported the integration of education with patient care and enabled students to acquire practical experience in identifying and addressing SDH in clinical settings. Medical education, Social determinants of health (SDH), Curriculum, History taking 844 850 http://mjiri.iums.ac.ir/browse.php?a_code=A-10-8867-6&slc_lang=en&sid=1 Kourosh Kabir kabir.kourosh@yahoo.com 2003194753284600100003 2003194753284600100003 No Preventive Medicine and Public Health Research Center, Psychosocial Health Research Institute, Department of Community and Family Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, Iran Seyyed Amir Yasin Ahmadi yasin_ahmadi73@yahoo.com 2003194753284600100004 2003194753284600100004 No Clinical Cancer Research Center, Milad General Hospital, Tehran, Iran Sedigheh Yousefzadegan Dr.yousefzadegan@gmail.com 2003194753284600100005 2003194753284600100005 No Firoozabadi Clinical Research Development Unit (FACRDU), Department of Pediatrics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran Soheila Mahdavynia Dr.so.mahdavynia@hotmail.com 2003194753284600100006 2003194753284600100006 No Firoozabadi Clinical Research Development Unit (FACRDU), Department of Pediatrics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran Ramin Zare Mahmoudabadi Raminzare2013@gmail.com 2003194753284600100007 2003194753284600100007 No Firoozabadi Clinical Research Development Unit (FACRDU), Department of Pediatrics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran Zahra Rampisheh rampisheh.z@iums.ac.ir 2003194753284600100008 2003194753284600100008 No Preventive Medicine and Public Health Research Center, Psychosocial Health Research Institute, Department of Community and Family Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, Iran Neda SoleimanvandiAzar Soleimanvandi.n@iums.ac.ir 2003194753284600100009 2003194753284600100009 No Preventive Medicine and Public Health Research Center, Psychosocial Health Research Institute, Department of Community and Family Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, Iran Zahra Sadr sadr.z@iums.ac.ir 2003194753284600100010 2003194753284600100010 No 1. Preventive Medicine and Public Health Research Center, Psychosocial Health Research Institute, Department of Community and Family Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, Iran Ali Tayebi Tayebi81@gmail.com 2003194753284600100011 2003194753284600100011 No Firoozabadi Clinical Research Development Unit (FACRDU), Department of Surgery, School of Medicine, Iran University of Medical Sciences, Tehran, Iran Maryam Vafapour Vafapourm@gmail.com 2003194753284600100012 2003194753284600100012 No Firoozabadi Clinical Research Development Unit (FACRDU), Department of Pediatrics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran Ashraf Mousavi Msarair@yahoo.com 2003194753284600100013 2003194753284600100013 No Firoozabadi Clinical Research Development Unit (FACRDU), Department of Pediatrics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran Marzieh Nojomi mnojomi@iums.ac.ir 2003194753284600100014 2003194753284600100014 Yes Preventive Medicine and Public Health Research Center, Psychosocial Health Research Institute, Department of Community and Family Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, Iran