Structural Competency: Caring for Our Patients and Ourselves by Responding to Social Structures
Proposal Summary
Contemporary US society is dominated by entrenched hierarchies of race and class,
widening economic inequality, and large-scale displacement and migration. Structural competency is an emerging educational paradigm for understanding and responding
to disparities in health related to economic inequalities and hierarchies of race, gender, sexuality, and immigration status.
In this session we will use case studies of both patients and providers to:
1) Examine how “social structures” (i.e. policies, economic systems, and institutions such as criminal justice and education) have produced and maintain social inequities and health disparities, often along the lines of social categories such as race, class, gender, and sexuality
2) Understand how social structures shape our own working conditions in addition to our patients’ lives.
3) Discuss alternatives to the current over-emphasis on individual behavior, culture, and biology/genetics in the practice of health care
3) Plan collaborative responses to social structures that can take place both within and outside of our workplaces and draw on the strengths of integrative health care.
Skills or Experience
Presenter 1: Social science researcher focused on integrative medicine in vulnerable communities, member of Bay Area Structural Competency Working Group
Presenter 2: Integrative physician at UCSF Children's Hospital Oakland, member of Bay Area Structural Competency Working Group
Presenter 3: Practicing therapist with extensive experience with underserved patients
Topic Keywords
Health disparities; health equity; social determinants of health; collaboration
Educational Methodology
Presentation/Lecture with Discussion: present information and engage the learners in discussion about the material.
Other Educational Methodology
small group discussion and writing
Audience Skill Level
This session is appropriate for all audiences and skill levels
Primary Presenters
Ariana Thompson-Lastad, PhD, UC San Francisco
Degree/License Suffix
PHD
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Co-Presenters
Jenifer Matthews, UCSF Benioff Children's Hospital Oakland
Degree/License Suffix
MD
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Kini Chang, MFT, UCSF Benioff Children's Hospital
Degree/License Suffix
MFT