Clinical Excellence Case Set
Aquifer Social Determinants of Health
Aquifer Social Determinants of Health provides foundational knowledge and a framework for building skills that minimize the effects of social determinants of health (SDOH) on health outcomes.
Aquifer SDOH builds a foundational understanding of social determinants of health and teaches evidence-based strategies to help improve health outcomes for patients. By exploring SDOH in the context of a virtual patient case, learners have the opportunity to work through a realistic patient interaction, reflecting on their own implicit biases and cultural awareness and developing communication and clinical skills that identify underlying issues and provide patient-centered care.
Just in Time Coverage of Social Determinants of Health Embedded in Select Courses
In addition to the stand-alone cases on Social Determinants of Health included as part of this Clinical Excellence Case Set, select core cases in Pediatrics, Family Medicine, Internal Medicine, Geriatrics, Neurology, and Radiology now have brief teaching on Social Determinants of Health embedded right into the case in the form of a clinical decision making question.
Together the just-in-time curricular threads combined with the deeper principles and application cases provide a strong foundation in Social Determinants of Health across the curriculum without adding faculty time.
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Key Features
- Part of Aquifer’s Clinical Excellence Case Set, included with Curricular Partner subscriptions and available by subscription to Limited Subscribers
- Case content focused on learning fundamental communication skills and systems knowledge key to providing care that maximizes health outcomes
- A combination of cases, readings, and tools to help students translate skills to clinical practice
- Ready-made cases to support self-directed learning, appropriate to supplement pre-clinical or clinical learning
- Cases take approximately 15-20 minutes to complete.
- Appropriate to support pre-clinical or clinical learning.
- Can be combined with other cases in a custom course to meet the needs of your specific curriculum.
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Course Content
The overview and resources module provides key foundational learning on SDOH, with definitions, developing an understanding of how cultural beliefs and community culture affect health outcomes, and strategies for improving clinician-patient interactions.
The two virtual patient cases provide an opportunity for students to learn in the context of a realistic patient scenario, working to develop their own cultural awareness, interpersonal skills, and professionalism. Learners are able to practice the application of the information in a safe space, working through patient and family interactions, and practicing using the tools when caring for a patient.
While the patients are children in these cases, the learning objectives are applicable to patients of all ages.
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Course Structure
All Clinical Excellence Case Sets, including Social Determinants of Health, now include:
- Principles module: covers key definitions, epidemiology, explanations of key principles and why they are important for patient care, and a harm statement that makes it explicit what harm can come to the patient if the principle is not incorporated into practice.
- Application Cases: Brief, realistic case scenarios that focus on one area of a patient encounter, and are centered around asking students to make important clinical decisions. Content models evidence-based best practices and communication strategies, exploring the real-world impacts on care and potential harm. At the end of each case, a reflection question asks the students to consider key takeaways, implications for their future practice, or personal wellness. Each application case also includes self-assessment questions that extend the learning to other scenarios.
- Principles module: covers key definitions, epidemiology, explanations of key principles and why they are important for patient care, and a harm statement that makes it explicit what harm can come to the patient if the principle is not incorporated into practice.
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Curriculum Integration
Aquifer Social Determinants of Health is designed for any level student in a medical school or health professions program. The course is an ideal assignment for students to complete as preparation for clinical experiences that include telemedicine. Cases also serve as valuable reference material for students to return to as they need to refresh their knowledge during clinical rotations.
Programs with a current Aquifer subscription will also have faculty and administrator access to an accompanying educator guide. Subscribers will also be able to view student progress reporting and combine the new cases with other Aquifer content in a custom course.
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Case List
Social Determinants of Health 01: Principles of social determinants of health
Social Determinants of Health 02: 2-year-old with fever and headache
Social Determinants of Health 03: 2-year-old with pneumonia and probable empyema
Generating Meaningful Discussions about SDOH with Aquifer Cases
In this episode, Regina Welkie and Emily McSparin describe how they were able to successfully integrate SDOH into a clinical curriculum by incorporating Aquifer cases into a journal club format.

Learn More
Learn how Aquifer Social Determinants of Health can benefit students and faculty in your program from Aquifer’s Chief Academic Officer Sherilyn Smith, MD.
Aquifer Clinical Excellence Course Board
Heather Harrell, MD, FACP
Course Board: Aquifer Clinical Excellence
Role: Editor in Chief
Institution: University of Florida
Institutional Title: Professor of Medicine and Associate Dean of Medical Education
Lauren Azevedo, DO, MS, FAAP
Course Board: Aquifer Clinical Excellence
Role: Associate Editor
Institution: Michigan State University
College of Osteopathic Medicine
Institutional Title: Assistant Dean
Kelsey Dougherty, MMSc, PA-C
Course Board: Aquifer Pediatrics
Role: Associate Editor
Institution: University of Colorado Child Health Associate/Physician Assistant Program (CHAPA)
Institutional Title: Assistant Professor
Patricia Griffith, PhD, CRNP, ACNP-BC
Course Board: Aquifer Clinical Excellence
Role: Associate Editor
Institution: University of Pennsylvania
Institutional Title: Practice Associate Professor, Associate Director AGACNP Program
Jennifer Grumet, MD
Course Board: Aquifer Clinical Excellence
Role: Associate Editor
Institution: Chapman University / PA Studies Program
Institutional Title: Clinical Associate Professor, Director of Admissions, Assistant Clinical Coordinator
Nivedita Gunturi, MD
Course Board: Aquifer Clinical Excellence
Role: Associate Editor
Institution: Rush University Medical Center
Institutional Title: Assistant Program Director, Assistant Professor
Kathryn Holliday, DNP, CPNP- PC, CNE, CHSE
Course Board: Aquifer Clinical Excellence
Role: Associate Editor
Institution: SUNY Upstate Medical University, College of Nursing
Institutional Title: Clinical Assistant Professor
Kate LaPorta, MHS, PA-C
Course Board: Aquifer Clinical Excellence
Role: Associate Editor
Institution: University of Colorado CHA/PA Program
Institutional Title: Assistant Professor
Townes R. Leigh, Jr., DO, CAQSM, FAAFP
Course Board: Aquifer Clinical Excellence
Role: Associate Editor
Institution: Sam Houston State University College of Osteopathic Medicine
Institutional Title: Assistant Professor of Family Medicine/Sports Medicine, Program Director SHREC Sports Medicine Fellowship
Juan Lessing, MD
Current Role: Associate Editor
Course Board: Aquifer Clinical Excellence
Institution: University of Colorado School of Medicine
Institutional Title: Associate Professor, Medicine-Hospital Medicine
J'Aimee Lippert, DO
Course Board: Aquifer Clinical Excellence
Role: Associate Editor
Institution: Michigan State University College of Osteopathic Medicine
Institutional Title: Associate Dean of Admissions and Student Affairs
Jamie Macklin, MD, MPH
Course Board: Aquifer Clinical Excellence
Role: Associate Editor
Institution: The Ohio State University Wexner Medical Center
Institutional Title: Associate Medical Director of Medicine
Khiet Ngo, DO, MS
Course Board: Aquifer Clinical Excellence
Role: Associate Editor
Institution: University of California Riverside School of Medicine
Institutional Title: Associate Dean for Clinical Skills Education & Innovation
Amit Pahwa, MD
Course Board: Aquifer Clinical Excellence
Role: Associate Editor
Institution: John Hopkins University School of Medicine
Institutional Title: Associate Professor of Medicine
Institutional Role: Director, Internal Medicine Sub-Internship
Rex Alvin D. Paulino, MD, AGSF
Course Board: Aquifer Clinical Excellence
Role: Associate Editor
Institution: Joan and Stanford Division of Geriatric and Palliative Medicine
University of Texas Health Sciences Center at Houston
Institutional Title: Associate Professor
Manajyoti Yadav, MD, FACP, FRCP
Course Board: Aquifer Clinical Excellence
Role: Associate Editor
Institution: University of Illinois College of Medicine Peoria
Institutional Title: Clerkship Director