Structural Competency and the Medical Learning Environment—An Overdue Paradigm Shift in Medical Education
Abstract
:1. Introduction
2. Five Essential Elements of Structurally Competent Learning Environments
2.1. Looking Within: Structural Analysis of Institutional Policies and Practices
2.2. Academic Freedom and Interdisciplinary Discourse
2.3. Redefining Medical Education Standards and Metrics
2.4. Collective Action to Effect Change
2.5. Community Integration and Accountability
3. Toward Structurally Competent Learning Environments
Author Contributions
Funding
Conflicts of Interest
References
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Essential Elements | Structural Competency Principle | Key Actions |
---|---|---|
Structural analysis of institutional policies and practices | Identifying structures that affect clinical interactions |
|
Academic freedom and interdisciplinary discourse | Developing extra-clinical structural language |
|
Redefining medical education standards and metrics | Rearticulating “cultural” formulations in structural terms |
|
Collective action to effect change | Imagining structural interventions |
|
Community integration and accountability | Embedding structural humility |
|
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Hassan, I.F.; Leeds, R.; Opara, I.N.; Bui, T.D.; Connor, S.E.; Shah, S.; Iyer, S. Structural Competency and the Medical Learning Environment—An Overdue Paradigm Shift in Medical Education. Soc. Sci. 2025, 14, 356. https://doi.org/10.3390/socsci14060356
Hassan IF, Leeds R, Opara IN, Bui TD, Connor SE, Shah S, Iyer S. Structural Competency and the Medical Learning Environment—An Overdue Paradigm Shift in Medical Education. Social Sciences. 2025; 14(6):356. https://doi.org/10.3390/socsci14060356
Chicago/Turabian StyleHassan, Iman F., Rebecca Leeds, Ijeoma Nnodim Opara, Thuy D. Bui, Sharon E. Connor, Sejal Shah, and Shwetha Iyer. 2025. "Structural Competency and the Medical Learning Environment—An Overdue Paradigm Shift in Medical Education" Social Sciences 14, no. 6: 356. https://doi.org/10.3390/socsci14060356
APA StyleHassan, I. F., Leeds, R., Opara, I. N., Bui, T. D., Connor, S. E., Shah, S., & Iyer, S. (2025). Structural Competency and the Medical Learning Environment—An Overdue Paradigm Shift in Medical Education. Social Sciences, 14(6), 356. https://doi.org/10.3390/socsci14060356