Division of General Internal Medicine

Raman Singhal, MD, Receives 2017 AAIM Innovation Grant to Study Social Determinants of Health

Raman Singhal, MD
Raman Singhal, M.D.

Raman Singhal, MD, Assistant Professor, Department of Medicine (General Internal Medicine) and Associate Program Director for the Internal Medicine Residency Program at Wakefield, has been awarded a $2,500 Innovation grant from the Alliance for Academic Internal Medicine (AAIM) to study perceptions of social determinants of health (SDOH) among international medical graduates at Montefiore.

A clinician educator in the Internal Medicine Residency Clinic on the Wakefield Campus, Dr. Singhal will study how the experiences of international medical graduates (IMGs) in caring for underserved patients in the United States compare to their experiences caring for underserved patients in their native countries.

“Teaching residents about social determinants of health is associated with increased comfort in addressing SDOH and referring patients to appropriate support services--thus enhancing health outcomes—as well as selecting primary care careers,” said Dr. Singhal, who was among 13 recipients to receive AAIM Innovation grants this year, totaling $50,000.

In recent years, an increasing number of non-U.S. citizen international medical graduates (IMGs) have matched with U.S. residency programs.  In the 2016 National Resident Matching Program (NRMP), for example, IMGs accounted for 2,013 (29%) of the 6,938 categorical internal medicine PGY1 positions, an increase from 23.7% in 2012.

Still, it is not known how the experiences of IMGs in their native countries inform their perceptions of SDOH in the United States.

Through a series of small focus-group interviews, Dr. Singhal will determine how internal medicine residents who have graduated from international medical schools perceive social factors as agents of both good and ill health.

The findings will be used to create a curriculum for Social Determinants of Health that will cover barriers to healthcare, financial decision-making, health literacy and developing communication skills.

Click here to log in