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Social Determinants of Health (Health Canada)

The Social Determinants of Health (SDOH) by Health Canada is a crucial concept for premed students to understand as it highlights the various personal, social, economic, and environmental factors that influence individual and population health. These factors include income, education, employment, childhood experiences, physical environments, social supports, coping skills, access to health services, biology, genetics, gender, culture, and race.

Understanding the SDOH is essential for premed students because it emphasizes the importance of considering a patient's social and economic context when providing medical care. By being familiar with the SDOH, future physicians can recognize and address health inequalities and work towards creating a more equitable healthcare system.

Health inequalities refer to differences in health status between individuals and groups, which can be due to genetics, lifestyle choices, or social determinants. Health inequity, on the other hand, refers to health inequalities that are unfair, unjust, and modifiable. Health equity seeks to reduce these inequalities and increase access to opportunities and conditions conducive to health for all.

Premed students can prepare as future physicians by integrating the knowledge of SDOH into their practice, advocating for policies that address these determinants, and working collaboratively with other sectors to improve health equity. By acknowledging and addressing the SDOH, premed students can develop a more holistic, patient-centered approach to medicine, ultimately improving patient outcomes and reducing health disparities within the population.

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Atul Gawande (Author of many medical books)

"Great for understanding and learning about how patients will have different needs and how even if a treatment doesn’t make the most medical sense to a physician that it can actually be the best option based on what is important to the patient. " - Ben on Being Mortal by Atul Gawande

Atul Gawande's books, including Being Mortal (2014), The Checklist Manifesto (2009), Better (2007), and Complications (2002), offer valuable insights into various aspects of medical practice, helping premed students better prepare as future physicians. These books discuss challenges, limitations, and improvement areas in medicine, offering readers a deeper understanding of patient care, medical ethics, and healthcare systems.

Being Mortal focuses on the end-of-life care and the importance of maintaining patients' dignity, autonomy, and quality of life. This book can help premed students appreciate the significance of compassionate and person-centered care, enabling them to consider patients' individual needs and preferences when making medical decisions.

The Checklist Manifesto emphasizes the value of using checklists in healthcare to reduce errors, improve patient outcomes, and streamline complex processes. This book highlights the importance of organization, teamwork, and communication in medical practice, preparing premed students for the collaborative nature of their future careers.

Better discusses the pursuit of excellence in medicine, offering insights into the habits and practices of highly effective physicians. Through this book, premed students can develop a better understanding of medical professionalism and learn strategies to enhance their own performance.

Complications explores the uncertainties and complexities inherent in medical practice, examining how physicians make decisions, handle errors, and deal with unexpected outcomes. This book encourages premed students to acknowledge and confront these challenges, fostering a more resilient and adaptable mindset.

In summary, Atul Gawande's books provide premed students with valuable perspectives on various aspects of medicine, helping them develop a well-rounded understanding of the profession and preparing them to become empathetic, effective, and ethical physicians.

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When Breath Becomes Air by Paul Kalanithi

When Breath Becomes Air is a poignant, autobiographical account of Dr. Paul Kalanithi, an accomplished neurosurgeon who found himself facing stage IV metastatic lung cancer at the age of 36. This inspiring memoir details his journey from a promising medical career to grappling with terminal illness, ultimately exploring the meaning of life, death, and the role of medicine in the face of mortality.

For premed students preparing for a career as physicians, When Breath Becomes Air offers a unique and deeply personal perspective on the medical profession, challenging them to confront the fragile nature of life and the impact they can have on patients' lives. As they follow Dr. Kalanithi's reflections on his career and his transition from a doctor to a patient, students can gain invaluable insights into the human side of medicine, which often goes beyond the technical skills and knowledge they acquire in their education.

The book serves as a powerful reminder of the importance of empathy, compassion, and effective communication in the practice of medicine. It encourages students to consider the broader implications of their work and the profound responsibility they hold as future physicians. By bearing witness to Dr. Kalanithi's vulnerability and resilience, students can learn to approach their profession with humility, self-awareness, and a deep sense of purpose.

In summary, When Breath Becomes Air is a transformative read for premed students, providing them with a profound understanding of the human experience in healthcare. By exploring the intricacies of life, death, and the practice of medicine through Dr. Kalanithi's journey, students can develop the compassion, empathy, and wisdom that will be essential to their success as future physicians.

"Amazing account of the patient perspective and what Doctors may not consider about the patient perspective." - Ben

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