Transformative Education
for Health Professionals

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Route 90 Collaborative; Integrating SDH in health professional education

Sandy Lane

The Route 90 Collaborative 

The Route 90 collaborative is a group of Universities based in New York State in USA, and draws its name from the road that runs through the State, Route 90. The universities in the collaborative are;

  1. University at Buffalo: Social Work
  2. Syracuse University: Public Health, Marriage and Family Therapy, Social Work
  3. Upstate Medical University: Medicine, Bioethics and Humanities
  4. Le Moyne College: Physician Assistant program
  5. The Sage Colleges: Nursing, Medical Respite for the Homeless (Doctoral Faculty Initiative)

Their collective aim is to integrate the social determinants of health into health professional / workforce education.   

Full project description: 

Route 90 Collaborative

The Route 90 Collaborative, named for the main artierial road connecting Buffalo, Syracuse, and Albany, in New York State, United States.

The objective of the Route 90 Collaborative is to improve the integration of SDH into a diversity of health professional education programs via sharing curricula, evaluation materials, and faculty development materials.

See video 

Route 90 Educational Interventions to Date

  1. Upstate Medical University—Bioethics and Humanities used the Framework to design an university-community workshop with community activists and members of the Street Addiction Institute Inc. (
  2. Syracuse University public health and anthropology—integrated the Framework into two courses, Reproductive Health and Global Health, in the Spring of 2016.  A manuscript describing this integration is under review: Sandra D. Lane, Robert H. Keefe, Robert A. Rubinstein, Meghan Hall, Kathleen Kelly, Lynn Beth Satterly, Andrea Shaw and Julian Fisher, "Integrating the Social Determinants of Health into Multidisciplinary Courses," Journal of Interprofessional Care.​
  3. Syracuse University Department of Marriage and Family Therapy used the Framework in the summer of 2017 in a two-part course module that brought community members to the classroom and students to a community center. The topic was neighborhood trauma due to violence and the students learned from parents who had lost children and family members to the violence. A manuscript describing this intervention is under review: Sandra D. Lane, Robert A. Rubinstein, Tracey Reichert, Rob Keefe, Timothy Jennings-Bey, Arnett Haygood El, Linda Stone Fish, Sydney Russell, Brady Iles, and Arthur Owara, “Social determinants of mental health in teaching cultural competence to marriage and family therapy students.” We also made a short video about this intervention:
  4. Le Moyne College Physician Assistant program implemented the Framework in Summer 2017 in an application based module requiring the students to use Social Determinants of Health (SDOH) in their medical assessment and plan for a patient exam.  The students were given a patient profile and were tasked with developing a health and medical plan based on the five areas of SDOH. A final patient chart and “visit summary” was the final piece of evaluation for the course assessment.
  5. Upstate Medical University will hold an interprofessional course on Refugee health for medical and public health students. Each pair of students (one each from medicine and public health) will be matched with a refugee family, who they will follow for the semester.  Students will visit the families at home, and accompany “their” refugee family to clinical appointments, social service meetings.
  6. We are jointly developing a module on oral health inequities that will be implemented in the spring of 2018 in social work, public health and physician assistant courses. Each of those disciplines will use the same module, including student activities outside of the classroom and evaluation strategy. We plan to jointly publish the results of this intervention.

This case study relates to:

Case study addresses: