In reply to Barwise and Liebow “Teaching social determinants of health: a route to nudging practical change”.
The authors thank Drs. Barwise and Liebow for their response to their Perspective. They agree that medical students are not wholly responsible for changing how the social determinants of health (SDOH) are taught. This is primarily an institutional responsibility—medical schools, academic health science centers, and hospital leadership must ensure that future physicians learn that medicine includes upstream action on SDOH at individual, practice, and community levels.