When people think about becoming a doctor, they often imagine diagnosing disease and prescribing treatment. Biology matters — but very early in clinical practice, it becomes clear that biology alone does not explain who becomes unwell, how illness progresses, or why outcomes differ so markedly between patients.
This is where social determinants of health become essential to clinical reasoning.
Social determinants are the conditions in which people are born, grow, live, work, and age. They shape exposure to risk, access to care, capacity to recover, and the choices people realistically have available to them. Importantly, they influence health long before a patient enters a clinic — and continue to shape outcomes long after a prescription is written.
