<unk>  is a term used in American health professional education to describe the ability of health care providers and trainees to appreciate how symptoms, clinical problems, diseases and attitudes toward patients, populations and health systems are influenced by 'upstream' social determinants of health. The creators of this term Jonathan Metzl and Helena Hansen proposed a 5-point model . * Recognition of "structures that shape clinical interactions" * Development of "an extraclinical language of structure" * Rearticulation of "'cultural' presentations in<unk>  terms" * Observation and imagination of<unk>  intervention" * Development of<unk>  humility" The concept of<unk>  is framed in the language of<unk>  based medical education and is proposed as a new iteration of cultural<unk>  which is a defined<unk>  in American medical, nursing and public health education.
Structural competency
Situational strength
Functional integration 
Therapeutic relationship
Character orientation
Respect for persons
Cost sharing
Out-of-body experience