Context: Social determinants of health (SDoH), the conditions into which people are born, grow, live, work, and age, drive health inequity and account for 80 to 90 percent of modifiable contributors to health. There is no consensus on how they should be addressed by clinicians, or standardized methods of incorporating SDoH screening as part of every clinical encounter. Understanding trainee perspectives on screening for SDoH can guide educators on future training. Objective: This project was developed to assess the perspectives and current clinical practices relating to SDoH of residents at Western Michigan University Homer Stryker MD School of Medicine (WMed). Study design: Survey Setting: All residency programs located in southwest Michigan in either Kalamazoo or Battle Creek. Population studied: Residents from the 9 WMed residency programs. Fellows were excluded from the survey. Intervention: 22-question survey consisting of four demographic/characteristic items, six items related to screening practices, six items on resident views on screening for SDoH, six items on barriers to asking patients about their social needs, and two items to facilitate logging for the gift card survey incentive. Outcomes: Forty-five of two hundred thirty-three residents (19%) responded to the survey. 98% of respondents (including primary care and non-primary care specialties) reported screening for SDoH, and often used information about patient social needs in their medical decisions and care planning (51%). Year of training, age of the resident, specialty, and patient volume had little or no effect on the comfort with and frequency of inquiry about patient's social needs. However, the majority of respondents reported lack of time, lack of training in how to respond, and lack of resources to be major barriers in their ability to address their patients’ social needs (60%). Although limited by response rate, our results indicate that the residents studied report that SDoH screening is relevant to patient care, but barriers related to time and training impeded screening. Future interventions include additional training and a single question screening tool to address the barriers of limited time and training in how to screen for SDoH.