دورية أكاديمية
An Anti-Racism and Equity Initiative Improves Residency Educational Conferences.
| العنوان: | An Anti-Racism and Equity Initiative Improves Residency Educational Conferences. |
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| المؤلفون: | James AK; is a Primary Care Physician, Director for Racial Justice in Medicine, Department of Medicine, and Associate Director, Diversity, Equity, and Inclusion Committee, Department of Pediatrics, Massachusetts General Hospital (MGH) and Massachusetts General Hospital for Children (MGfC), and Instructor in Medicine, Harvard Medical School (HMS)., Matthiesen MI; is a Hospitalist and Associate Program Director, Internal Medicine and Pediatrics Residency Program, MGH and MGfC, and Instructor in Medicine, HMS., Jasrasaria R; is a Primary Care Physician and Associate Director, Center for Immigrant Health, MGH, and Instructor in Medicine, HMS., Jowell AR; is a Fourth-Year Medical Student, HMS., Kelly MS; is a PGY-5 Resident, MGH and MGfC., Vyas DA; is a PGY-4 Pulmonary and Critical Care Fellow, MGH., Zeidman JA; is a Primary Care Physician and Primary Care Program Director, Department of Medicine, MGH, and Instructor in Medicine, HMS., Burnett-Bowie SM; is an Endocrinologist, Associate Director, Massachusetts General Center for Diversity and Inclusion, and Chair, Diversity and Inclusion Board, Department of Medicine, MGH, and Assistant Professor, HMS. |
| المصدر: | Journal of graduate medical education [J Grad Med Educ] 2023 Jun; Vol. 15 (3), pp. 322-327. Date of Electronic Publication: 2023 Jun 14. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Accreditation Council for Graduate Medical Education Country of Publication: United States NLM ID: 101521733 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1949-8357 (Electronic) Linking ISSN: 19498357 NLM ISO Abbreviation: J Grad Med Educ Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Chicago, ILL : Accreditation Council for Graduate Medical Education |
| مواضيع طبية MeSH: | Internship and Residency* , Racism*, Humans ; Antiracism ; Curriculum ; Education, Medical, Graduate |
| مستخلص: | Background: Graduate medical education curricula may reinforce systemic inequities and bias, thus contributing to health disparities. Curricular interventions and evaluation measures are needed to increase trainee awareness of bias and known inequities in health care. Objective: This study sought to improve the content of core noontime internal medicine residency educational conferences by implementing the Department of Medicine Anti-Racism and Equity (DARE) educational initiative. Methods: DARE best practices were developed from available anti-racism and equity educational materials. Volunteer trainees and faculty in the department of medicine of a large urban academic medical center were recruited and underwent an hourlong training to utilize DARE best practices to coach faculty on improving the anti-racist and equity content of educational conferences. DARE coaches then met with faculty to review the planned 2021-2022 academic year (AY) lectures and facilitate alignment with DARE best practices. A rubric was created from DARE practices and utilized to compare pre-intervention (AY21) and post-intervention (AY22) conferences. Results: Using the DARE best practices while coaching increased the anti-racism and equity content from AY21 to AY22 (total rubric score mean [SD] 0.16 [1.19] to 1.38 [1.39]; P =.001; possible scores -4 to +5), with 75% (21 of 28) of AY22 conferences showing improvement. This included increased diversity of photographs, discussion of the racial or ethnic makeup of research study participants, appropriate use of race in case vignettes, and discussion of the impact of racism or bias on health disparities. Conclusions: Training coaches to implement DARE best practices improved the anti-racism and equity content of existing noontime internal medicine residency educational conferences. Competing Interests: Conflict of interest: The authors declare they have no competing interests. |
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| تواريخ الأحداث: | Date Created: 20230626 Date Completed: 20230628 Latest Revision: 20230701 |
| رمز التحديث: | 20240628 |
| مُعرف محوري في PubMed: | PMC10286935 |
| DOI: | 10.4300/JGME-D-22-00443.1 |
| PMID: | 37363675 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1949-8357 |
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| DOI: | 10.4300/JGME-D-22-00443.1 |