An Anti-Racism and Equity Initiative Improves Residency Educational Conferences

Author:

James Aisha K.1,Matthiesen Madeleine I.2ORCID,Jasrasaria Rashmi3ORCID,Jowell Amanda R.4ORCID,Kelly Michael S.5ORCID,Vyas Darshali A.6ORCID,Zeidman Jessica A.7ORCID,Burnett-Bowie Sherri-Ann M.8ORCID

Affiliation:

1. Aisha K. James, MD, MEd, * 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)

2. Madeleine I. Matthiesen, MD, * is a Hospitalist and Associate Program Director, Internal Medicine and Pediatrics Residency Program, MGH and MGfC, and Instructor in Medicine, HMS

3. Rashmi Jasrasaria, MD, is a Primary Care Physician and Associate Director, Center for Immigrant Health, MGH, and Instructor in Medicine, HMS

4. Amanda R. Jowell, BA, is a Fourth-Year Medical Student, HMS

5. Michael S. Kelly, MD, is a PGY-5 Resident, MGH and MGfC

6. Darshali A. Vyas, MD, is a PGY-4 Pulmonary and Critical Care Fellow, MGH

7. Jessica A. Zeidman, MD, is a Primary Care Physician and Primary Care Program Director, Department of Medicine, MGH, and Instructor in Medicine, HMS

8. Sherri-Ann M. Burnett-Bowie, MD, MPH, 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

Abstract

ABSTRACT 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.

Publisher

Journal of Graduate Medical Education

Subject

General Medicine,Education

Cited by 2 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3