Simulation for diversity, equity and inclusion in emergency medicine residency training: A qualitative study

Author:

Nadir Nur‐Ain12ORCID,Winfield Ashlea3,Bentley Suzanne45ORCID,Hock Sara M.6ORCID,Backster Anika7,Bradby Cassandra8ORCID,Rotoli Jason9ORCID,Jones Nathaniel10ORCID,Falk Michael11

Affiliation:

1. Department of Emergency Medicine Kaiser Permanente Central Valley Modesto California USA

2. Department of Clinical Science Kaiser Permanente Bernard Tyson School of Medicine Pasadena California USA

3. Cook County Hospital Chicago Illinois USA

4. Emergency Medicine and Medical Education Icahn School of Medicine at Mount Sinai New York City New York USA

5. Emergency Medicine Elmhurst Hospital Center Elmhurst New York USA

6. Emergency Medicine Rush University Medical Center Chicago Illinois USA

7. Emergency Medicine Emory University Atlanta Georgia USA

8. Emergency Medicine East Carolina University Greenville North Carolina USA

9. Emergency Medicine University of Rochester Medical Center Rochester New York USA

10. The Children's Hospital of Philadelphia Philadelphia Pennsylvania USA

11. Pediatric Emergency Medicine Children's National Medical Center Washington District of Columbia USA

Abstract

AbstractBackgroundThe last few years have seen an increased focus on diversity, equity, and inclusion (DEI) initiatives across organizations. Simulation has been used in varying degrees for teaching about DEI topics with emergency medicine; however, there are no established best practices or guidelines on this subject. To further examine the use of simulation for DEI teachings, the DEISIM work group was created as a collaboration between the Society of Academic Emergency Medicine (SAEM) Simulation Academy and the Academy for Diversity and Inclusion in Emergency Medicine (ADIEM). This study represents their findings.MethodThis qualitative study was conducted using a three‐pronged approach. Initial literature search was conducted followed by a call for submission of simulation curricula. These were then followed by five focus groups. Focus groups were recorded, transcribed by a professional transcription service, and then subjected to thematic analysis.ResultsData were analyzed and organized into four broad categories including Learners, Facilitators, Organizational/Leadership, and Technical Issues. Challenges within each of these were identified, as were potential solutions. Select pertinent findings included focused faculty development, a carefully planned approach that utilized DEI content experts and the use of simulation for workplace microaggressions or discriminations.ConclusionsThere appears to be a clear role for simulation in DEI teachings. Such curricula, however, should be undertaken with careful planning and input from appropriate and representative parties. More research is needed on optimizing and standardizing simulation‐based DEI curricula.

Publisher

Wiley

Subject

Emergency Nursing,Education,Emergency Medicine

Reference38 articles.

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3. Call to action in academic emergency medicine: going beyond the appreciation of diversity, equity, and inclusion to true practice;Landry A;AEM Educ Train,2021

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