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Self-reflection in multicultural training: be careful what you ask for.
Jann L Murray-García1, Steven Harrell, Jorge A García
1Center for Health Services Research in Primary Care, University of California, Davis, California, USA.
Summary
Self-reflection on racial identity is key for medical trainees to provide equitable healthcare. Understanding racial identity development helps educators support trainees and foster inclusive medical practices for diverse populations.
Area of Science:
- Medical Education
- Psychology
- Health Equity
Background:
- Self-reflection in multicultural education is crucial for developing self-awareness and improving professional behavior.
- Racial identity theory provides a framework for understanding diverse reactions to educational interventions.
- Addressing racism and promoting equity in healthcare delivery are critical goals.
Purpose of the Study:
- To apply racial identity theory to understand and support white physician trainees.
- To explore how medical educators can effectively engage trainees resistant to discussions on racism and equity.
- To demonstrate how self-reflection can improve healthcare for diverse populations.
Main Methods:
- Application of racial identity theory to case examples of white physician trainees.
- Analysis of trainee reactions to discussions on race, racism, and healthcare equity.
- Guidance for medical educators on supporting trainee development and institutional change.
Main Results:
- Racial identity theory helps explain varied trainee responses, including resistance or indifference.
- Educators can strategically support trainees by understanding their developmental phases.
- Creating a supportive institutional climate is vital for trainee change processes.
Conclusions:
- Genuine self-reflection, informed by racial identity theory, can significantly enhance healthcare delivery to diverse populations.
- Medical educators must anticipate and address trainee needs and institutional factors to foster professional growth.
- This approach supports the development of more equitable healthcare practices.