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Developing a Medical School Curriculum on Racism: Multidisciplinary, Multiracial Conversations Informed by Public

Rachel R Hardeman1, Diana Burgess2,3, Katy Murphy4

  • 1Division of Health Policy & Management, University of Minnesota School of Public Health, Minneapolis, MN.

Ethnicity & Disease
|August 18, 2018
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Summary

Healthcare professionals need effective strategies to discuss racism. This study developed an intervention using Public Health Critical Race Praxis (PHCRP), revealing insights into dialogues across racial and privilege lines.

Keywords:
Medical EducationMultiracial ConversationsPublic Health Critical Race PraxisRacism

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Area of Science:

  • Public Health
  • Medical Education
  • Social Justice

Background:

  • Racism significantly impacts health outcomes.
  • Healthcare professionals require tools to address racism.
  • Difficult conversations about racism are crucial in healthcare settings.

Purpose of the Study:

  • To develop and pilot an intervention promoting effective dialogues on racism.
  • To train first-year medical students at the University of Minnesota Medical School.
  • To address the influence of racism within healthcare.

Main Methods:

  • Employed a Public Health Critical Race Praxis (PHCRP) methodology.
  • Conducted a two-phase project with a multidisciplinary, multi-racial group of professionals.
  • Analyzed meeting notes and reflections using an inductive approach.

Main Results:

  • Phase I (minority groups) described early meetings as 'powerful' and allowing them to 'bring their full selves'.
  • Phase II (including White colleagues) saw a shift in dynamics, with minority voices becoming 'quieter' and increased conflict.
  • The intervention development process yielded insights into discussing racism among individuals with and without privilege.

Conclusions:

  • Employing PHCRP provided new understandings of discussing racism between marginalized groups and those with privilege.
  • The intervention development process generated strategies for advancing conversations on racial equity in healthcare.
  • Effective dialogue on racism is essential for healthcare professionals to combat its influence on health.