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Antiracism in Residency: A Multimethod Intervention to Increase Racial Diversity in a Community-Based Residency
Jessica Guh1, Collette R Harris2, Patricia Martinez2
1Swedish Family Medicine Residency, Cherry Hill, Family Medicine Residency Network at University of Washington, Seattle, WA.
A family medicine residency program successfully boosted racial diversity in its residents and faculty through a comprehensive initiative. This program addressed health inequity by prioritizing diversity and implementing an antiracism curriculum.
Area of Science:
- Medical Education
- Health Equity Research
- Diversity and Inclusion in Medicine
Background:
- Racial health inequity necessitates a more diverse physician workforce and leadership.
- A community-based family medicine residency program aimed to enhance racial diversity among its residents and faculty.
- Addressing systemic racism is crucial for achieving health equity.
Purpose of the Study:
- To describe and report on the outcomes of a comprehensive diversity initiative.
- To increase the racial diversity of residents and faculty within a family medicine residency program.
- To evaluate the impact of a multifaceted diversity strategy on workforce composition.
Main Methods:
- Implementation of a multifaceted diversity initiative at a community-based family medicine residency.
- Key components included revising the mission statement, establishing a diversity task force, and introducing an antiracism curriculum.
- An ongoing system was developed to systematically evaluate progress and outcomes.
Main Results:
- The proportion of residents identifying as persons of color significantly increased from 28% (2014) to 68% (2017).
- Faculty diversity also saw substantial growth, rising from 9% to 27% during the same period.
- The initiative demonstrated a dramatic increase in underrepresented and minority individuals within the residency program.
Conclusions:
- The multimethod diversity initiative was highly effective in increasing racial and ethnic diversity.
- Sustained commitment from leadership and dedicated resources were critical to the initiative's success.
- Prioritizing diversity and actively addressing racism at an institutional level are key to achieving equitable outcomes.
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