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Learner Reactions to Activities Exploring Racism as a Social Determinant of Health.
Syeachia N Dennis1, Rachel S Gold2, Frances K Wen1
1University of Oklahoma-University of Tulsa School of Community Medicine, Department of Family and Community Medicine, Tulsa, OK.
Health professional education is integrating racism as a social determinant of health (SDOH). Learners in residency and leadership programs responded positively to sessions on structural, personally-mediated, and internalized racism.
Area of Science:
- Medical Education
- Public Health
- Social Determinants of Health
Background:
- Racism significantly impacts health outcomes, necessitating its inclusion in health professional curricula.
- Educators face barriers like lack of expertise and fear of sensitive learner responses when teaching about racism.
- Understanding racism as a social determinant of health (SDOH) is crucial for future healthcare professionals.
Purpose of the Study:
- To describe learner responses to educational sessions on racism as an SDOH.
- To highlight structural, personally-mediated, and internalized racism within the curriculum.
- To assess the reception of sensitive topics related to racism in health professional training.
Main Methods:
- Two groups participated: a family and community medicine (FCM) residency (N=23) and a community health leadership program (N=14).
- Sessions included lectures, workshops on types of racism, and historical community tours.
- Mixed-methods evaluation used learner assessments and reflections.
Main Results:
- FCM sessions received high ratings (4.15-4.75 on a 5-point scale).
- Thematic analysis revealed improved understanding of racism among leadership program participants.
- Overall, participants reported positive experiences with the educational sessions.
Conclusions:
- Educational interventions on racism as an SDOH are well-received by learners, despite potential educator hesitations.
- This study provides a foundation for developing best practices in integrating racism education into medical and health leadership programs.
- Further research is recommended to refine curriculum integration strategies for medical schools and residency settings.
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