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Exploring Racism and Health: An Intensive Interactive Session for Medical Students.

Michelle DallaPiazza1, Mercedes Padilla-Register2, Megana Dwarakanath3

  • 1Assistant Professor, Department of Medicine, Division of Infectious Diseases, Rutgers New Jersey Medical School.

Mededportal : the Journal of Teaching and Learning Resources
|February 26, 2019
PubMed
Summary

Medical students reported increased awareness of racism's health impacts after a new educational session. The case-based small-group discussions were particularly effective for learning about racism.

Keywords:
African AmericanAmerican Indian/Alaska NativeBiasHealth Care DisparitiesRacismSocial Determinants of Health

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Area of Science:

  • Medical Education
  • Health Equity
  • Social Justice

Background:

  • Growing evidence links racism to adverse health outcomes.
  • There is a recognized need for enhanced racism education among healthcare professionals.

Purpose of the Study:

  • To develop and implement a novel educational session on racism for first-year medical students.
  • To assess the effectiveness of this session in increasing awareness of racism's impact on health.

Main Methods:

  • A mandatory educational session combining a lecture and case-based small-group discussions was delivered to 536 first-year medical students over three academic years (2016-2019).
  • Curriculum development involved collaboration between faculty and students.
  • Small-group discussions (10-12 students) were facilitated by upper-level students.

Main Results:

  • The majority of student evaluations indicated the session met its objectives.
  • Many students reported an enhanced understanding of how racism influences health.
  • Small-group activities were highlighted as particularly impactful for learning.

Conclusions:

  • Active student participation in curriculum design and facilitation was key to student engagement.
  • Future efforts will focus on integrating content on bias, stereotyping, and health disparities into clinical training.