Grounded in Justice: An Equity Framework for Chief Residents

Area of Science:

• Medical Education
• Public Health
• Healthcare Leadership

Background:

• The 2019-2020 academic year presented unique challenges due to the COVID-19 pandemic and heightened awareness of racial and social injustice in the US.
• Chief residents, as key leaders in medical training programs, had to adapt their roles to address these complex issues.

Purpose of the Study:

• To reflect on the experiences of former chief residents in leading medical education programs during a period of significant social and public health crises.
• To describe a practical framework for integrating principles of equity and justice into the chief resident role.
• To advocate for the reconceptualization of the chief resident position to encompass diversity, equity, and inclusion (DEI) initiatives.

Main Methods:

• Qualitative reflection by former chief residents on their leadership experiences.
• Development of a framework based on practical application in residency programs.
• Analysis of key areas of chief resident responsibility, including program culture, education, resident well-being, quality improvement, and institutional change.

Main Results:

• A comprehensive framework was established for chief residents to foster equity and justice within medical residency programs.
• Key components of the framework include setting program tone, delivering inclusive medical education, advocating for resident well-being, and engaging in quality improvement and policy.
• The study highlights the critical role of chief residents in driving institutional change and promoting DEI.

Conclusions:

• The chief resident role can and should be expanded to actively include diversity, equity, and inclusion (DEI) work.
• Implementing an equity- and justice-grounded approach is essential for shaping a more inclusive and equitable future in medicine.
• This reconceptualization is vital for addressing systemic issues within healthcare education and practice.