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CAEP 2021 Academic Symposium: recommendations for addressing racism and colonialism in emergency medicine
Jennifer M Bryan1, Sara Alavian2, Dawn Giffin3
1Division of Emergency Medicine, Department of Medicine, University of Toronto, Toronto, ON, Canada. Jennifer.Bryan@utoronto.ca.
Insights
This study offers 16 practical recommendations to combat racism and colonialism in Canadian emergency medicine. These steps aim to promote health equity for patients and improve professional development for physicians.
Area of Science:
- Medical Education
- Health Equity
- Emergency Medicine
Background:
- Racism and colonialism significantly affect health outcomes, physician advancement, professional development, and medical education in Canada.
- The Canadian Association of Emergency Physicians (CAEP) has pledged to address health inequities, particularly concerning racism.
Purpose of the Study:
- To develop actionable recommendations for mitigating the impacts of racism and colonialism within the field of emergency medicine in Canada.
Main Methods:
- A comprehensive approach involving a 40-member working group, literature review, community consultation, expert input, and a national survey of emergency physicians.
- Draft recommendations were presented and discussed at the 2021 CAEP Academic Symposium on Equity, Diversity, and Inclusion, with feedback gathered via post-session surveys.
Main Results:
- Sixteen distinct recommendations were formulated.
- These recommendations address critical areas including patient care, fostering commitment to Equity, Diversity, and Inclusion (EDI) within hospitals and departments, enhancing physician advancement, and improving professional development and medical education.
Conclusions:
- Emergency physicians play a pivotal role in advancing equity during patient encounters, interactions with colleagues, and in educating learners.
- The 16 recommendations provide practical strategies for the daily mitigation of racism and colonialism in emergency medicine settings.
Purpose:
Racism and colonialism impact health, physician advancement, professional development and medical education in Canada. The Canadian Association of Emergency Physicians (CAEP) has committed to addressing inequities in health in their recent statement on racism. The objective of this project was to develop recommendations for addressing racism and colonialism in emergency medicine.
Methods:
The authors, in collaboration with a 40 member working group, conducted a literature search, held a community consultation, solicited input from expert medical, academic and community advisors, conducted a national survey of emergency physicians, and presented draft recommendations at the 2021 CAEP Academic Symposium on Equity, Diversity and Inclusion for a live facilitated discussion with a post-session survey.
Results:
Sixteen recommendations were generated in the areas of patient care, hospital and departmental commitment to Equity, Diversity, and Inclusion, physician advancement, and professional development and medical education.
Conclusion:
Emergency physicians are uniquely positioned to promote equity at each encounter with patients, peers and learners. The 16 recommendations presented here are practical steps to countering racism and colonialism everyday in emergency medicine.
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