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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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A Reflection and Discussion Exercise on Racial Justice and Equity.

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  • 1is a Medical Student, Medical College of Wisconsin.

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Summary

Medical residents engaged in reflection and discussion on equity and injustice, finding it an effective method to foster dialogue on racism and privilege in graduate medical education.

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Area of Science:

  • Medical Education
  • Social Justice in Medicine
  • Diversity and Equity

Background:

  • Graduate medical education curricula often lack dedicated content on diversity and equity.
  • Residents possess valuable insights into these issues within their training.

Purpose of the Study:

  • To assess the feasibility and acceptability of a novel educational intervention.
  • To foster dialogue on equity and injustice in a residency program using the Black Lives Matter movement as a lens.

Main Methods:

  • A survey with reflection prompts was distributed to internal medicine residents (postgraduate year 2 and above).
  • Anonymized resident responses were presented during a facilitated group discussion.
  • Thematic analysis was used to analyze reflection responses; feasibility and acceptability were tracked.

Main Results:

  • 33% of residents responded to the survey.
  • Four main themes emerged: awareness, motivation for change, emotional response, and self-reflection.
  • Common codes included frustration, privilege, increased awareness of racism, and minimal life impact.

Conclusions:

  • Anonymous reflection and response sharing is a feasible and cost-effective method to initiate discussions on equity and injustice in medical training.
  • The intervention effectively promoted awareness and dialogue among residents regarding sensitive social issues in medicine.