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A Framework for Antiracist Curriculum Changes in Nephrology Education.

Paloma Orozco Scott1, Jerrel L Catlett1, Carina Seah1

  • 1Icahn School of Medicine at Mount Sinai, New York, NY.

Advances in Chronic Kidney Disease
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Structural racism impacts kidney disease disparities. This study offers a framework to critically evaluate race in nephrology research and education, promoting evidence-based practices and rejecting harmful interpretations.

Keywords:
Anti-racismCurriculumEducationJusticePedagogy

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Area of Science:

  • Nephrology
  • Health Disparities
  • Anti-racist Research Methods

Background:

  • Persistent racial health disparities exist in kidney disease.
  • Structural racism significantly influences clinical practice and medical education in nephrology.
  • Current understanding and articulation of race in medical contexts are often flawed.

Purpose of the Study:

  • To provide guidance on critically appraising and revising nephrology literature and curricula through an anti-racist lens.
  • To ensure race is discussed with evidence-based rationale, not as a proxy for other factors.
  • To address the lack of frameworks for implementing anti-racist changes in medical education and practice.

Main Methods:

  • Proposing an inquiry-based framework.
  • Utilizing case-study examples for practical application.
  • Guiding readers to recognize improper use of race and assess readiness for change.

Main Results:

  • The framework aids in identifying the misuse of race in nephrology.
  • It facilitates assessment of institutional and personal readiness for content revision.
  • It supports the generation of materials grounded in evidence, countering harmful racial misinterpretations.

Conclusions:

  • Addressing racial disparities in kidney disease requires confronting structural racism in practice and education.
  • An anti-racist approach to understanding and articulating race is crucial for equitable healthcare.
  • The proposed framework offers a practical tool for revising nephrology content to be evidence-based and equitable.