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Family Medicine Resident Perceptions on Racial Justice Training in Residency: A CERA Study.

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  • 1University of Utah Department of Family and Preventive Medicine, Salt Lake City, UT.

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Few family medicine residency programs offer comprehensive racial justice training (RJT), despite its recognition as an educational priority. Barriers include limited curricular time and faculty preparedness, hindering efforts to combat structural racism in healthcare.

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Area of Science:

  • Medical Education
  • Public Health
  • Health Equity

Background:

  • Structural racism significantly contributes to health disparities.
  • Family medicine residency programs acknowledge the need to address race in medicine.
  • The extent of established racial justice training (RJT) in these programs is not well-defined.

Purpose of the Study:

  • To investigate the current status of RJT in family medicine residency programs.
  • To examine residents' perspectives on RJT implementation and barriers.
  • To gather resident recommendations for improving RJT.

Main Methods:

  • Utilized data from the Council of Academic Family Medicine Educational Research Alliance (CERA) 2021 national survey.
  • Surveyed family medicine residents (n=266) on RJT, implementation barriers, and proposed solutions.
  • Analyzed resident responses regarding educational priorities and curriculum structure.

Main Results:

  • A high percentage of residents (91.5%) and programs (65.0%) consider addressing racism a priority.
  • Only 17.3% of programs offer a longitudinal RJT curriculum.
  • Residents receiving RJT were more likely to be in communities of color (P=.03).

Conclusions:

  • RJT implementation in family medicine residencies falls short of resident expectations.
  • Key barriers include insufficient curricular time and inadequate faculty training.
  • Implementing RJT requires strategic approaches to overcome these obstacles and address structural racism.