Antiracist Curriculum Implementation for Pediatric Residents

Area of Science:

• Medical Education
• Public Health
• Social Determinants of Health

Background:

• Racism is a recognized public health crisis requiring focused attention in medical training.
• There is a growing need for antiracist approaches within healthcare systems.
• Pediatric residency programs are critical for shaping future physician practices.

Purpose of the Study:

• To evaluate the impact of a longitudinal antiracist curriculum on pediatric residents.
• To assess changes in awareness, knowledge, clinical skills, and advocacy behaviors related to racism in healthcare.
• To provide a model for integrating antiracism education into medical residency programs.

Main Methods:

• A single-center, longitudinal antiracist curriculum was delivered to pediatric residents.
• Pre- and post-surveys assessed awareness of structural racism, knowledge of health inequities, clinical skills, and advocacy behaviors.
• Statistical tests (McNemar, Wilcoxon signed-rank) compared pre- and post-implementation measures.

Main Results:

• Significant increases in awareness were observed across multiple domains, including healthcare, employment, and housing.
• Mean knowledge scores and self-reported clinical skills significantly improved post-curriculum.
• Individual advocacy behaviors increased, while institutional advocacy behaviors showed no significant change.

Conclusions:

• The novel antiracist curriculum effectively improved key educational constructs among pediatric residents.
• The findings support the integration of antiracism education to address health inequities.
• Ongoing efforts are focused on scaling, sustaining, and refining this educational model.