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Related Experiment Video

Updated: Aug 1, 2025

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Antiracist Curriculum Implementation for Pediatric Residents.

Nicholas Szoko1, Braveen Ragunanthan2, Ana Radovic1

  • 1Division of Adolescent and Young Adult Medicine, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA, USA.

Journal of Medical Education and Curricular Development
|May 1, 2023
PubMed
Summary

A new antiracism curriculum improved pediatric residents' awareness of structural racism and health inequities. The training also enhanced clinical skills and individual advocacy behaviors, though institutional advocacy showed no change.

Keywords:
Antiracismadvocacycurriculum developmentpediatrics

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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.