Guidance on Conversations About Race and Racism in Pediatric Clinical Settings

Area of Science:

• Child Health
• Social Determinants of Health
• Medical Education

Background:

• Race and racism significantly impact child health and well-being.
• Pediatric clinical settings are crucial for addressing these impacts.
• Guidance is needed for clinicians to effectively discuss race and racism with pediatric patients.

Purpose of the Study:

• To develop evidence-based guidance for pediatric clinicians on discussing race and racism.
• To establish principles for navigating these sensitive conversations in clinical practice.

Main Methods:

• A modified Delphi study involving pediatric clinicians, psychologists, parents, and adolescents.
• Qualitative coding of open-ended survey responses on discussing race and racism with youth.
• Iterative surveys to reach consensus on key themes and concepts for these discussions.

Main Results:

• Consensus reached on concepts for pediatric clinicians to consider before, during, and after discussions on race and racism.
• Agreement that discussing race and racism is within the pediatric clinician's role.
• Key themes include understanding systemic racism, active listening, learning from patients, and addressing intersectionality.

Conclusions:

• Developed principles can guide pediatric clinicians in discussing race and racism.
• Equips clinicians with tools to provide care that acknowledges and addresses racism.
• Highlights the importance of adequate clinician training to prevent potential harm.