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The Impact of Racism on Health: A Health Equity Training on Structural Racism for Military Residents and Fellows
Veronica Wright1, Emily Stepp2, Brittany Flemming3
1Fourth-Year Resident, Department of Medicine & Department of Psychiatry, Walter Reed National Military Medical Center.
A new curriculum improved military medical residents' understanding of how structural racism impacts health. This training is crucial for physicians addressing health disparities in military healthcare.
Area of Science:
- Medical Education
- Health Equity
- Public Health
Background:
- Military graduate medical education (GME) requires enhanced focus on health equity.
- A resident-led curriculum was developed to address structural racism and health disparities within a military cultural competency framework.
Purpose of the Study:
- To introduce health equity concepts, specifically structural racism, to military GME trainees.
- To assess the effectiveness of a novel module on structural racism and health disparities.
Main Methods:
- A 60-minute interactive module, "The Impact of Racism on Health," was presented to pediatric and ear, nose, and throat (ENT) residents and fellows.
- The module incorporated case presentations, large-group discussions on social determinants of health, and small-group debriefs.
Main Results:
- Participants showed statistically significant improvement in knowledge of structural racism (p = .005).
- Pretest scores averaged 0.5 (SD=0.3), while posttest scores averaged 0.7 (SD=0.1), with a small effect size (r=0.4).
Conclusions:
- Interactive teaching methods effectively educate military GME trainees about structural racism's health impacts.
- Understanding structural racism within military healthcare is vital for physicians addressing systemic health disparities.
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