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GHEARD: An Open-Access Modular Curriculum to Incorporate Equity, Anti-Racism, and Decolonization Training Into Global
Amy R L Rule1, Heather A Haq2, Adelaide Barnes3
1is an Assistant Professor of Pediatrics, Emory University School of Medicine, and Attending Pediatrician, Divisions of Neonatology and Hospital Medicine, Emergency Medicine Children's Healthcare of Atlanta, Atlanta, Georgia, USA.
A new Global Health Education for Equity, Anti-Racism, and Decolonization (GHEARD) curriculum effectively trains graduate medical trainees in decolonization. This accessible curriculum promotes critical reflection on global health engagement and its historical impacts.
Area of Science:
- Medical Education
- Global Health Equity
- Anti-Racism Initiatives
Background:
- Growing interest in global health (GH) among graduate medical education (GME) trainees.
- Challenges in GH engagement due to colonization and racism, with a lack of targeted training.
- Need for educational tools to address systemic inequities in global health.
Purpose of the Study:
- To develop a modular, open-access curriculum for decolonizing global health GME.
- To evaluate the feasibility and impact of this curriculum on trainees' critical reflection.
- To equip GME trainees with skills to confront colonization and racism in global health.
Main Methods:
- Curriculum development using Kern's 6-step model by 40 diverse GH educators (2019-2022).
- Incorporation of transformative learning and trauma-informed approaches into 8 modules.
- Peer review and pilot testing across national conferences and institutions.
Main Results:
- Demonstrated feasibility for GME implementation with enhanced facilitator tools.
- High trainee-reported effectiveness (97%) in encouraging reflection on decolonization.
- Significant trainee engagement (72%) in reflecting on motivations for GH involvement.
Conclusions:
- The Global Health Education for Equity, Anti-Racism, and Decolonization (GHEARD) curriculum is the first comprehensive decolonization resource for GME.
- Program evaluation confirms GHEARD's feasibility and effectiveness in fostering critical reflection.
- GHEARD serves as a vital, free online resource for advancing equity in global health education.
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