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Combating Racism: Effects of a Longitudinal Community-Based Curriculum at the Graduate Medical Level.

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This study shows a longitudinal antiracism curriculum significantly improved Internal Medicine residents' awareness of racism and their advocacy skills. The curriculum is a valuable model for future graduate medical education.

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Area of Science:

  • Public Health
  • Medical Education
  • Social Justice

Background:

  • Racism is recognized as a public health crisis requiring action from healthcare providers.
  • While social determinants of health are in graduate medical education, longitudinal antiracism curricula are scarce.
  • This study addresses the need for effective antiracism training in medical residency programs.

Purpose of the Study:

  • To evaluate a longitudinal antiracism curriculum for Internal Medicine (IM) residents.
  • To assess if participation increases racism awareness and comfort with antiracist skills.
  • To provide a model for developing future antiracism educational initiatives.

Main Methods:

  • Four 1-hour didactic and three 45-minute small-group sessions were conducted for IM residents (2021-2022).
  • The curriculum focused on structural racism, health inequities, antiracist clinical skills, and advocacy, based on a regional racial inequality report.
  • Pre-postsurveys using the Antiracism Behavioral Inventory and Color-Blind Racial Attitudes scales measured changes in awareness and behaviors.

Main Results:

  • Statistically significant increases in racism awareness were observed, as indicated by Color-Blind Racial Attitudes scores (P < 0.001).
  • Participants showed significant improvement in recognizing racial privilege and blatant racial issues (P < 0.001).
  • A significant increase in individual advocacy behaviors was reported per the Antiracism Behavioral Inventory scores (P = 0.008).

Conclusions:

  • The community-based longitudinal antiracism curriculum effectively enhanced racism awareness and antiracist behaviors.
  • The findings suggest the curriculum is a viable model for graduate medical education.
  • This initiative can serve as a foundation for developing more comprehensive antiracism training in healthcare.