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Beyond the Surface: Exploring How Racism, Disconnectedness and Exclusion Shape Faculty Engagement in Continued

Udoka Okpalauwaekwe1, Carla Holinaty2, Tom Smith-Windsor3

  • 1Department of Family Medicine, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, S7M 3Y5, Canada. udokaokpala.uo@usask.ca.

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Summary
This summary is machine-generated.

Continuing Professional Development (CPD) participation is low among racialized physicians due to exclusion and identity harms. Reimagining CPD as a psychologically safe, inclusive space is crucial for equitable physician engagement.

Keywords:
Belonging and social identityContinuing medical education (CME)Continuing professional development (CPD)DisconnectednessDiscriminationFaculty developmentRacism

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Area of Science:

  • Medical Education Research
  • Social Psychology in Medicine
  • Physician Workforce Studies

Background:

  • Continuing Professional Development (CPD) is vital for physician competency.
  • Low participation in university CPD, especially among racialized physicians, is a concern.
  • Previous research identified racism and exclusion as barriers to CPD engagement.

Purpose of the Study:

  • To examine how exclusion and identity-based harms influence CPD engagement among physicians.
  • To apply Belongingness and Social Identity Theories to understand CPD participation barriers.
  • To explore the impact of unmet needs for belonging and identity affirmation on CPD engagement.

Main Methods:

  • Theory-informed sub-analysis of 34 interview and focus group transcripts from Saskatchewan physicians.
  • Participants represented diverse specialties and backgrounds across rural and urban settings.
  • Reflexive thematic analysis was employed to identify key themes.

Main Results:

  • CPD settings were perceived as sites of racialized othering and professional scrutiny.
  • Racialized physicians and International Medical Graduates experienced tokenistic inclusion without adequate support.
  • Withdrawal from CPD was a self-protective strategy against psychological fatigue and identity invalidation.

Conclusions:

  • Physician engagement in CPD is significantly influenced by emotional safety, institutional culture, and inclusion.
  • Current CPD programs risk alienating physicians if they do not foster inclusive environments.
  • Equitable CPD engagement requires embedding inclusion and representation as foundational design principles.