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Evaluation of a Longitudinal Health Equity Curriculum: A Pilot Initiative for Advancing Inclusive Medical Education
Naseem Alammar1, Yadira Rivera-Sanchez2, Kelli Martinez1
1Division of Pediatric Hospital Medicine, University of Texas Southwestern Medical Center and Children's Health, Dallas, Texas, US.
Journal of Medical Education and Curricular Development
|August 12, 2026
Summary
A pilot health equity curriculum improved pediatric fellows' knowledge and comfort with equity concepts. This training is crucial for graduate medical education (GME) to address persistent health inequities in practice.
Area of Science:
- Medical Education
- Health Equity Research
- Pediatric Hospital Medicine
Background:
- Graduate medical education (GME) programs often lack structured health equity training, despite Accreditation Council for Graduate Medical Education (ACGME) requirements.
- Persistent health inequities highlight the need for comprehensive health equity education within GME.
Purpose of the Study:
- To design and pilot a longitudinal health equity curriculum for pediatric fellows.
- To enhance fellows' knowledge, beliefs, and comfort regarding health equity concepts.
Main Methods:
- A two-phase pilot study using Kern's six-step model for curriculum development.
- Four interactive, 60-minute sessions were delivered to pediatric hospital medicine (PHM) fellows.
- Pre- and post-session surveys assessed changes in knowledge, beliefs, and comfort.
Main Results:
- All participants (100%) completed pre- and post-surveys, reporting improved knowledge, beliefs, and comfort across all sessions.
- Phase II replication cohort showed similar improvements, with participants shifting from neutral/disagree to agree responses.
- Measurable improvements in understanding health equity concepts were observed in both phases.
Conclusions:
- A piloted longitudinal health equity curriculum demonstrated measurable improvements in understanding health equity concepts.
- Findings support integrating longitudinal health equity education into GME programs.
- Enhanced training can better equip physicians to address health inequities in clinical practice.
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