一个反种族主义和公平倡议改善了居住教育会议的教育会议
Aisha K James1, Madeleine I Matthiesen2, Rashmi Jasrasaria3
1is a Primary Care Physician, Director for Racial Justice in Medicine, Department of Medicine, and Associate Director, Diversity, Equity, and Inclusion Committee, Department of Pediatrics, Massachusetts General Hospital (MGH) and Massachusetts General Hospital for Children (MGfC), and Instructor in Medicine, Harvard Medical School (HMS).
Journal of graduate medical education
|June 26, 2023
概括
实施医学部反种族主义和公平 (DARE) 倡议改善了医学教育内容. 培训教练在住院会议上加强了反种族主义和公平,解决了健康差异.
科学领域:
- 医学教育 医学教育
- 健康 公平 卫生 公平
- 反种族主义培训
背景情况:
- 医学教育课程可以延续系统不平等和偏见,导致健康差异.
- 需要采取干预措施,提高学员对偏见和医疗保健不平等的认识.
研究的目的:
- 通过实施医学部反种族主义和公平 (DARE) 倡议,增强内科住院会议的内容.
- 改善核心中午教育会议中的反种族主义和平等内容.
主要方法:
- 从现有的反种族主义和公平教育材料中开发了DARE的最佳实践.
- 训练有素的志愿者实习生和教师来指导其他教师将DARE最佳实践纳入会议内容.
- 利用基于DARE实践的标题来比较干预前后的会议内容.
主要成果:
- 使用DARE最佳实践的辅导在居住会议中显著增加了反种族主义和公平内容 (平均分数从0.16增加到1.38,P=.001).
- 75%的会议表现出改善,包括增加视觉多样性,讨论参与者人口统计,在案例研究中适当使用种族,以及解决种族主义对健康差异的影响.
结论:
- 培训教练实施DARE最佳实践有效地改善了内部医学住院教育会议的反种族主义和公平内容.
- 达尔倡议是提高包容性和解决研究生医学教育偏见的成功模式.
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