本科医学教育中的反种族主义课程:一个范围审查
Dhanesh D Binda1,2, Alexandria Kraus1,3, Laurence Gariépy-Assal1,4
1Master of Medical Sciences in Medical Education Program, Harvard Medical School, Boston, MA, USA.
Medical teacher
|March 3, 2024
概括
这项审查发现,在本科医学教育 (UME) 中,越来越多的反种族主义课程. 然而,没有,有.
科学领域:
- 医疗教育 医学教育
- 健康 公平 卫生 公平
- 健康的社会决定因素
背景情况:
- 越来越多的人关注系统性种族主义对美国和全球卫生不平等的影响.
- 越来越多的医疗教育者要求教导反种族主义原则和做法.
- 需要为未来的医疗保健专业人员提供装备,以培养反种族主义环境.
研究的目的:
- 对本科医学教育 (UME) 中的反种族主义课程现有文献进行范围审查.
- 评估这些反种族主义课程的实施和评估策略.
- 识别差距,并为制定未来的UME反种族主义倡议提供考虑.
主要方法:
- 在Ovid,Embase,ERIC,Web of Science和MedEdPORTAL数据库中搜索了UME的反种族主义出版物.
- 包括专注于UME反种族主义课程的文章;不包括没有课程的非英语文章.
- 利用Kirkpatrick和Miller的模型,以及Sotto-Santiago的数据提取和合成框架.
主要成果:
- 20个出版物符合纳入标准,其中90%是在过去五年出版的.
- 常见的干预措施包括讲座,多媒体和小组讨论;调查是主要的评估工具.
- 学习者跨越了医学院的所有四年.
结论:
- 人们越来越关注UME的反种族主义,最近出版物激增.
- 关于行为变化和反种族主义技能的实际应用的公布评估存在重大差距.
- 建议包括对反种族主义的明确定义和纵向学习和评估的整合.
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