解决健康公平教育的差距:对长线GME课程的定性分析
Elaine De Leon1,2,3, Katherine Otto Chebly4, Blen Girmay5
1Institute for Excellence in Health Equity, New York University Grossman School of Medicine, New York, NY, USA. elaine.deleon@nyulangone.org.
Journal of general internal medicine
|April 17, 2025
概括
这项研究发现,研究生医学教育 (GME) 中的一系列反种族主义会议提供了一个心理安全的格式,但缺乏可行的策略. 居民报告了个人和专业的成长,强调了在反种族主义培训中需要更实际的应用.
科学领域:
- 医学教育 医学教育
- 健康的社会决定因素
- 健康 公平 卫生 公平
背景情况:
- 研究生医学教育 (GME) 往往缺乏全面的反种族主义培训.
- 现有的多样性,公平性和包容性计划很少教授可行的反种族主义策略.
- 需要了解GME中反种族主义课程的影响.
研究的目的:
- 评价一系列针对内科医生进行的长度反种族主义会议的形式,内容和影响.
- 在GME中制定基于证据的反种族主义课程.
- 评估住院医生对反种族主义课程对专业和个人发展的影响的观点.
主要方法:
- 为内部医学实习生提供为期八个会议的虚拟反种族主义会议系列的定性分析.
- 志愿,半结构化的焦点小组,有17/30 (57%) 的居民参与.
- 构造主义的基础理论用于分析居民对格式,内容和影响的反.
主要成果:
- 参与者认为反种族主义系列会议在心理上是安全的.
- 居民希望在课程内容中采取更多面向外的行动步骤.
- 参与者报告了个人和职业影响在内部,人际和机构领域.
结论:
- 反种族主义课程为讨论系统性种族主义和患者护理提供了一个安全的空间.
- 需要在GME反种族主义培训中制定更多以行动为导向的战略.
- 该课程的影响是多维的,建议未来通过模拟或观察进行研究.
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