在医学院学习社区中塑造反种族主义讨论的上下文因素的定性分析:一个活动理论分析
Maria Alonso Luaces1, Kristina M Bridges1, Natabhona M Mabachi1,2
1Department of Family Medicine and Community Health, University of Kansas Medical Center, Kansas City, KS, USA.
Journal of medical education and curricular development
|September 29, 2025
概括
医疗教育需要解决结构性种族主义,而不仅仅是个人因素,以减少健康不平等. 发展结构性能力培训对于未来的医疗保健提供者来说至关重要,以了解和应对这些系统性问题.
科学领域:
- 医学教育 医学教育
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 卫生不平等问题往往以个人为重点讨论,而忽视了系统性种族主义的影响.
- 结构性能力对于医疗保健专业人员来说至关重要,以分析结构性种族主义是如何导致健康差异的.
研究的目的:
- 探索医学学生和教师对结构性能力和医学教育中的结构性种族主义讨论的看法.
- 确定将结构能力纳入医学课程中的挑战和机遇.
主要方法:
- 焦点小组与56名医学学生和采访与9个教师在一个学术医疗中心.
- 活动理论框架用于分析影响种族和健康不平等讨论的环境因素.
主要成果:
- 关于结构性能力作为课程成果,课程偏见和教师不适/专业知识的紧张关系.
- 突出了确定促进讨论和优先考虑知识类型的责任的挑战.
结论:
- 结果将指导创建教育工具和教师支持教学结构能力的教学.
- 加强结构性能力教育对于解决医疗培训中的健康差异至关重要.
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