Longitudinal Antiracism Training for Family Medicine Residency Faculty.

PRiMER (Leawood, Kan.) Pub Date : 2023-12-15 eCollection Date: 2023-01-01 DOI:10.22454/PRiMER.2023.351932
Charity Lehn, Harriet Huang, Aline Hansen-Guzman, Amelia Challender, Heather Bleacher, Kimberly Wiggins, Cleveland Piggott, Elizabeth Kvach
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Abstract

Introduction: Medical educators have often perpetuated misunderstandings about race-based medicine and at times failed to create safe educational environments for diverse learners who frequently experience mistreatment. It is imperative that family medicine faculty be equipped to recognize and mitigate bias and inequities in our teaching, research, and clinical care.

Methods: Our residency formed a diversity, equity, inclusion, and antiracism (DEIA) faculty work group to address the need for faculty training. We developed and administered a 32-item needs assessment survey in 2020 to determine gaps in antiracist knowledge and skills among our faculty members. Over the following year, faculty members designed and implemented a series of faculty training sessions including a half-day faculty retreat to address the highest need areas. We reassessed faculty confidence and skills using a follow-up survey in 2021.

Results: Faculty respondents demonstrated increased confidence in their knowledge of various DEIA topics and ability to intervene when observing biased or culturally insensitive behaviors from colleagues. Participants also reported increased confidence in their ability to mitigate bias in their teaching and clinical work.

Conclusions: Our longitudinal DEIA faculty training series, embedded into the existing structure of the residency, resulted in improvements in DEIA-related confidence and skills among faculty members. This training model could be adapted to a variety of residency settings as one step toward dismantling racism in medical education and clinical practice.

对全科住院医师进行纵向反种族主义培训。
导言:医学教育工作者经常对种族医学产生误解,有时未能为经常遭受虐待的不同学习者创造安全的教育环境。当务之急是,全科医学教师必须具备在教学、研究和临床护理中识别并减少偏见和不平等现象的能力:我们的住院医师团队成立了一个多样性、公平、包容和反种族主义(DEIA)教师工作组,以满足教师培训的需求。我们在 2020 年制定并实施了一项包含 32 个项目的需求评估调查,以确定我们的教职员工在反种族主义知识和技能方面存在的差距。在接下来的一年里,教职员工设计并实施了一系列教职员工培训课程,包括为期半天的教职员工务虚会,以解决需求最大的领域。2021 年,我们通过后续调查对教职员工的信心和技能进行了重新评估:结果:教职员工受访者表示,他们对 DEIA 各项主题的了解以及在观察到同事的偏见或文化敏感行为时进行干预的能力都增强了信心。参与者还表示,他们对自己在教学和临床工作中减少偏见的能力有了更强的信心:我们的纵向 DEIA 师资培训系列融入了现有的住院医师培训结构,提高了教师在 DEIA 相关方面的信心和技能。这种培训模式可适用于各种住院医师培训,是消除医学教育和临床实践中的种族主义的一个步骤。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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