{"title":"在偏见中操作:外科住院医师文化能力课程回顾与系统变革呼吁。","authors":"","doi":"10.1016/j.jsurg.2024.06.004","DOIUrl":null,"url":null,"abstract":"<div><h3>BACKGROUND</h3><p>Several factors contribute to surgical outcome disparities, including structural racism and implicit bias. Research into how surgical residency programs intervene on Cultural Complications via education remains sparse. We review the literature for how surgical residency programs use education to combat staff and patient exposure to Cultural Complications.</p></div><div><h3>METHODS</h3><p>We searched PubMed, SCOPUS, and Google Scholar for curricula aimed at improving cultural competency in surgical residencies. OBGYN curricula were included. Non-US studies were excluded.</p></div><div><h3>RESULTS</h3><p>Studies were organized by intervention type: Didactic, Grand Rounds, and M&M. The most common interventions were Didactics, with Grand Rounds being the least common. Target measures improved anywhere from 20-88%.</p></div><div><h3>CONCLUSIONS</h3><p>The common types of cultural competency curricula are clear, and certain interventions show improvement in trainees’ education. Scarcity of data on these curricula does not necessarily indicate their lack of existence but does suggest additional research is needed into curricular interventions and how they may address cultural complications.</p></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":null,"pages":null},"PeriodicalIF":2.6000,"publicationDate":"2024-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Operating on A Bias: A Review of Cultural Competency Curricula in Surgical Residencies and a Call for Systemic Change\",\"authors\":\"\",\"doi\":\"10.1016/j.jsurg.2024.06.004\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>BACKGROUND</h3><p>Several factors contribute to surgical outcome disparities, including structural racism and implicit bias. Research into how surgical residency programs intervene on Cultural Complications via education remains sparse. We review the literature for how surgical residency programs use education to combat staff and patient exposure to Cultural Complications.</p></div><div><h3>METHODS</h3><p>We searched PubMed, SCOPUS, and Google Scholar for curricula aimed at improving cultural competency in surgical residencies. OBGYN curricula were included. Non-US studies were excluded.</p></div><div><h3>RESULTS</h3><p>Studies were organized by intervention type: Didactic, Grand Rounds, and M&M. The most common interventions were Didactics, with Grand Rounds being the least common. Target measures improved anywhere from 20-88%.</p></div><div><h3>CONCLUSIONS</h3><p>The common types of cultural competency curricula are clear, and certain interventions show improvement in trainees’ education. Scarcity of data on these curricula does not necessarily indicate their lack of existence but does suggest additional research is needed into curricular interventions and how they may address cultural complications.</p></div>\",\"PeriodicalId\":50033,\"journal\":{\"name\":\"Journal of Surgical Education\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.6000,\"publicationDate\":\"2024-06-29\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Surgical Education\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1931720424002733\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"EDUCATION, SCIENTIFIC DISCIPLINES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Surgical Education","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1931720424002733","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"EDUCATION, SCIENTIFIC DISCIPLINES","Score":null,"Total":0}
引用次数: 0
摘要
背景:造成手术结果差异的因素有很多,包括结构性种族主义和隐性偏见。关于外科住院医师培训项目如何通过教育干预文化并发症的研究仍然很少。我们回顾了有关外科住院医师培训项目如何利用教育消除员工和患者文化冲突的文献:我们在 PubMed、SCOPUS 和 Google Scholar 上搜索了旨在提高外科住院医师文化能力的课程。其中包括妇产科课程。结果:研究按干预类型分类:结果:研究按干预类型分类:讲授式、大讨论式和 M&M。最常见的干预方式是讲授法,而大讲堂是最不常见的干预方式。目标措施的改善率从 20% 到 88%不等:结论:文化胜任力课程的常见类型是明确的,某些干预措施显示出学员教育的改善。有关这些课程的数据稀少并不一定表明它们不存在,但确实表明需要对课程干预及其如何解决文化复杂性进行更多的研究。
Operating on A Bias: A Review of Cultural Competency Curricula in Surgical Residencies and a Call for Systemic Change
BACKGROUND
Several factors contribute to surgical outcome disparities, including structural racism and implicit bias. Research into how surgical residency programs intervene on Cultural Complications via education remains sparse. We review the literature for how surgical residency programs use education to combat staff and patient exposure to Cultural Complications.
METHODS
We searched PubMed, SCOPUS, and Google Scholar for curricula aimed at improving cultural competency in surgical residencies. OBGYN curricula were included. Non-US studies were excluded.
RESULTS
Studies were organized by intervention type: Didactic, Grand Rounds, and M&M. The most common interventions were Didactics, with Grand Rounds being the least common. Target measures improved anywhere from 20-88%.
CONCLUSIONS
The common types of cultural competency curricula are clear, and certain interventions show improvement in trainees’ education. Scarcity of data on these curricula does not necessarily indicate their lack of existence but does suggest additional research is needed into curricular interventions and how they may address cultural complications.
期刊介绍:
The Journal of Surgical Education (JSE) is dedicated to advancing the field of surgical education through original research. The journal publishes research articles in all surgical disciplines on topics relative to the education of surgical students, residents, and fellows, as well as practicing surgeons. Our readers look to JSE for timely, innovative research findings from the international surgical education community. As the official journal of the Association of Program Directors in Surgery (APDS), JSE publishes the proceedings of the annual APDS meeting held during Surgery Education Week.