Division of Health Policy & Management, University of Minnesota School of Public Health, Minneapolis, MN.
Center for Chronic Disease Outcomes Research, Veterans Affairs Health Care System, Minneapolis, MN.
Ethn Dis. 2018 Aug 9;28(Suppl 1):271-278. doi: 10.18865/ed.28.S1.271. eCollection 2018.
To fight racism and its potential influence on health, health care professionals must recognize, name, understand and talk about racism. These conversations are difficult, particularly when stakes feel high-in the workplace and in interracial groups. We convened a multidisciplinary, multi-racial group of professionals in two phases of this exploratory project to develop and pilot an intervention to promote effective dialogues on racism for first year medical students at the University of Minnesota Medical School.
Informed by a Public Health Critical Race Praxis (PHCRP) methodology in Phase I, initial content was developed by a group of seven women primarily from racial and ethnic minority groups. In a later phase, they joined with five White (primarily male) colleagues to discuss racism and race. Participants met monthly for 12 months from Jan 2016-Dec 2016. All participants were recruited by study PI. An inductive approach was used to analyze meeting notes and post intervention reflections to describe lessons learned from the process of employing a PHCRP methodology to develop the aforementioned curriculum with a multidisciplinary and multi-racial group of professionals dedicated to advancing conversations on racial equity.
Participants from Phase I described the early meetings as "powerful," allowing them to "bring their full selves" to a project that convened individuals who are often marginalized in their professional environments. In Phase II, which included White colleagues, the dynamics shifted: "…the voices from Phase I became quieter…"; "I had to put on my armor and fight in those later meetings…".
The process of employing PHCRP in the development of an intervention about racism led to new insights on what it means to discuss racism among those marginalized and those with privilege. Conversations in each phase yielded new insights and strategies to advance a conversation about racism in health care.
为了打击种族主义及其对健康的潜在影响，医疗保健专业人员必须认识、命名、理解和谈论种族主义。这些对话很困难，尤其是在工作场所和跨种族群体中 stakes 感觉很高的时候。我们在这个探索性项目的两个阶段召集了一个多学科、多种族的专业人员小组，为明尼苏达大学医学院的一年级医学生开发并试行一项促进关于种族主义的有效对话的干预措施。
在第一阶段，公共卫生批判种族实践（PHCRP）方法为我们提供了信息，最初的内容由一组主要来自少数族裔的七名女性开发。在后来的阶段，他们与五名白人（主要是男性）同事一起讨论种族主义和种族问题。从 2016 年 1 月到 12 月，参与者每月会面一次，共 12 个月。所有参与者均由研究负责人招募。采用归纳法分析会议记录和干预后反思，以描述在一个多学科和多种族的专业人员小组中运用 PHCRP 方法开发上述课程的过程中所吸取的经验教训，该小组致力于推进关于种族公平的对话。
第一阶段的参与者描述早期会议“很有力量”，使他们能够“将自己的全部自我”带到一个项目中，该项目召集了在其专业环境中经常被边缘化的个人。在包括白人同事的第二阶段，动态发生了变化：“......第一阶段的声音变得更安静了......”；“在后来的会议中，我不得不穿上盔甲并战斗......”。
在开发关于种族主义的干预措施的过程中运用 PHCRP 方法，使我们对边缘化者和特权者之间讨论种族主义的含义有了新的认识。每个阶段的对话都产生了新的见解和策略，以推进医疗保健中的种族主义对话。
