DallaPiazza Michelle, Padilla-Register Mercedes, Dwarakanath Megana, Obamedo Elyon, Hill James, Soto-Greene Maria L
Assistant Professor, Department of Medicine, Division of Infectious Diseases, Rutgers New Jersey Medical School.
Research Associate, Hispanic Center of Excellence, Rutgers New Jersey Medical School.
MedEdPORTAL. 2018 Dec 14;14:10783. doi: 10.15766/mep_2374-8265.10783.
Growing recognition of the deleterious effects of racism on health has led to calls for increased education on racism for health care professionals. As part of a larger curriculum on health equity and social justice, we developed a new educational session on racism for first-year medical students consisting of a lecture followed by a case-based small-group discussion.
Over the academic years of 2016-2017, 2017-2018, and 2018-2019, a total of 536 first-year medical students participated in this mandatory session. The course materials were developed as a collaboration between faculty and students. The lecture was delivered in a large-group format; the small-group case-based discussion consisted of 10-12 students with one upper-level student facilitator.
The majority of respondents for the course evaluation felt that the course had met its stated objectives, and many commented that they had an increased awareness of the role of racism in shaping health. Students felt that the small-group activity was especially powerful for learning about racism.
Active student involvement in curriculum development and small-group facilitation was critical for successful buy-in from students. Additional content on bias, stereotyping, and health care disparities will be the focus of faculty development programs and will also be integrated into the clerkships to build on these important topics as students are immersed in clinical care.
人们越来越认识到种族主义对健康的有害影响，这促使人们呼吁加强对医疗保健专业人员的种族主义教育。作为关于健康公平和社会正义的更大课程的一部分，我们为一年级医学生开发了一个关于种族主义的新教育课程，包括一次讲座，随后是基于案例的小组讨论。
在2016 - 2017学年、2017 - 2018学年和2018 - 2019学年，共有536名一年级医学生参加了这个必修课。课程材料是教师和学生合作开发的。讲座以大班形式进行；基于案例的小组讨论由10 - 12名学生和一名高年级学生主持人组成。
课程评估的大多数受访者认为该课程达到了既定目标，许多人评论说他们对种族主义在塑造健康方面的作用有了更高的认识。学生们认为小组活动对于了解种族主义特别有效。
学生积极参与课程开发和小组引导对于学生的成功接受至关重要。关于偏见、刻板印象和医疗保健差距的更多内容将成为教师发展计划的重点，并且也将融入实习课程，以便在学生沉浸于临床护理时，在这些重要主题的基础上进一步拓展。
