Harvard Affiliated Emergency Medicine Residency, Boston, Massachusetts.
Boston Medical Center, Department of Emergency Medicine, Boston, Massachusetts.
West J Emerg Med. 2020 Nov 20;22(1):41-44. doi: 10.5811/westjem.2020.10.48697.
Racism impacts patient care and clinical training in emergency medicine (EM), but dedicated racism training is not required in graduate medical education. We designed an innovative health equity retreat to teach EM residents about forms of racism and skills for responding to racial inequities in clinical environments. The three-hour retreat occurred during the residency didactic conference to maximize resident participation. We prioritized facilitated reflection on residents' own experiences of race and racism in medicine in order to emphasize these concepts' relevance to all participants. We used workshop, small group, and panel formats to optimize interactivity and discussion. Post-retreat survey respondents indicated that the curriculum successfully promoted awareness of racism in the workplace. Participants also expressed interest in continued discussions about racism in medicine as well as desire for greater faculty and nursing participation in the curriculum. Residency programs should consider incorporating similar educational sessions in core didactic curricula.
种族主义影响急诊医学（EM）的患者护理和临床培训，但研究生医学教育中并不需要专门的种族主义培训。我们设计了一项创新的公平医疗保健务虚会，以教导急诊住院医师有关种族主义的形式和应对临床环境中种族不平等的技能。该三个小时的务虚会在住院医师的理论会议期间举行，以最大限度地提高住院医师的参与度。我们优先考虑促进住院医师对自己在医学领域中种族和种族主义经历的反思，以强调这些概念与所有参与者的相关性。我们使用研讨会、小组讨论和小组讨论的形式来优化互动和讨论。务虚会后的调查受访者表示，课程成功地提高了对工作场所种族主义的认识。参与者还表示有兴趣继续讨论医学中的种族主义问题，并希望教职员工和护士更多地参与课程。住院医师培训计划应考虑将类似的教育课程纳入核心理论课程中。
