Departments of Obstetrics and Gynecology and Medicine, University of Alabama at Birmingham, Birmingham, Alabama; and the Departments of Obstetrics, Gynecology, and Reproductive Sciences and Family Health Care Nursing, University of California, San Francisco, San Francisco, California.
Obstet Gynecol. 2021 Apr 1;137(4):723-727. doi: 10.1097/AOG.0000000000004324.
Inequitable outcomes in sexual and reproductive health disproportionately burden communities minoritized by systems of oppression. Although there is evidence linking structural determinants to these inequities, clinical learners have limited exposure to these topics in their training. We developed a curriculum aimed to teach clinical learners the structural determinants of sexual and reproductive health.
We implemented Kern's six-step method for curriculum development. Through literature review, we identified structural competency as the foundational framework and explored community priorities for clinical training. We assessed learner needs regarding structural equity training, articulated goals and objectives, and chose video modules as the primary educational strategy. We collaboratively developed content with community scholars and reproductive justice advocates. For phase 1 of our curriculum, we created pillar videos with reflection questions, resources, and a visual glossary of key terms. All materials are available through an online educational platform offering open-access, evidence-based curricula.
We launched our curriculum with a social media campaign and presented our videos at several national convenings. We implemented videos with clinical learners with positive preliminary evaluation results.
With rigorous development rooted in community engagement, our curriculum contributes to the tools promoting structural equity training in obstetrics and gynecology.
性健康和生殖健康方面的不平等结果不成比例地给受压迫制度边缘化的社区带来负担。尽管有证据表明结构决定因素与这些不平等现象有关,但临床学习者在培训中对这些主题的接触有限。我们开发了一门课程,旨在向临床学习者传授性健康和生殖健康的结构决定因素。
我们实施了 Kern 的六步课程开发方法。通过文献回顾,我们确定了结构能力作为基础框架,并探讨了社区对临床培训的优先事项。我们评估了学习者对结构公平培训的需求,明确了目标,并选择了视频模块作为主要的教育策略。我们与社区学者和生殖正义倡导者合作开发内容。对于我们课程的第一阶段,我们创建了带有反思问题、资源和关键术语视觉词汇表的支柱视频。所有材料均可通过提供开放获取、循证课程的在线教育平台获得。
我们通过社交媒体活动推出了我们的课程,并在几个全国会议上展示了我们的视频。我们与临床学习者一起实施了视频,初步评估结果积极。
我们的课程是在社区参与的基础上进行严格开发的,为促进妇产科领域的结构公平培训提供了工具。