S. Sotto-Santiago is assistant professor of medicine and vice chair, Faculty Affairs, Development, and Diversity, Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana.
N. Poll-Hunter is senior director, Workforce Diversity, Equity, and Inclusion, Association of American Medical Colleges, Washington, DC.
Acad Med. 2022 Jan 1;97(1):41-47. doi: 10.1097/ACM.0000000000004385.
With an increasing awareness of the disparate impact of COVID-19 on historically marginalized populations and acts of violence on Black communities in 2020, academic health centers across the United States have been prioritizing antiracism strategies. Often, medical students and residents have been educated in the concepts of equity and antiracism and are ready to tackle these issues in practice. However, faculty are not prepared to respond to or integrate antiracism topics into the curriculum. Leaders in faculty affairs, education, diversity, and other departments are seeking tools, frameworks, expertise, and programs that are best suited to meet this imminent faculty development need. In response to these demands for guidance, the authors came together to explore best practices, common competencies, and frameworks related to antiracism education. The focus of their work was preparing faculty to foster antiracist learning environments at traditionally predominantly White medical schools. In this Scholarly Perspective, the authors describe their collaborative work to define racism and antiracism education; propose a framework for antiracism education for faculty development; and outline key elements to successfully build faculty capacity in providing antiracism education. The proposed framework highlights the interplay between individual learning and growth and the systemic and institutional changes needed to advance antiracist policies and practices. The key elements of the framework include building foundational awareness, expanding foundational knowledge on antiracism, embedding antiracism education into practice, and dismantling oppressive structures and measuring progress. The authors list considerations for program planning and provide examples of current work from their institutions. The proposed strategies aim to support all faculty and enable them to learn, work, and educate others in an antiracist learning environment.
随着人们越来越意识到 COVID-19 对历史上处于边缘地位的人群的不同影响,以及 2020 年针对黑人社区的暴力行为,美国各地的学术医疗中心一直将反种族主义策略作为优先事项。通常,医学生和住院医师已经接受了公平和反种族主义的概念教育,并且准备在实践中解决这些问题。然而,教师还没有准备好应对或将反种族主义主题纳入课程。教师事务、教育、多样性和其他部门的领导正在寻找最适合满足这一迫在眉睫的教师发展需求的工具、框架、专业知识和计划。针对这些指导需求,作者们共同探讨了与反种族主义教育相关的最佳实践、共同能力和框架。他们工作的重点是使教师能够在传统上以白人为主的医学院中培养反种族主义的学习环境。在这篇学术观点文章中,作者描述了他们合作定义种族主义和反种族主义教育的工作;提出了一个针对教师发展的反种族主义教育框架;并概述了成功建立教师提供反种族主义教育能力的关键要素。所提出的框架强调了个人学习和成长与推进反种族主义政策和实践所需的系统和机构变革之间的相互作用。该框架的关键要素包括建立基础意识、扩大反种族主义的基础知识、将反种族主义教育融入实践、拆除压迫性结构和衡量进展。作者列出了项目规划的注意事项,并提供了来自他们机构的当前工作示例。拟议的策略旨在支持所有教师,使他们能够在反种族主义的学习环境中学习、工作和教育他人。