Center for Health Equity Research, Department of Social Medicine, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Department of Medicine, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
J Gen Intern Med. 2022 Dec;37(16):4120-4129. doi: 10.1007/s11606-022-07529-x. Epub 2022 Jun 3.
Events of spring 2020-the COVID19 pandemic and re-birth of a social justice movement-have thrown disparities in disease risk, morbidity, and mortality in sharp relief. In response, healthcare organizations have shifted attentions and resources towards equity, diversity, and inclusion (EDI) issues and initiatives like never before. Focused, proven equity-centered skill and mindset development is needed for healthcare professionals to operationalize these pledges and stated aims.
This article highlights program evaluation results for this Clinical Scholars National Leadership Institute (CSNLI) specific to EDI. We will show that CSNLI imparts the valuable and essential skills to health professionals that are needed to realize health equity through organizational and system change.
Initial cohort of 29 participants in CSNLI, engaging in the program over 3 years through in-person and distance-based learning offerings and activities.
The CSNLI is a 3-year, intensive leadership program that centers EDI skill development across personal, interpersonal, organizational, and systems domains through its design, competencies, and curriculum.
A robust evaluation following the Kirkpatrick Model offers analysis of four data collecting activities related to program participants' EDI learning, behavioral change, and results.
Over the course of the program, participants made significant gains in competencies related to equity, diversity, and inclusion. Furthermore, participants demonstrated growth in behavior change and leadership activities in the areas of organizational and system change. Results demonstrate the need to center both leader and leadership development on equity, diversity, and inclusion curriculum to make real change in the US Healthcare System.
2020 年春季的事件——COVID19 大流行和社会正义运动的复兴——使疾病风险、发病率和死亡率方面的差异变得尤为明显。作为回应，医疗机构前所未有地将注意力和资源转向公平、多样性和包容性（EDI）问题和举措。医疗专业人员需要专注、经过验证的以公平为中心的技能和思维模式发展，才能将这些承诺和既定目标付诸实践。
本文重点介绍了针对 EDI 的国家临床学者领导力研究所（CSNLI）的项目评估结果。我们将展示 CSNLI 为卫生专业人员提供了实现健康公平所需的宝贵和必要技能，通过组织和系统变革来实现健康公平。
CSNLI 的初始学员为 29 人，通过面对面和远程学习课程和活动，在 3 年内参与该计划。
CSNLI 是一个为期 3 年的强化领导力计划，通过其设计、能力和课程，将 EDI 技能发展集中在个人、人际、组织和系统领域。
遵循柯克帕特里克模型的强大评估提供了与计划参与者 EDI 学习、行为改变和结果相关的四项数据收集活动的分析。
在计划过程中，参与者在与公平、多样性和包容性相关的能力方面取得了重大进展。此外，参与者在组织和系统变革领域的行为改变和领导力活动方面也取得了发展。结果表明，需要将领导者和领导力发展都集中在公平、多样性和包容性课程上，以在美国医疗保健系统中实现真正的变革。
