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新生儿医学中隐性偏见与健康差异课程的共识:德尔菲研究。

Consensus on an implicit bias and health disparities curriculum in neonatal medicine: a Delphi study.

机构信息

Division of Neonatal Medicine, Department of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, MN, USA.

Division of Neonatology, Department of Pediatrics, Oregon Health and Science University, Portland, OR, USA.

出版信息

J Perinatol. 2022 Nov;42(11):1519-1526. doi: 10.1038/s41372-022-01530-2. Epub 2022 Oct 6.

Abstract

OBJECTIVE

Despite longstanding and recurrent calls for effective implicit bias (IB) education in health professions education as one mechanism to reduce ongoing racism and health disparities, such curricula for neonatal-perinatal medicine (NPM) are limited. We aim to determine the key curricular elements for educating NPM fellows, advanced practice providers, and attending physicians in the critical topics of IB and health disparities.

STUDY DESIGN

A modified Delphi study was performed with content experts in IB and health disparities who had educational relationships to those working and training in the neonatal intensive care unit.

RESULT

Three Delphi rounds were conducted from May to November 2021. Experts reached consensus on a variety of items for inclusion in the curriculum, including educational goals, learning objectives, teaching strategies, and educator principles.

CONCLUSION

Essential curricular components of an IB and health disparities curriculum for neonatal medicine were defined using rigorous consensus building methodology.

摘要

目的

尽管长期以来一直呼吁在医疗专业教育中进行有效的隐性偏见(IB)教育,将其作为减少持续存在的种族主义和健康差距的一种机制,但新生儿围产期医学(NPM)领域的此类课程仍然有限。我们旨在确定教育 NPM 研究员、高级实践提供者和主治医生在隐性偏见和健康差距等关键课题方面的关键课程要素。

研究设计

采用改良 Delphi 研究方法,对隐性偏见和健康差距方面的专家进行了研究,这些专家与在新生儿重症监护病房工作和培训的人员有教育关系。

结果

2021 年 5 月至 11 月进行了三轮 Delphi 研究。专家们就纳入课程的各种项目达成了共识,包括教育目标、学习目标、教学策略和教育者原则。

结论

使用严格的共识建立方法,确定了新生儿医学中隐性偏见和健康差距课程的基本课程组成部分。

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