Yemane Lahia, Ramirez Melanie, Guerin Allison, Floyd Baraka, Okorie Caroline Ua, Ling Weichen, Addala Ananta, Figg Lauren, Talley Elizabeth M, Chamberlain Lisa
Department of Pediatrics, Division of General Pediatrics, Stanford University School of Medicine (L Yemane, B Floyd, and L Chamberlian), Palo Alto, Calif.
David Geffen School of Medicine at UCLA (M Ramirez), Los Angeles, Calif.
Acad Pediatr. 2023 Jul;23(5):886-892. doi: 10.1016/j.acap.2022.10.003. Epub 2022 Oct 8.
The Stanford Pediatrics Advancing Anti-Racism Coalition (SPAARC) was created to promote a culture of anti-racism through immediate action, development of nimble systems, and longitudinal commitment toward equity. Evaluate gaps in the Stanford Department of Pediatrics (DoP) efforts to advance anti-racism and form a coalition of faculty, staff, and trainees to prioritize, design, and implement targeted activities with immediate and long-term measurable outcomes.
A needs assessment was conducted across all DoP members in July to August 2020 to identify gaps in anti-racism efforts. Listening sessions were recorded and transcribed to extrapolate key themes and 2 rounds of consensus surveys were done to identify and prioritize actions. Actions teams were created and co-led by faculty-staff dyads with trainee representation. A final activity survey was conducted in January 2021 to determine the specific activities (ie, interventions) each team would design and implement.
Ten small group listening sessions (70 participants) and 3 surveys (1005 responses) led to the creation of 7 action teams with associated activities 1) training, 2) community engagement and research, 3) communication, 4) faculty and staff recruitment and advancement, 5) leadership representation, 6) human resources, and 7) staff engagement. Four hundred forty-three (41%) DoP members were directly involved in SPAARC through participation in the needs assessment, action teams, and/or implementation of activities.
SPAARC can serve as an adaptable framework for how a DoP can create a coalition to identify gaps in anti-racism efforts and create and implement targeted activities with associated outcomes.
斯坦福大学儿科学促进反种族主义联盟（SPAARC）的成立旨在通过立即行动、建立灵活的系统以及对公平的长期承诺来促进反种族主义文化。评估斯坦福大学儿科学系（DoP）在推进反种族主义方面的差距，并组建一个由教职员工和学员组成的联盟，以确定优先事项、设计并实施具有即时和长期可衡量成果的针对性活动。
2020年7月至8月对所有DoP成员进行了需求评估，以确定反种族主义工作中的差距。记录并转录了听证会内容以推断关键主题，并进行了两轮共识调查以确定行动并确定其优先级。成立了行动小组，由教职员工二元组共同领导，并由学员代表参与。2021年1月进行了最终活动调查，以确定每个团队将设计和实施的具体活动（即干预措施）。
十次小组听证会（70名参与者）和三项调查（1005份回复）促成了七个行动小组及相关活动的成立：1）培训，2）社区参与和研究，3）沟通，4）教职员工招聘与晋升，5）领导层代表，6）人力资源，7）员工参与。443名（41%）DoP成员通过参与需求评估、行动小组和/或活动实施直接参与了SPAARC。
SPAARC可以作为一个适应性框架，用于指导儿科学系如何创建一个联盟，以识别反种族主义工作中的差距，并创建和实施具有相关成果的针对性活动。
