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利用住院医师作为教师的培训进行健康公平教育:一种变革性方法。

Leveraging Resident-As-Teacher Training for Health Equity Education: A Transformative Approach.

机构信息

Department of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana, USA.

Office of Graduate Medical Education, Indiana University School of Medicine, Indianapolis, Indiana, USA.

出版信息

Teach Learn Med. 2024 Apr-May;36(2):222-229. doi: 10.1080/10401334.2022.2147529. Epub 2022 Nov 21.

Abstract

: Resident teachers play an essential role in medical education and can support broader efforts to advance anti-racism and health equity in medicine. The Accreditation Council for Graduate Medical Education requires programs to provide education about health care disparities so residents can contribute to and lead work in this area. However, the literature includes few examples, frameworks, or strategies for preparing residents to develop the knowledge and skills needed to promote health equity, including in their role as clinical teachers. : In this article, the authors propose leveraging Resident-as-Teacher training to support residents in learning and teaching for health equity. Gorski's conceptualization of equity literacy provides an evidence-based framework for four main abilities (recognizing, responding, redressing, and cultivating/sustaining) residents and medical students can develop through co-learning about health equity in the clinical learning environment. The authors discuss preconditions, example activities, and assessments strategies for effective health equity education. Based on the principles of social learning theory, the authors recommend that Resident-as-Teacher training be part of an institutional strategy to cultivate a community of practice for health equity education. : Incorporating health equity education into Resident-as-Teacher curriculum offers a potentially transformative part of the broader strategy needed to prepare the next generation of physicians to enact anti-racism and advance health equity.

摘要

住院医师在医学教育中起着至关重要的作用,能够支持在医学领域推进反种族主义和健康公平的更广泛努力。研究生医学教育认证委员会要求各项目为居民提供有关医疗保健差异的教育,使居民能够为这一领域的工作做出贡献并发挥领导作用。然而,文献中很少有关于如何培养住院医师发展促进健康公平所需的知识和技能的例子、框架或策略,包括在其作为临床教师的角色中。在本文中,作者提出利用住院医师作为教师的培训来支持住院医师学习和教授健康公平。戈尔斯基对公平素养的概念化提供了一个基于证据的框架,包括四个主要能力(识别、响应、纠正和培养/维持),住院医师和医学生可以通过在临床学习环境中共同学习健康公平来发展这些能力。作者讨论了有效健康公平教育的前提条件、示例活动和评估策略。基于社会学习理论的原则,作者建议将住院医师作为教师的培训纳入机构策略的一部分,以培养健康公平教育的实践共同体。将健康公平教育纳入住院医师作为教师的课程中,是为下一代医生准备实施反种族主义和推进健康公平所需的更广泛战略的一个潜在变革性部分。

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