Family Medicine Resident Perceptions on Racial Justice Training in Residency: A CERA Study.

INTRODUCTION

Structural racism is a root cause of health disparities. While family medicine residency programs recognize the importance of addressing race in medicine, it is unclear how many programs have established racial justice training (RJT). This study examines residents' views on the current state of RJT in their respective programs.

METHODS

This survey was part of the Council of Academic Family Medicine Educational Research Alliance (CERA) 2021 national survey of family medicine residents. Questions addressed RJT, resident reported barriers to implementing such training, and recommendations for change.

RESULTS

Of the family medicine residents who responded (n=266), the majority of individuals (91.5%) and their residency programs (65.0%) stated that addressing racism in medicine is an educational priority. Residents reported a minority of their programs (17.3%) have a longitudinal curriculum. Residents who received RJT in residency are more likely to be in communities of color (=.03). The top requests included recruiting faculty and residents of color, and establishing community-based partnerships.

CONCLUSIONS

Few residencies have been able to implement RJT to the extent that residents' desire. Lack of curricular time and faculty training were commonly cited barriers. Strategies to address these barriers and implement RJT across residencies are needed to combat structural racism.