Siemers Kyle, Kenyon DenYelle
University of South Dakota Sanford School of Medicine.
S D Med. 2022 Aug;75(suppl 8):s23.
In an effort to expand the first- and second-year curriculum surrounding bias, health equity, social determinants of health, and diversity in medicine, a student-led Social Identities Workshop was created to engage SSOM students in activities to 1) introduce definitions of systemic structures and inequities addressed throughout the Clinical Foundations curriculum, 2) encourage discussion rooted in individual experiences, uplifting shared and diverse identities among classmates and peers, and 3) end the week of orientation with an engaging, approachable, and low-stakes activity to get to know classmates better.
Pre- (n=68) and post-workshop surveys (n=75) were answered by first-year medical students about their knowledge and familiarity about social identities. The post-workshop survey also included questions to reflect on how the workshop content can be applied to interactions with peers and patients, and their satisfaction with the workshop and ideas of how to improve.
All survey knowledge questions increased from pre- to post-workshop (M change 0.25-1.83). The majority of students recognized something new about their identities (77%), contexts of their identities (88%), and peers' identities (99%); talked to someone new (95%); and recognized applications in both school and clinic setting (93%). Nearly 40% of respondents were interested in attending another session to apply social identities to topics such as medical ethics, gender, privilege/marginalization, race, and sexual orientation.
The Social Identities Workshop increased student knowledge of social identities with multiple positive reflections on a respectful and open environment to discuss topics of systemic inequities and think about personal identity and bias. Many students were interested in continuing these workshops to engage in more peer conversations about social identities as they apply to medicine. Additionally, staff of the SSOM Office of Student Affairs saw value in the workshop as well, advocating for its continuation as a fixture of new student orientation.
为了扩展围绕偏见、健康公平、健康的社会决定因素以及医学多样性的大一和大二课程,创建了一个由学生主导的社会身份研讨会,以使SSOM学生参与以下活动:1)介绍贯穿临床基础课程所涉及的系统结构和不平等的定义;2)鼓励基于个人经历进行讨论,提升同学和同龄人之间共同的和多样的身份认同;3)在迎新周结束时开展一项有趣、平易近人且风险较低的活动,以便更好地了解同学。
一年级医学生回答了研讨会前(n = 68)和研讨会后的调查问卷(n = 75),内容涉及他们对社会身份的了解和熟悉程度。研讨会后的调查问卷还包括一些问题,以反思研讨会内容如何应用于与同龄人和患者的互动,以及他们对研讨会的满意度和改进建议。
从研讨会前到研讨会后,所有调查问卷中的知识问题都有所增加(平均变化0.25 - 1.83)。大多数学生对自己的身份(77%)、身份背景(88%)和同龄人的身份(99%)有了新的认识;与新的人交谈(95%);并认识到在学校和临床环境中的应用(93%)。近40%的受访者有兴趣参加另一期研讨会,将社会身份应用于医学伦理、性别、特权/边缘化、种族和性取向等主题。
社会身份研讨会增加了学生对社会身份的了解,学生们对一个尊重和开放的环境进行了多次积极反馈,在这个环境中可以讨论系统性不平等的话题,并思考个人身份和偏见。许多学生有兴趣继续参加这些研讨会,以便就社会身份在医学中的应用进行更多的同龄人对话。此外,SSOM学生事务办公室的工作人员也认为该研讨会有价值,并主张将其作为新生迎新的固定活动继续开展。