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多元化、公平与包容:医学教育中从承诺到行动的一种模式。

Diversity, equity, and inclusion: one model to move from commitment to action in medical education.

作者信息

Yepes-Rios Monica, Lad Saloni, Dore Samyukta, Thapliyal Mihika, Baffoe-Bonnie Helena, Isaacson J Harry

机构信息

Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH USA.

Cleveland, USA.

出版信息

SN Soc Sci. 2023;3(3):61. doi: 10.1007/s43545-023-00650-6. Epub 2023 Mar 11.

DOI:10.1007/s43545-023-00650-6
PMID:36937456
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10005912/
Abstract

The summer of 2020 riveted the attention of our nation with a sense of urgency to address structural racism. Cities declared racism a public health crisis, and organizations called for increased awareness of persistent historic racial inequities and advocacy for change. In medical education, students and institutional leaders felt compelled to transition from passive advocacy to energetic action in order to build a culture of anti-racism. In our institution, we applied J Mierke and V. Williamson's 6-step framework to achieve organizational culture change which is as follows: 1. Identify the catalyst for change; 2. Strategically plan for successful change; 3. Engage and empower organizational members; 4. Cultivate leaders at all levels; 5. Foster innovation, creativity, and risk-taking; 6. Monitor progress, measure success, and celebrate (even the small changes) along the way. In addition, we noted two key considerations for the success of the process: A. Transparency in communication, and B. Flexibility and adjustment to emerging situations. We share our approach using this framework which we believe is generalizable to other organizations. We draw from literature on organizational psychology and lastly call for the continuation and sustainability of the work that will continue to build a diverse, equitable, inclusive, antiracist and vibrant education community.

摘要

2020年夏天,解决结构性种族主义的紧迫感吸引了我们整个国家的关注。各城市宣布种族主义是一场公共卫生危机,各组织呼吁提高对长期存在的历史性种族不平等现象的认识,并倡导变革。在医学教育领域,学生和院校领导感到必须从被动倡导转变为积极行动,以营造一种反种族主义文化。在我们院校,我们应用了J·米尔克和V·威廉姆森的六步框架来实现组织文化变革,具体如下:1. 确定变革的催化剂;2. 为成功变革制定战略计划;3. 让组织成员参与并赋予他们权力;4. 培养各级领导;5. 鼓励创新、创造力和冒险精神;6. 监测进展、衡量成功,并在这个过程中庆祝(即使是小的改变)。此外,我们指出了该过程成功的两个关键因素:A. 沟通的透明度;B. 灵活性以及对新出现情况的调整。我们分享我们使用这个框架的方法,我们相信它可以推广到其他组织。我们借鉴了组织心理学方面的文献,最后呼吁这项工作要持续进行并保持可持续性,这将继续打造一个多元化、公平、包容、反种族主义且充满活力的教育社区。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6345/10005912/2352e6a4b773/43545_2023_650_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6345/10005912/2352e6a4b773/43545_2023_650_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6345/10005912/2352e6a4b773/43545_2023_650_Fig1_HTML.jpg

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本文引用的文献

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Diversity, Equity, and Inclusion Milestones: Creation of a Tool to Evaluate Graduate Medical Education Programs.多样性、公平性和包容性里程碑:创建一种评估研究生医学教育项目的工具。
J Grad Med Educ. 2022 Apr;14(2):166-170. doi: 10.4300/JGME-D-21-00723.1. Epub 2022 Apr 14.
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Integrating Diversity, Equity, and Inclusion Into an Academic Department of Psychiatry and Behavioral Sciences.将多元化、公平和包容融入精神病学与行为科学学术部门
Focus (Am Psychiatr Publ). 2021 Jan;19(1):61-65. doi: 10.1176/appi.focus.20200024. Epub 2021 Jan 25.
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Racism as Public Health Crisis: Assessment and Review of Municipal Declarations and Resolutions Across the United States.
种族主义作为公共健康危机:对美国各地市政宣言和决议的评估与回顾。
Front Public Health. 2021 Aug 11;9:686807. doi: 10.3389/fpubh.2021.686807. eCollection 2021.
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Start the Way You Want to Finish: An Intensive Diversity, Equity, Inclusion Orientation Curriculum in Undergraduate Medical Education.以你期望的方式开始:本科医学教育中的强化多样性、公平性、包容性导向课程。
J Med Educ Curric Dev. 2021 Mar 17;8:23821205211000352. doi: 10.1177/23821205211000352. eCollection 2021 Jan-Dec.
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Beyond Diversity and Inclusion: Reparative Justice in Medical Education.超越多样性与包容性:医学教育中的修复性正义
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Racial and Ethnic Disparities in COVID-19-Related Infections, Hospitalizations, and Deaths : A Systematic Review.COVID-19 相关感染、住院和死亡的种族和民族差异:系统评价。
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Rallying Against Racism: Hospitals Join the Fight for Racial Justice.声讨种族主义:医院加入争取种族正义的斗争。
J Gen Intern Med. 2021 Jan;36(1):200-202. doi: 10.1007/s11606-020-06291-2. Epub 2020 Oct 20.
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Addressing Harmful Bias and Eliminating Discrimination in Health Professions Learning Environments: An Urgent Challenge.应对卫生专业学习环境中的有害偏见并消除歧视:一项紧迫挑战。
Acad Med. 2020 Dec;95(12S Addressing Harmful Bias and Eliminating Discrimination in Health Professions Learning Environments):S1-S4. doi: 10.1097/ACM.0000000000003679.
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More Than Words: A Vision to Address Bias and Reduce Discrimination in the Health Professions Learning Environment.言外之意:在卫生专业学习环境中消除偏见和减少歧视的愿景。
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