Yepes-Rios Monica, Lad Saloni, Dore Samyukta, Thapliyal Mihika, Baffoe-Bonnie Helena, Isaacson J Harry
Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH USA.
Cleveland, USA.
SN Soc Sci. 2023;3(3):61. doi: 10.1007/s43545-023-00650-6. Epub 2023 Mar 11.
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.
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。