Department of Medicine, UC San Francisco, San Francisco, USA.
Division of Primary Care and Population Health, Stanford University School of Medicine, Palo Alto, USA.
BMC Med Educ. 2023 Mar 23;23(1):180. doi: 10.1186/s12909-023-04131-5.
Anti-Black racism is prevalent in medicine, and anti-racism training is needed in medical education. One such training is the Presence 5 for Racial Justice (P5RJ) Curriculum which covers evidence-based anti-racism communication strategies that promote health equity for Black patients. The P5RJ Curriculum was developed using feedback from clinicians and trainees with diversity, equity, and inclusion (DEI) experience. In this study, we identify themes in recommended anti-racism language and phrases that surveyed clinicians and trainees use to promote racial justice and health equity in clinical care for Black patients.
Secondary analysis of survey responses to identify themes in qualitative data.
Survey responses of specific phrases for anti-racism communication based on P5RJ Curriculum feedback.
N = 50 respondents (27 clinicians, 17 medical trainees, 6 unreported) recruited through convenience sampling and listservs of clinicians with DEI experience. An inductive qualitative analysis was performed on survey responses to identify emerging themes.
Emerging themes from survey responses reflected four communication practices: "Inquiry" was the predominant practice (59%), followed by "Empathy" (25%), "Statements of Allyship" (9%), and "Self-Accountability" (8%).
Inquiry and empathy may be predominant communication practices when addressing anti-Black racism in medicine. There is an opportunity to expand anti-racism communication tools with statements of self-accountability and allyship. Future research is necessary to analyze the patient voice on clinician communication practices that promote anti-racism in clinical care.
反黑种族主义在医学领域普遍存在，医学教育需要开展反种族主义培训。其中一种培训是 Presence 5 for Racial Justice（P5RJ）课程，涵盖了基于证据的反种族主义沟通策略，以促进黑人群体的健康公平。该课程是在具有多样性、公平性和包容性（DEI）经验的临床医生和学员的反馈的基础上开发的。在这项研究中，我们确定了调查临床医生和学员推荐用于在临床护理中促进黑人群体的种族正义和健康公平的反种族主义语言和短语的主题。
对调查回复进行二次分析，以确定基于 P5RJ 课程反馈的定性数据中的主题。
根据 P5RJ 课程反馈，对用于反种族主义沟通的特定短语的调查回复。
通过便利抽样和具有 DEI 经验的临床医生名单招募了 50 名受访者（27 名临床医生、17 名医学学员、6 名未报告）。对调查回复进行了归纳定性分析，以确定新出现的主题。
调查回复中的主题反映了四种沟通实践：“询问”是主要做法（59%），其次是“同理心”（25%）、“盟友声明”（9%）和“自我问责”（8%）。
在解决医学中的反黑种族主义问题时，询问和同理心可能是主要的沟通做法。有机会用自我问责和盟友声明扩展反种族主义沟通工具。需要进一步研究分析患者对促进临床护理中反种族主义的临床医生沟通实践的意见。
