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构建传染病多样性、公平性和反种族主义(ID2EA)课程:单中心的经验与反思。

Building an Infectious Disease Diversity, Equity, and Antiracism (ID2EA) Curriculum: A Single Center's Experience and Reflections.

机构信息

Department of Medicine, Yale School of Medicine, New Haven, Connecticut, USA.

The Poorvu Center for Teaching and Learning, Yale University, New Haven, Connecticut, USA.

出版信息

Clin Infect Dis. 2023 Sep 11;77(5):703-710. doi: 10.1093/cid/ciad236.

Abstract

In response to longstanding healthcare inequities unmasked by the Coronavirus Disease 2019 pandemic, the infectious diseases (ID) section at the Yale School of Medicine designed and implemented a pilot curriculum integrating Infectious Disease Diversity, Equity, and Antiracism (ID2EA) into ID educational training and measured program outcomes. We herein describe a mixed-methods assessment of section members on whether the ID2EA curriculum affected their beliefs and behaviors regarding racism and healthcare inequities. Participants rated the curriculum as useful (92% averaging across sessions) and effective in achieving stated learning objectives (89% averaging across sessions), including fostering understanding of how inequities and racism are linked to health disparities and identifying strategies to effectively deal with racism and inequities. Despite limitations in response rates and assessment of longer-term behavioral change, this work demonstrates that training in diversity, equity, and antiracism can be successfully integrated into ID physicians' educational activities and affect physicians' perspectives on these topics.

摘要

针对 2019 年冠状病毒病大流行揭示的长期存在的医疗保健不平等问题,耶鲁大学医学院传染病科设计并实施了一项试点课程,将传染病多样性、公平性和反种族主义(ID2EA)纳入传染病教育培训,并衡量了项目成果。本文描述了对科室成员的一项混合方法评估,以了解 ID2EA 课程是否影响了他们对种族主义和医疗保健不平等问题的信念和行为。参与者对课程的评价是有用的(92%的参与者在所有课程中都给出了平均评分),并且在实现既定学习目标方面是有效的(89%的参与者在所有课程中都给出了平均评分),包括加深对不平等和种族主义如何与健康差距相关联的理解,以及确定有效应对种族主义和不平等的策略。尽管在回应率和对长期行为改变的评估方面存在局限性,但这项工作表明,多样性、公平性和反种族主义方面的培训可以成功地纳入传染病医生的教育活动,并影响医生对这些主题的看法。

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