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为三年级医学生开设临床反种族主义课程,将反种族主义原则带到床边。

A clinical antiracism curriculum for third-year medical students to bring antiracist principles to the bedside.

机构信息

Department of Pediatrics, Paul C. Gaffney Division of Pediatric Hospital Medicine, UPMC Children's Hospital of Pittsburgh, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.

Department of Medicine, UPMC Montefiore Hospital, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.

出版信息

J Hosp Med. 2024 Jul;19(7):610-615. doi: 10.1002/jhm.13327. Epub 2024 Mar 25.

Abstract

As medical educators, we have a responsibility to ensure our trainees are exposed to curricula dedicated to Diversity, Equity, and Inclusion (DEI), as illustrated by the Association of American Medical Colleges' recently released DEI Competencies Across the Curriculum. We designed and implemented a curriculum, Social Justice Rounds (SJR), that incorporates teaching on these topics directly into inpatient clinical work. SJR are brief team-based discussions facilitated by Pediatric Hospital Medicine faculty that focus on racism in medicine and other forms of discrimination experienced by patients and the effect it has on their interaction with the healthcare system. Medical students rotating through the Pediatrics Clerkship completed optional pre- and postclerkship surveys, which revealed statistically significant increases in students' frequency and comfort with conversations regarding DEI topics, both with the medical team and with patients. We believe that SJR provides a framework by which educators across specialties and institutions can provide trainees with foundational DEI skills.

摘要

作为医学教育工作者,我们有责任确保我们的受训者接触到专门针对多样性、公平性和包容性(DEI)的课程,正如美国医学院协会最近发布的跨课程 DEI 能力所说明的那样。我们设计并实施了一项课程,即社会正义轮次(SJR),该课程将这些主题的教学直接纳入住院临床工作中。SJR 是由儿科医院医学教师主持的简短团队讨论,重点讨论医学中的种族主义和患者经历的其他形式的歧视,以及这些歧视对他们与医疗保健系统互动的影响。参加儿科学实习的医学生完成了可选的实习前和实习后的调查,调查显示,学生在与医疗团队和患者就 DEI 主题进行对话的频率和舒适度方面都有统计学意义上的显著增加。我们相信,SJR 为跨专业和机构的教育工作者提供了一个框架,使他们能够为受训者提供基础的 DEI 技能。

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