Department of History and Philosophy of Medicine, University of Kansas Medical Center, Kansas City, KS, USA.
Department of Family Medicine and Community Health, University of Kansas Medical Center, Kansas City, KS, USA.
BMC Med Educ. 2024 Jun 7;24(1):638. doi: 10.1186/s12909-024-05626-5.
A challenge facing many Academic Health Centers (AHCs) attempting to revise health professions education to include the impact of racism as a social and structural determinant of health (SSDoH) is a lack of broad faculty expertise to reinforce and avoid undermining learning modules addressing this topic. To encourage an institutional culture that is in line with new anti-racism instruction, we developed a six-part educational series on the history of racism in America and its impact on contemporary health inequities for teaching structural competency to health professions academicians.
We developed a six-hour elective continuing education (CE) series for faculty and staff with the following objectives: (1) describe and discuss race as a social construct; (2) describe and discuss the decolonization of the health sciences and health care; (3) describe and discuss the history of systemic racism and structural violence from a socio-ecological perspective; and (4) describe and discuss reconciliation and repair in biomedicine. The series was spread over a six-month period and each monthly lecture was followed one week later by an open discussion debriefing session. Attendees were assessed on their understanding of each objective before and after each series segment.
We found significant increases in knowledge and understanding of each objective as the series progressed. Attendees reported that the series helped them grapple with their discomfort in a constructive manner. Self-selected attendees were overwhelmingly women (81.8%), indicating a greater willingness to engage with this material than men.
The series provides a model for AHCs looking to promote anti-racism and structural competency among their faculty and staff.
许多学术健康中心（AHC）在尝试修改医疗专业教育，将种族主义作为健康的社会和结构性决定因素（SSDoH）纳入其中时，面临的一个挑战是缺乏广泛的教师专业知识来加强和避免破坏解决这一主题的学习模块。为了鼓励符合新反种族主义教学的机构文化，我们为医疗保健专业学者制定了一个关于美国种族主义历史及其对当代健康不平等影响的六部分教育系列，以教授结构能力。
我们为教师和工作人员开发了一个六小时的选修继续教育（CE）系列，具有以下目标：（1）描述和讨论种族作为一种社会建构；（2）描述和讨论健康科学和医疗保健的非殖民化；（3）从社会生态学的角度描述和讨论系统性种族主义和结构性暴力的历史；（4）描述和讨论生物医学中的和解与修复。该系列在六个月的时间内展开，每个月的讲座之后一周都会进行一次公开讨论的汇报会议。与会者在每个系列部分前后都要对他们对每个目标的理解进行评估。
随着系列的进行，我们发现对每个目标的知识和理解都有显著提高。与会者报告说，该系列帮助他们以建设性的方式处理自己的不适。自我选择的与会者绝大多数是女性（81.8%），这表明她们比男性更愿意参与这种材料。
该系列为希望在其教师和工作人员中促进反种族主义和结构能力的 AHC 提供了一个模式。
