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推进外科专业的文化能力和公平(ACCESS):一个结合住院医生和教师多样性、公平性和包容性倡议的模型。

Advancing Cultural Competency and Equity in Surgical Specialties (ACCESS): A Model for a Combined Resident and Faculty DEI Initiative.

机构信息

Department of Surgery, Boston University Chobanian and Avedisian School of Medicine, Boston, MA.

Department of Surgery, Boston University Chobanian and Avedisian School of Medicine, Boston, MA.

出版信息

J Surg Educ. 2024 Dec;81(12):103287. doi: 10.1016/j.jsurg.2024.09.006. Epub 2024 Oct 1.

DOI:10.1016/j.jsurg.2024.09.006
PMID:39357295
Abstract

BACKGROUND

Committees dedicated to diversity, equity, and inclusion (DEI) are not commonplace within departments of surgery. Even rarer are joint initiatives for residents and faculty. We aim to describe the creation of a collaborative committee within a department of surgery to better foster and advance the ideals of DEI.

METHODS

An informal needs-assessment was performed amongst the general surgery residency, advanced practice practitioners, and faculty. Other DEI groups throughout the institution were engaged for feedback and interdisciplinary collaboration.

RESULTS

Gaps were identified in social support for those from diverse backgrounds, advocacy and recruitment, general DEI education, and research. Three pillars were formed: Social Support, Education and Advocacy, and Research. The overall group and each pillar are co-led by residents and faculty. In less than a year, the group has launched a cultural complications morbidity and mortality curriculum, hosted the first city-wide LGTBQ+ in surgery event, created a safe space for discussion and support, and advocated for recruitment DEI initiatives. So far, the group consists of 48 residents, faculty, advanced practice practitioners, and staff.

CONCLUSIONS

An intentional, collaborative effort between residents and faculty in a department of surgery can successfully result in an effective partnership to advance DEI initiatives.

摘要

背景

致力于多样性、公平性和包容性(DEI)的委员会在外科部门并不常见。更罕见的是针对住院医师和教师的联合倡议。我们旨在描述在外科部门内创建一个协作委员会,以更好地培养和推进 DEI 的理想。

方法

在普通外科住院医师、高级执业医师和教师中进行了非正式的需求评估。还邀请了机构内的其他 DEI 团体提供反馈和跨学科合作。

结果

确定了在社会支持、宣传和招募、一般 DEI 教育和研究方面为背景多样化的人提供支持方面的差距。形成了三个支柱:社会支持、教育和宣传以及研究。整个团队和每个支柱都由住院医师和教师共同领导。在不到一年的时间里,该团队推出了一项文化并发症发病率和死亡率课程,举办了第一次全市范围内的外科 LGBTQ+活动,为讨论和支持创造了一个安全的空间,并倡导招聘 DEI 倡议。到目前为止,该团队由 48 名住院医师、教师、高级执业医师和工作人员组成。

结论

外科部门的住院医师和教师之间的有意、协作努力可以成功地建立有效的合作伙伴关系,以推进 DEI 倡议。

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