Department of Population and Family Health, Columbia University Mailman School of Public Health, 722 W 168th St, New York, NY, 10032, USA.
Columbia University Vagelos College of Physicians and Surgeons, 630 West 168th Street, New York, NY, 10032, USA.
BMC Med Educ. 2024 Oct 29;24(1):1229. doi: 10.1186/s12909-024-06235-y.
In 2024 in the United States there is an attack on diversity, equity, and inclusion initiatives within education. Politics notwithstanding, medical school curricula that are current and structured to train the next generation of physicians to adhere to our profession's highest values of fairness, humanity, and scientific excellence are of utmost importance to health care quality and innovation worldwide. Whereas the number of anti-racism, diversity, equity, and inclusion (ARDEI) curricular innovations have increased, there is a dearth of published longitudinal health equity curriculum models. In this article, we describe our school's curricular mapping process toward the longitudinal integration of ARDEI learning objectives across 4 years and ultimately creation of an ARDEI medical education program objective (MEPO) domain.
Medical students and curricular faculty leaders developed 10 anti-racism learning objectives to create an ARDEI MEPO domain encompassing three ARDEI learning objectives.
A pilot survey indicates that medical students who have experienced this curriculum are aware of the longitudinal nature of the ARDEI curriculum and endorse its effectiveness.
A longitudinal health equity and justice curriculum with well-defined anti-racist objectives that is (a) based within a supportive learning environment, (b) bolstered by trusted, structured avenues for student feedback and (c) amended with iterative revisions is a promising model to ensure that medical students are equipped to effectively address health inequities and deliver the highest quality of care for all patients.
2024 年，美国将对教育领域的多样性、公平性和包容性倡议发起攻击。尽管存在政治分歧，但当前的医学院课程结构旨在培养下一代医生，使其坚持我们专业的最高价值观，即公平、人道和卓越的科学，这对全球医疗保健质量和创新至关重要。尽管反种族主义、多样性、公平和包容（ARDEI）课程创新的数量有所增加，但发表的关于长期健康公平课程模式的文章却很少。在本文中，我们描述了我们学校的课程映射过程，该过程旨在将 ARDEI 学习目标贯穿于 4 年的学习中，并最终创建 ARDEI 医学教育项目目标（MEPO）领域。
医学生和课程教学领导制定了 10 项反种族主义学习目标，以创建一个 ARDEI MEPO 领域，其中包含三个 ARDEI 学习目标。
一项试点调查表明，体验过这门课程的医学生意识到 ARDEI 课程的纵向性质，并认可其有效性。
一个具有明确反种族主义目标的长期健康公平和正义课程，（a）建立在支持性的学习环境中，（b）通过值得信赖的、结构化的学生反馈途径得到支持，（c）通过迭代修订进行修正，这是一个有前途的模式，可以确保医学生具备有效解决健康不平等问题和为所有患者提供最高质量护理的能力。
