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支持多元教育卓越(SEED):教师发展与盟友关系

Supporting Educational Excellence in Diversity (SEED): faculty development and allyship.

作者信息

Chadha Puja, Kang Esther H, Ngo Victoria, Jorrin Rebecca, Kochai Khoban, Ackerman-Barger Kupiri, Ton Hendry

机构信息

Office of Health Equity, Diversity, and Inclusion, University of California Davis Health, Sacramento, CA, USA.

Department of Psychiatry and Behavioral Science, University of California Davis School of Medicine, Sacramento, CA, USA.

出版信息

BMC Med Educ. 2025 Feb 20;25(1):275. doi: 10.1186/s12909-024-06403-0.

Abstract

INTRODUCTION

Bias, privilege, microaggressions, and other forms of mistreatment negatively impact students' learning, professional development, wellness, and identity. Supporting Educational Excellence in Diversity (SEED) is an innovative faculty development curriculum co-founded and co-designed by medical students/trainees. SEED is unique given it provides vital yet practical communication tools and strategies to support cultural humility when navigating critical conversations related to diversity, inclusion, and harm.

OBJECTIVE

This curriculum helps faculty to identify, redress, and prevent mistreatment within clinical and non-clinical learning environments while cultivating cultural humility.

METHODS

SEED incorporated a sequential hybrid model approach through the use of interactive online modules, virtual asynchronous self-reflection assignments, followed by in-person discussions with role-play opportunities. Using novel tools, it taught faculty core knowledge and strategies to facilitate discussions in navigating harms related to diversity and inclusion. Authors measured impact via self-reported, de-identified pre-and-post questionnaires.

RESULTS

An idependent t-test analysis pre-post-test study of 67 faculty participants revealed statistically significant (P < .001) differences from pre to post on all items with one item statistically significant at a p < .05. The overall effect size was 1.65 showing significant improvement in participants' self-perceived ability to identify and address microaggressions, privilege, sources of bias, and related harm in the clinical and learning environments. These improvements were identified within themselves, faculty peers, teaching curricula, and teaching modalities. SEED was adopted health system-wide through customized departmental faculty offerings given the statistically and practically significant change in learning, awareness, and attitudes for respondents. SEED is currently under consideration as a maintenance of certification self-assessment course by a national board.

CONCLUSION

The innovative SEED faculty development curriculum was co-created and designed by students/trainees. SEED shows promising results in improving participants' foundational learning in promoting inclusive change to enhance learning environments for healthcare trainees. SEED is unique in providing vital yet practical communication tools and strategies to support cultural humility when navigating critical conversations related to diversity, inclusion, and harm.

摘要

引言

偏见、特权、微侵犯及其他形式的不当对待会对学生的学习、职业发展、健康状况和身份认同产生负面影响。支持多元化教育卓越性(SEED)是一门由医学生/实习生共同创立和设计的创新型教师发展课程。SEED很独特,因为它提供了重要且实用的沟通工具和策略,以在处理与多元化、包容性和伤害相关的关键对话时支持文化谦逊。

目的

本课程帮助教师识别、纠正和预防临床及非临床学习环境中的不当对待,同时培养文化谦逊。

方法

SEED采用了一种循序渐进的混合模式方法,通过使用交互式在线模块、虚拟异步自我反思作业,随后进行有角色扮演机会的面对面讨论。它使用新颖的工具,向教师传授核心知识和策略,以促进在处理与多元化和包容性相关的伤害问题时的讨论。作者通过自我报告的、匿名的前后调查问卷来衡量影响。

结果

对67名教师参与者进行的前后测试独立t检验分析显示,所有项目前后均存在统计学显著差异(P <.001),其中一个项目在p <.05时具有统计学显著性。总体效应大小为1.65,表明参与者在识别和处理临床及学习环境中的微侵犯、特权、偏见来源及相关伤害方面的自我认知能力有显著提高。这些改进体现在他们自身、教师同行、教学课程和教学方式中。鉴于受访者在学习、意识和态度方面的统计学和实际显著变化,SEED通过定制的部门教师课程在整个卫生系统中得到采用。SEED目前正在被一个国家委员会考虑作为认证自我评估维持课程。

结论

创新的SEED教师发展课程是由学生/实习生共同创建和设计的。SEED在改善参与者促进包容性变革以增强医疗保健实习生学习环境的基础学习方面显示出有希望的结果。SEED在提供重要且实用的沟通工具和策略以在处理与多元化、包容性和伤害相关的关键对话时支持文化谦逊方面是独一无二的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db29/11843962/f3305a6d1148/12909_2024_6403_Fig1_HTML.jpg

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