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Development and Implementation of a Novel Birth Equity Curriculum for the Obstetrics and Gynecology Clerkship


Problem: 
Social determinants of health (SDH), defined as non-medical factors that influence health, play a significant role in current health inequities. It is imperative that medical schools implement curriculum designed to educate future physicians about SDH. Currently, medical student education surrounding SDH is heterogenic and often limited to the preclinical years. Furthermore, there are limited resources on the ideal methodological approach to health equity in relation to maternal and birth outcomes.

Intervention:
Develop and implement a novel curriculum for third-year medical students to discuss birth inequities and identify strategies to improve maternal and birth outcomes.

Context:
Third-year medical students rotating through the Obstetrics and Gynecology Clerkship engaged in a three-part curriculum surrounding birth equity. This curriculum utilized videos from the Kansas Birth Equity Network (KBEN) to review the need for birth equity, community engagement, and unconscious bias. Students then participated in a 2-hour, interactive, case-based session with an Obstetrician and social worker to analyze factors surrounding birth inequities. To conclude, students submitted a written reflection surrounding their experience on Labor & Delivery.

Outcomes:
A 5-question survey was given during the week of orientation. After administration of the curriculum the same survey was repeated during the final week of the rotation. The differences were compared between the pre- and post- intervention and revealed improved ability to recognize SDH, understand strategies to mitigate bias, and recognize their role in cultivating health equity. Based off these results it is reasonable to implement this curriculum nationally into Obstetrics & Gynecology Clerkships.

Topics: ASL, 2023,

General Information


Keywords
Intended
Audience
Competencies
Addressed
Educational
Continuum
Educational
Focus
Clinical Focus

Author Information

Rachel DiTeresi, MD

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