Purpose: We evaluated our novel homegrown residency curriculum Health Equity and Anti-Racism Training (HEART)
Background: The sequelae of racism in medicine have recently gained increased visibility. Pursuant to ACOG directives, a small group of local residents and faculty developed a curriculum to enhance residents’ health equity understanding and advocacy.Our program, located in the poorest congressional district in the US, cares for a uniquely diverse patient population and has 46 residents of diverse ethnic and cultural backgrounds. The curriculum began in 2020, with sessions taking place during mandatory resident didactic time, ranging from 1-3 hours and held roughly every quarter. The curriculum was developed by an iterative process involving interested residents and supportive faculty.
Methods: This was a mixed methods study. Retrospective pre-post
surveys were distributed at the conclusion of the sessions; Likert scales
utilized anchoring language. Questions addressed resident understanding,
comfort discussing challenging topics, and perception of the necessity of the
curriculum. Data was assessed by Wilcoxon signed rank test.
A focus group of voluntary participants led by a neutral facilitator was
reviewed with qualitative assessment via content analysis technique.
Results: Residents felt their knowledge and comfort were enhanced in: terminology, history, understanding privilege, sociopolitical current events, and interaction with colleagues (p< 0.0001 for each). The focus group analysis found the curriculum had an engaging format, useful real-world applications, and novel perspectives from patients and colleagues of color.
Discussions: A formal curriculum on health equity and anti-racism enhanced resident understanding and comfort recognizing and addressing inequity
Topics: CREOG & APGO Annual Meeting, 2023, Student, Resident, Faculty, Clerkship Director, Clerkship Coordinator, Osteopathic Faculty, Residency Director, Residency Coordinator, Patient Care, Professionalism, Interpersonal & Communication Skills, GME, Team-Based Learning,
Avonelle Henry, n/a; Albert Einstein College of Medicine, Montefiore Medical Center; Emily Kintzer, MD; Emma Chew-Murphy, MD; Calvin Lambert, M.D.; Osaro Obanor, MD; Mzimeli Morris, MD
