A framework to promote equity in clinical clerkships.

Clinical Clerkship Focus Groups Humans Internal Medicine Learning Students, Medical

Journal

The clinical teacher
ISSN: 1743-498X
Titre abrégé: Clin Teach
Pays: England
ID NLM: 101227511

Informations de publication

Date de publication:
06 2020
Historique:
pubmed: 6 9 2019
medline: 19 8 2021
entrez: 6 9 2019
Statut: ppublish

Résumé

Diversifying the medical student body without striving for equity in the clerkship (first full-time clinical training year) learning environment disadvantages under-represented in medicine (UIM) students and undermines the educational process. To characterise and address inequities within an internal medicine clerkship, we conducted a multi-phased process to promote equity in the clerkship learning environment at an urban medical school with multiple sites. … we conducted a multi-phased process to promote equity in the clerkship learning environment … INNOVATION: The process to improve the learning environment and equity in the clerkship included: (i) a literature review and needs assessment (focus group) with UIM students; (ii) a medicine clerkship retreat with school leaders and diversity experts to reflect on the needs assessment data and generate interventions to improve equity; (iii) a member checking session with UIM students to ensure that the proposed solutions addressed the inequities that were noted in the needs assessment. The needs assessment revealed eight themes in the clerkship learning environment that were mapped to a published framework describing barriers encountered by UIM students. These themes informed the development of five clerkship pilot interventions. Implementing interventions inspired by UIM student perspectives may improve the learning environment in clinical clerkships by encouraging a culture of equity. The three-phased approach described here provides leaders who direct educational programmes with a framework to initiate change by characterising inequities as a springboard for developing solutions.

Sections du résumé

BACKGROUND
Diversifying the medical student body without striving for equity in the clerkship (first full-time clinical training year) learning environment disadvantages under-represented in medicine (UIM) students and undermines the educational process.
CONTEXT
To characterise and address inequities within an internal medicine clerkship, we conducted a multi-phased process to promote equity in the clerkship learning environment at an urban medical school with multiple sites. … we conducted a multi-phased process to promote equity in the clerkship learning environment … INNOVATION: The process to improve the learning environment and equity in the clerkship included: (i) a literature review and needs assessment (focus group) with UIM students; (ii) a medicine clerkship retreat with school leaders and diversity experts to reflect on the needs assessment data and generate interventions to improve equity; (iii) a member checking session with UIM students to ensure that the proposed solutions addressed the inequities that were noted in the needs assessment.
IMPLICATIONS
The needs assessment revealed eight themes in the clerkship learning environment that were mapped to a published framework describing barriers encountered by UIM students. These themes informed the development of five clerkship pilot interventions. Implementing interventions inspired by UIM student perspectives may improve the learning environment in clinical clerkships by encouraging a culture of equity. The three-phased approach described here provides leaders who direct educational programmes with a framework to initiate change by characterising inequities as a springboard for developing solutions.

Identifiants

DOI: 10.1111/tct.13050 PMID: 31486273
pubmed: 31486273
doi: 10.1111/tct.13050
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

298-304

Informations de copyright

© 2019 John Wiley & Sons Ltd and The Association for the Study of Medical Education.

Références

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The National Academies of Sciences, Engineering, and Medicine. Communities in Action: Pathways to Health Equity. National Academies of Sciences, 2019. Available at: http://nationalacademies.org/hmd/reports/2017/communities-in-action-pathways-to-health-equity.aspx. Accessed on 5 April 2019.
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Reteguiz J, Davidow AL, Miller M, Johanson WG. Clerkship timing and disparity in performance of racial-ethnic minorities in the medicine clerkship. J Natl Med Assoc 2002;94(9):779-788.
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Auteurs

Cindy J Lai (CJ)

Department of Medicine, School of Medicine, University of California, San Francisco, California, USA.
ORCID: 0000-0003-0024-8500

Andrea V Jackson (AV)

Department of Obstetrics and Gynecology, School of Medicine, University of California, San Francisco, California, USA.

Margaret Wheeler (M)

Department of Medicine, School of Medicine, University of California, San Francisco, California, USA.
Zuckerberg San Francisco General Hospital, San Francisco, California, USA.

Gurpreet Dhaliwal (G)

Department of Medicine, School of Medicine, University of California, San Francisco, California, USA.
San Francisco Veterans Affairs Medical Center, San Francisco, California, USA.

Tal Ann Ziv (TA)

Department of Medicine, School of Medicine, University of California, San Francisco, California, USA.
Kaiser Permanente, East Bay, Oakland, California, USA.

Irina Kryzhanovskaya (I)

Department of Medicine, School of Medicine, University of California, San Francisco, California, USA.

Arianne Teherani (A)

Department of Medicine, School of Medicine, University of California, San Francisco, California, USA.
Center for Faculty Educators, School of Medicine, University of California, San Francisco, California, USA.

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Classifications MeSH

questionsmedicales.fr › Éducation › Enseignement professionnel › Stage de formation clinique › A framework to promote equity in clinical clerkships.
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Collecte de données › Groupes de discussion › A framework to promote equity in clinical clerkships.
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › A framework to promote equity in clinical clerkships.
questionsmedicales.fr › Professions de santé › Médecine › Médecine interne › A framework to promote equity in clinical clerkships.
questionsmedicales.fr › Phénomènes psychologiques › Psychologie appliquée › Apprentissage › A framework to promote equity in clinical clerkships.
questionsmedicales.fr › Personnes › Étudiants › Étudiants des professions de santé › Étudiant médecine › A framework to promote equity in clinical clerkships.