Addressing disparities in medicine through medical curriculum change: a student perspective.


Journal

Journal of osteopathic medicine
ISSN: 2702-3648
Titre abrégé: J Osteopath Med
Pays: Germany
ID NLM: 101776472

Informations de publication

Date de publication:
13 04 2022
Historique:
received: 18 03 2021
accepted: 15 03 2022
pubmed: 13 4 2022
medline: 25 6 2022
entrez: 12 4 2022
Statut: epublish

Résumé

Cultural competency training has been a focus of medical schools for some time. An essential step in developing culturally competent physicians, effective cultural competency training has previously been researched at medical schools. Before forming a diversity task force to head cultural competency training, one medical school utilized medical student volunteers to review current teaching material and provide suggestions to increase cultural competency training. A study group consisting of three faculty members and 29 medical students was formed on a voluntary basis during the summer of 2020. Based on medical student opinion and reviewed teaching materials, learning tools were created to guide medical curricular updates. This experience resulted in the formation of four teaching tools: a didactic lecture checklist to include more diverse patient populations; case-based learning objectives that focus on social determinants of health; a facilitator question script to encourage group discussion and student feedback on the given clinical cases; and a student reflection form on the effects of race, gender, and socioeconomic status on patients and medical professionals in the clinical setting. Updating the medical school curriculum is a constant and ongoing process. Forming a diversity task force to guide these changes and regularly review medical teaching materials will help train physicians ready to care for a diverse patient population. In addition, the use of the suggested teaching tools may help guide the review process for such committees at other medical schools.

Identifiants

pubmed: 35413162
pii: jom-2021-0033
doi: 10.1515/jom-2021-0033
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

353-357

Informations de copyright

© 2022 Amina Kureshi et al., published by De Gruyter, Berlin/Boston.

Références

Shaya, FT, Gbarayor, CM. The case for cultural competence in health professions education. Am J Pharmaceut Educ 2006;70:124. https://doi.org/10.5688/aj7006124.
Dogra, N, Karnik, N. First-year medical students’ attitudes toward diversity and its teaching: an investigation at one U.S. medical school. Acad Med 2003;78:1191–200. https://doi.org/10.1097/00001888-200311000-00023.
Kripalani, S, Bussey-Jones, J, Katz, M, Genao, I. A prescription for cultural competence in medical education. J Gen Intern Med 2006;21:1116–20. https://doi.org/10.1111/j.1525-1497.2006.00557.x.
Krishnan, A, Rabinowitz, M, Ziminsky, A, Scott, SM, Chretien, KC. Addressing race, culture, and structural inequality in medical education: a guide for revising teaching cases. Acad Med 2019;94:550–5. https://doi.org/10.1097/acm.0000000000002589.
Medlock, M, Weissman, A, Wong, SS, Carlo, AD. Addressing the legacy of racism in psychiatric training. Am J Psychiatry Resid J 2016;11:13. https://doi.org/10.1176/appi.ajp-rj.2016.110206.
Mirsaeidi, M, Machado, RF, Schraufnagel, D, Sweiss, NJ, Baughman, RP. Racial difference in sarcoidosis mortality in the United States. Chest 2015;147:438–49. https://doi.org/10.1378/chest.14-1120.
Ulloa, JG, Talamantes, E, Moreno, G. Microaggressions during medical training. JAMA 2016;316:1113–4. https://doi.org/10.1001/jama.2016.11619.
Montenegro, R. Microaggressions during medical training-reply. JAMA 2016;316:1114. https://doi.org/10.1001/jama.2016.11622.
Overland, MK, Zumsteg, JM, Lindo, EG, Sholas, MG, Montenegro, RE, Campelia, GD, et al.. Microaggressions in clinical training and practice. Pharm Manag PM R 2019;11:1004–12. https://doi.org/10.1002/pmrj.12229.
Kind, T, Everett, VR, Ottolini, M. Learning to connect: students’ reflections on doctor-patient interactions. Patient Educ Counsel 2009;75:149–54. https://doi.org/10.1016/j.pec.2008.09.011.
Nimmons, D, Giny, S, Rosenthal, J. Medical student mentoring programs: current insights. Adv Med Educ Pract 2019;10:113–23. https://doi.org/10.2147/amep.s154974.
Taylor, JS, Faghri, S, Aggarwal, N, Zeller, K, Dollase, R, Reis, SP. Developing a peer-mentor program for medical students. Teach Learn Med 2013;25:97–102. https://doi.org/10.1080/10401334.2012.741544.
Paradies, Y, Ben, J, Denson, N, Elias, A, Priest, N, Pieterse, A, et al.. Racism as a determinant of health: a systematic review and meta-analysis. PLoS One 2015;10:e0138511. https://doi.org/10.1371/journal.pone.0138511.
Sue, DW. Microaggressions in everyday life: race, gender, and sexual orientation. Washington DC: John Wiley & Sons; 2010.

Auteurs

Amina Kureshi (A)

New York Institute of Technology College of Osteopathic Medicine, Old Westbury, NY, USA.

Scott Landman (S)

New York Institute of Technology College of Osteopathic Medicine, Old Westbury, NY, USA.

Meher Ahmed (M)

New York Institute of Technology College of Osteopathic Medicine, Old Westbury, NY, USA.

Olga V Savinova (OV)

Department of Biomedical Sciences, New York Institute of Technology College of Osteopathic Medicine, Old Westbury, NY, USA.

Diane Becker (D)

Department of Biomedical Sciences, New York Institute of Technology College of Osteopathic Medicine, Old Westbury, NY, USA.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH