Beyond diversity and inclusion: Developing a research agenda for anti-racism in emergency medicine education.
Journal
AEM education and training
ISSN: 2472-5390
Titre abrégé: AEM Educ Train
Pays: United States
ID NLM: 101722142
Informations de publication
Date de publication:
Jun 2023
Jun 2023
Historique:
received:
08
09
2022
revised:
10
11
2022
accepted:
17
11
2022
pmc-release:
27
06
2024
medline:
29
6
2023
pubmed:
29
6
2023
entrez:
29
6
2023
Statut:
epublish
Résumé
Addressing racism in emergency medicine education is vital for providing optimal training and assessment of physicians in the specialty, developing physicians with the skills necessary to advocate for their patients, and recruiting and retaining a diverse group of physicians. To form a prioritized research agenda, the Society of Academic Emergency Medicine (SAEM) conducted a consensus conference at the annual meeting in May 2022 on addressing racism in emergency medicine, which included a subgroup on education. The education workgroup worked on summarizing the current literature on addressing racism in emergency medicine education, identifying critical knowledge gaps, and creating a consensus-driven research agenda for addressing racism in emergency medicine education. We used a nominal group technique and modified Delphi to develop priority questions for research. We then distributed a pre-conference survey to conference registrants to rate priority areas for research. During the consensus conference, group leaders provided an overview and background describing the rationale for the preliminary research question list. Attendees were then involved in discussions to help modify and develop research questions. Nineteen questions were initially selected by the education workgroup as potential areas for research. The education workgroup's next round of consensus building resulted in a consensus of ten questions to be included in the pre-conference survey. No questions in the pre-conference survey reached consensus. After robust discussion and voting by workgroup members and attendees at the consensus conference, six questions were determined to be priority research areas. We believe recognizing and addressing racism in emergency medicine education is imperative. Critical gaps in curriculum design, assessment, bias training, allyship, and the learning environment negatively impact training programs. These gaps must be prioritized for research as they can have adverse effects on recruitment, the ability to promote a safe learning environment, patient care, and patient outcomes.
Sections du résumé
Background
UNASSIGNED
Addressing racism in emergency medicine education is vital for providing optimal training and assessment of physicians in the specialty, developing physicians with the skills necessary to advocate for their patients, and recruiting and retaining a diverse group of physicians. To form a prioritized research agenda, the Society of Academic Emergency Medicine (SAEM) conducted a consensus conference at the annual meeting in May 2022 on addressing racism in emergency medicine, which included a subgroup on education.
Methods
UNASSIGNED
The education workgroup worked on summarizing the current literature on addressing racism in emergency medicine education, identifying critical knowledge gaps, and creating a consensus-driven research agenda for addressing racism in emergency medicine education. We used a nominal group technique and modified Delphi to develop priority questions for research. We then distributed a pre-conference survey to conference registrants to rate priority areas for research. During the consensus conference, group leaders provided an overview and background describing the rationale for the preliminary research question list. Attendees were then involved in discussions to help modify and develop research questions.
Results
UNASSIGNED
Nineteen questions were initially selected by the education workgroup as potential areas for research. The education workgroup's next round of consensus building resulted in a consensus of ten questions to be included in the pre-conference survey. No questions in the pre-conference survey reached consensus. After robust discussion and voting by workgroup members and attendees at the consensus conference, six questions were determined to be priority research areas.
Conclusions
UNASSIGNED
We believe recognizing and addressing racism in emergency medicine education is imperative. Critical gaps in curriculum design, assessment, bias training, allyship, and the learning environment negatively impact training programs. These gaps must be prioritized for research as they can have adverse effects on recruitment, the ability to promote a safe learning environment, patient care, and patient outcomes.
Identifiants
pubmed: 37383834
doi: 10.1002/aet2.10876
pii: AET210876
pmc: PMC10294218
doi:
Types de publication
Journal Article
Langues
eng
Pagination
S68-S77Informations de copyright
© 2023 Society for Academic Emergency Medicine.
Déclaration de conflit d'intérêts
The authors declare no conflicts of interest.
Références
AEM Educ Train. 2018 Sep 24;3(1):81-85
pubmed: 30680351
AEM Educ Train. 2021 Sep 29;5(Suppl 1):S154-S157
pubmed: 34616993
AEM Educ Train. 2021 Sep 29;5(Suppl 1):S102-S107
pubmed: 34616981
Acad Med. 2021 Nov 1;96(11):1513-1517
pubmed: 34292192
Proc Natl Acad Sci U S A. 2016 Apr 19;113(16):4296-301
pubmed: 27044069
AEM Educ Train. 2021 Sep 29;5(Suppl 1):S121-S125
pubmed: 34616985
AEM Educ Train. 2021 Sep 07;5(Suppl 1):S57-S64
pubmed: 34616974
AEM Educ Train. 2021 Sep 29;5(Suppl 1):S126-S129
pubmed: 34616986
N Engl J Med. 2020 Aug 27;383(9):874-882
pubmed: 32853499
Lancet. 2020 Oct 10;396(10257):1125-1128
pubmed: 33038972
J Clin Epidemiol. 2014 Apr;67(4):401-9
pubmed: 24581294
Am J Public Health. 2000 Aug;90(8):1212-5
pubmed: 10936998
Med Sci Educ. 2020 Aug 14;30(4):1419-1426
pubmed: 34457809
Acad Med. 2020 Dec;95(12):1793-1795
pubmed: 32909993
Ann Emerg Med. 2019 Jun;73(6):639-647
pubmed: 30902450
Ann Emerg Med. 2021 Jan;77(1):69-75
pubmed: 33010957
N Engl J Med. 2016 Dec;375(22):2113-2115
pubmed: 27732126
J Clin Invest. 2020 Oct 1;130(10):5039-5041
pubmed: 32692730
AEM Educ Train. 2017 Sep 18;2(1):66-68
pubmed: 30051070
MedEdPORTAL. 2019 Jan 04;15:10789
pubmed: 30800989
Lancet. 2020 May 2;395(10234):1457-1460
pubmed: 32359460
Acad Med. 2018 Jan;93(1):35-40
pubmed: 28658015
J Emerg Med. 2017 Sep;53(3):391-396
pubmed: 28676414
Acad Psychiatry. 2019 Aug;43(4):396-399
pubmed: 30523539
Otolaryngol Clin North Am. 2021 Feb;54(1):239-245
pubmed: 33153740
AEM Educ Train. 2021 Sep 29;5(Suppl 1):S108-S111
pubmed: 34616982
MedEdPORTAL. 2020 Mar 13;16:10888
pubmed: 32342010
Ethn Dis. 2018 Aug 9;28(Suppl 1):231-234
pubmed: 30116091
AEM Educ Train. 2021 Sep 29;5(Suppl 1):S10-S18
pubmed: 34616968
AEM Educ Train. 2021 Sep 29;5(Suppl 1):S135-S139
pubmed: 34616988
West J Emerg Med. 2022 Jan 03;23(1):62-71
pubmed: 35060865
Ethn Dis. 2018 Aug 9;28(Suppl 1):271-278
pubmed: 30116098