A Policy Statement of the Society of General Internal Medicine on Tackling Racism in Medical Education: Reflections on the Past and a Call to Action for the Future

Ufomata, Eloho; Merriam, Sarah; Puri, Aditi; Lupton, Katherine; LeFrancois, Darlene; Jones, Danielle; Németh, Attila; Snydman, Laura K.; Stark, Rachel; Spagnoletti, Carla

doi:10.1007/s11606-020-06445-2

Cited by 27 publications

(28 citation statements)

References 49 publications

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“…11 After graduation, ethnically non-white and female doctors experience barriers to success on a range of professional and educational outcomes. [12][13][14] Students from underrepresented backgrounds are substantially less likely to be awarded high ratings from their clerkship directors, less likely to be given honours and less likely to be given honour society membership. 15 Such compelling evidence has led to calls to establish the mechanisms of DA, but this is challenging.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

“…As such, institutions must consider the possibility that their actions contribute to DA and develop appropriate policies for investigation and correction. 14 Twitter Eleanor J Hothersall @e_hothersall Contributors Dr IC, Dr EJH and Professor JPL were each responsible for sourcing data, describing the context and exploring the results in their institutions. AD was responsible for sourcing data at her institution and then collating all the data and running the initial analyses.…”

Section: Implications and Conclusionmentioning

confidence: 99%

“…As such, institutions must consider the possibility that their actions contribute to DA and develop appropriate policies for investigation and correction. 14 …”

Section: Implications and Conclusionmentioning

confidence: 99%

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Measuring differential attainment: a longitudinal analysis of assessment results for 1512 medical students at four Scottish medical schools

et al. 2021

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ObjectiveTo measure Differential Attainment (DA) among Scottish medical students and to explore whether attainment gaps increase or decrease during medical school.DesignA retrospective analysis of undergraduate medical student performance on written assessment, measured at the start and end of medical school.SettingFour Scottish medical schools (universities of Aberdeen, Dundee, Edinburgh and Glasgow).Participants1512 medical students who attempted (but did not necessarily pass) final written assessment.Main outcome measuresThe study modelled the change in attainment gap during medical school for four student demographical categories (white/non-white, international/Scottish domiciled, male/female and with/without a known disability) to test whether the attainment gap grew, shrank or remained stable during medical school. Separately, the study modelled the expected versus actual frequency of different demographical groups in the top and bottom decile of the cohort.ResultsThe attainment gap grew significantly for white versus non-white students (t(449.39)=7.37, p=0.001, d=0.49 and 95% CI 0.34 to 0.58), for internationally domiciled versus Scottish-domiciled students (t(205.8) = −7, p=0.01, d=0.61 and 95% CI –0.75 to −0.42) and for male versus female students (t(1336.68)=3.54, p=0.01, d=0.19 and 95% CI 0.08 to 0.27). International, non-white and male students received higher marks than their comparison group at the start of medical school but lower marks by final assessment. No significant differences were observed for disability status. Students with a known disability, Scottish students and non-white students were over-represented in the bottom decile and under-represented in the top decile.ConclusionsThe tendency for attainment gaps to grow during undergraduate medical education suggests that educational factors at medical schools may—however inadvertently—contribute to DA. It is of critical importance that medical schools investigate attainment gaps within their cohorts and explore potential underlying causes.

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Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

Section: Implications and Conclusionmentioning

confidence: 99%

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Measuring differential attainment: a longitudinal analysis of assessment results for 1512 medical students at four Scottish medical schools

et al. 2021

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“…Anti-racism training is new to medical education. Similar to other existing models, there is a need for research to assess the impact of BPS-R training on trainees, patients, and communities ( 35 ). Future research will need to delineate the specific strengths and weaknesses of the BPS-R and other antiracism training models.…”

Section: Limitationsmentioning

confidence: 99%

Anti-racism Training Using the Biopsychosocial Model: Frederick Douglas' Earthquake, Whirlwind, Storm and Fire

Sanders

Fiscella

2021

Front. Psychiatry

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Rochester, New York is home to George Engel and the Biopsychosocial (BPS) model. Rochester was also home to Fredrick Douglas and a stop on the Underground Railroad. More recently, Rochester, New York is also where Daniel Prude died at the hands of the police. In this article, we discuss how our department of family medicine has incorporated race and racism into the BPS model and how we have used it to help primary care trainees become more effective in their work with Black Indigenous and people of color (BIPOC) patients.

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“…Over the past year, spurred by the grass-roots movement of Black people across the world demanding that our lives matter, we have experienced a growing fervor to acknowledge and abolish racism and disparities in care from our health care institutions. Antiracism trainings have been included in medical school curricula across North America and Europe, as students and educators have called out this critical gap in health professional training [5]. Health care advocates have sought to rid clinical care of the pervasive legacy of the biologic determinism of race and rather encouraged all care providers to understand that race is a sociopolitical construct [6].…”

mentioning

confidence: 99%

Adapting to a new normal: Antiracism as a core public health principle

Essien

Ufomata

2021

PLOS Glob Public Health

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A Policy Statement of the Society of General Internal Medicine on Tackling Racism in Medical Education: Reflections on the Past and a Call to Action for the Future

Cited by 27 publications

References 49 publications

Measuring differential attainment: a longitudinal analysis of assessment results for 1512 medical students at four Scottish medical schools

Measuring differential attainment: a longitudinal analysis of assessment results for 1512 medical students at four Scottish medical schools

Anti-racism Training Using the Biopsychosocial Model: Frederick Douglas' Earthquake, Whirlwind, Storm and Fire

Adapting to a new normal: Antiracism as a core public health principle

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