Development of an Equity, Diversity, Inclusion, and Anti-racism Pledge as the Foundation for Action in an Academic Department of Neurology

Perue, Gillian Gordon; Fox-Rosellini, Susan E.; Sur, Nicole B.; Marulanda, Erika; Margolesky, Jason; Tornes, Leticia; Bure, Annelly; Kalika, Paige M.; Chileuitt, Abraham Andres; Allespach, Heidi; Uthman, Basim M.; Alkhachroum, Ayham; Sacco, Ralph L.; Monteith, Teshamae

doi:10.1212/wnl.0000000000012674

Cited by 7 publications

(7 citation statements)

References 28 publications

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“…11 Several academic departments have recognized the need for senior leaders or departmental committees focusing on diversity, equity, and inclusion. [12][13][14] There are similar efforts to increase education around inclusion and the treatment of gender and sexual minorities 15 and people with disabilities 16 and a general recognition that our learners and clinicians should represent the patients we care for.…”

Section: Current State Core Elements Of Neurologic Educationmentioning

confidence: 99%

Neurology Education in 2035

Moeller

Salas

2023

Neurology

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In the last decade, there have been dramatic changes in all aspects of neurologic care, and along with this, neurology education has transformed. These changes have affected all aspects of education across the educational continuum, including learners, teachers, educators, content, delivery methods, assessments and outcomes. Health systems science, health humanities, diversity, equity and inclusion and health disparities are becoming core components of neurology curricula, and in the future, will be integrated into every aspect of our educational mission. The ways in which material is taught and learned have been influenced by technological innovations and a growing understanding of the science of learning. We forecast that this trend will continue, with learners choosing from an array of electronic resources to engage with fundamental topics, allowing front-line clinical teachers to spend more time supporting critical reasoning and teaching students how to learn. There has been a growing differentiation of educational roles (i.e. teachers, educators and scholars). We forecast that these roles will become more distinct, each with an individualized pattern of support and expectations. Assessment has become more aligned with the work of the learners, and there are growing calls to focus more on the impact of educational programs on patient care. We forecast that there will be an increased emphasis on educational outcomes and public accountability for training programs. In this article we reflect on the history of medical education in neurology and explore the current state in order to forecast the future of neurology education, and discuss ways in which we can prepare.

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Section: Current State Core Elements Of Neurologic Educationmentioning

confidence: 99%

Neurology Education in 2035

Moeller

Salas

2023

Neurology

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“…This includes promoting interprofessional communication about systemic racism, and physician support and participating in equity, diversity, and inclusion initiatives in their academic or private practice groups. One such program developed an inclusive pledge to antiracism, composed grand rounds on the topic of systemic racism, and organized antiracist and implicit bias training 58,59 . A coordinated response by neurology departments to level physician knowledge of important topics concerning health equity can also serve to improve physician knowledge.…”

Section: Levels Of Influence For Health Disparities For Persons With ...mentioning

confidence: 99%

Health equity integrated epilepsy care and research: A narrative review

Gotlieb,

Blank,

Willis

et al. 2023

Epilepsia

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BackgroundWith the unanimous approval of the Intersectoral Global Action Plan on epilepsy and other neurological disorders by the World Health Organization in May 2022, there are strong imperatives to work towards equitable neurological care.AimsUsing epilepsy as an entry point to other neurologic conditions, we discuss disparities faced by marginalized groups including racial/ethnic minorities, Americans living in rural communities, and Americans with low socioeconomic status.Materials and MethodsThe National Institute on Minority Health Disparities Research Framework (NIMHD) was used to conduct a narrative review through a health equity lens to create an adapted framework for epilepsy and propose approaches to working towards equitable epilepsy and neurological care.ResultsIn this narrative review, we identified priority populations (racial and ethnic minority, rural‐residing, and low socioeconomic status persons with epilepsy) and outcomes (likelihood to see a neurologist, be prescribed antiseizure medications, undergo epilepsy surgery, and be hospitalized) to explore disparities in epilepsy and guide our focused literature search using PubMed. In an adapted NIMHD framework, we examined individual, interpersonal, community, and societal level contributors to health disparities across five domains: (1) behavioral, (2) physical/built environment, (3) sociocultural, (4) environment, and (5) healthcare system. We take a health equity approach to propose initiatives that target modifiable factors that impact disparities and advocate for sustainable change for priority populations.DiscussionTo improve equity, healthcare providers and relevant societal stakeholders can advocate for improved care coordination, referrals for epilepsy surgery, access to care, health informatics interventions, and education (i.e., to providers, patients, and communities). More broadly, stakeholders can advocate for reforms in medical education, and in the American health insurance landscape.ConclusionsEquitable healthcare should be a priority in neurological care.

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“…Coincident with the development of a robust EDI curriculum, 10 we submit that the development of an explicit statement of shared values is a key step that sets expectations for professional behavior and communicates a strategic message supporting the process of meaningful organizational culture change. 6,17…”

Section: How Can a Pledge/credo Stating Values Foster Edi In Anesthes...mentioning

confidence: 99%

“…sets expectations for professional behavior and communicates a strategic message supporting the process of meaningful organizational culture change. 6,17 The Oxford Dictionary defines a pledge as "a solemn promise or undertaking." Research shows that voluntary pledges, although nonbinding, can help groups facilitate cooperative and collaborative behaviors.…”

mentioning

confidence: 99%

Leading Change and Managing Resistance for Equity, Diversity, and Inclusivity in Anesthesiology Departments

Nguyen,

Lee,

Jalbout Hastie

et al. 2023

Anesthesia &Amp; Analgesia

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Since 2020, academic medicine has witnessed an increased awareness and commitment to initiatives that aim to increase diversity, provide equity, and celebrate inclusivity. Fostering practices and work environments that promote diversity, inclusivity, and belonging provide a major competitive advantage to anesthesiology departments by creating better learning environments, helping to recruit and retain top talent, and improving scientific productivity and patient outcomes. 1,2 Greater diversity of the workforce translates into improved health care access for underserved patients and greater patient satisfaction. 3 Health care cultures that are supportive, cohesive, and inclusive facilitate alignment between an organization's mission, values, and everyday practices in ways that elevate staff morale and work quality. 4,5 Women and individuals from historically marginalized groups report experiencing higher rates of burnout 6 and microaggressions, 7 and receive less mentoring and sponsorship. 8 Disturbingly, the specialty of anesthesiology is reported to have one of the highest rates of sexual harassment according to the Association of American Medical Colleges (AAMC), HOW CAN A PLEDGE/CREDO STATING VALUES FOSTER EDI IN ANESTHESIOLOGY DEPARTMENTS?Coincident with the development of a robust EDI curriculum, 10 we submit that the development of an explicit statement of shared values is a key step that

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Development of an Equity, Diversity, Inclusion, and Anti-racism Pledge as the Foundation for Action in an Academic Department of Neurology

Cited by 7 publications

References 28 publications

Neurology Education in 2035

Neurology Education in 2035

Health equity integrated epilepsy care and research: A narrative review

Leading Change and Managing Resistance for Equity, Diversity, and Inclusivity in Anesthesiology Departments

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