Introducing a Structural Competency Framework for Psychiatry Residents: Drawing Your Neighborhood

Mathis, Walter S; Cyrus, Kali D.; Jordan, Ayana; Rohrbaugh, Robert M.

doi:10.1007/s40596-019-01077-z

Cited by 14 publications

(37 citation statements)

References 10 publications

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“…Thirteen of the articles reviewed were original research 21,53‐64 . The remaining articles (9/51) were case studies, case reports, descriptions of implemented curricula, reviews of the literature, or a combination thereof 16‐18,20,65‐69 …”

Section: Resultsmentioning

confidence: 99%

“…21,[53][54][55][56][57][58][59][60][61][62][63][64] The remaining articles (9/51) were case studies, case reports, descriptions of implemented curricula, reviews of the literature, or a combination thereof. [16][17][18]20,[65][66][67][68][69] The papers examined and conceptualized structural competency as an interdisciplinary framework that requires learners and educators to continually reflect on issues of power, privilege, difference, and identity in their professional development and care delivery. However, the papers varied in their operationalization of structural competency.…”

Section: Scoping Reviewmentioning

confidence: 99%

“…In contrast, Wear et al 50 proposed incorporating film, literature, written texts, bioethics, and clinical and community experiences to guide students in their learning and clinical care. Finally, Sudak et al 46 Of these, 10 studies 21,52,54,56,57,59,61,64,67,69 defined an outcome as an affective or cognitive change in the learner, and two studies 17,63 examined changes to clinical practice as a result of a specific intervention. None of the studies took place within an ED setting (e.g., learners or patient population).…”

Section: Scoping Reviewmentioning

confidence: 99%

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Structural competency in emergency medical education: A scoping review and operational framework

Salhi

Zeidan

Stehman

et al. 2022

AEM Education and Training

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Objectives Existing curricula and recommendations on the incorporation of structural competency and vulnerability into medical education have not provided clear guidance on how best to do so within emergency medicine (EM). The goal of this scoping review and consensus building process was to provide a comprehensive overview of structural competency, link structural competency to educational and patient care outcomes, and identify existing gaps in the literature to inform curricular implementation and future research in EM. Methods A scoping review focused on structural competency and vulnerability following Arksey and O’Malley’s six‐step framework was performed in concurrence with a multistep consensus process culminating in the 2021 SAEM Consensus Conference. Feedback was incorporated in developing a framework for a national structural competency curriculum in EM. Results A literature search identified 291 articles that underwent initial screening. Of these, 51 were determined to be relevant to EM education. The papers consistently conceptualized structural competency as an interdisciplinary framework that requires learners and educators to consider historical power and privilege to develop a professional commitment to justice. However, the papers varied in their operationalization, and no consensus existed on how to observe or measure the effects of structural competency on learners or patients. None of the studies examined the structural constraints of the learners studied. Conclusions Findings emphasize the need for training structurally competent physicians via national structural competency curricula focusing on standardized core competency proficiencies. Moreover, the findings highlight the need to assess the impact of such curricula on patient outcomes and learners’ knowledge, attitudes, and clinical care delivery. The framework aims to standardize EM education while highlighting the need for further research in how structural competency interventions would translate to an ED setting and affect patient outcomes and experiences.

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Section: Resultsmentioning

confidence: 99%

Section: Scoping Reviewmentioning

confidence: 99%

Section: Scoping Reviewmentioning

confidence: 99%

See 1 more Smart Citation

Structural competency in emergency medical education: A scoping review and operational framework

Salhi

Zeidan

Stehman

et al. 2022

AEM Education and Training

View full text Add to dashboard Cite

show abstract

“…Psychiatrists increasingly recognize how structural disparities in our policies, communities, institutions, and even healthcare negatively impact individuals’ psychiatric outcomes ( 1 , 2 ). Accordingly, recent efforts have been made to incorporate social justice principles into medical school and residency education ( 1 , 3 , 4 ). The recent murder of George Floyd and Breonna Taylor and the shooting of Jacob Blake, as well as the impact of the coronavirus pandemic on people of color, has led to a national outcry and a renewed urgency to causes of social justice.…”

mentioning

confidence: 99%

“…There was a recent Psychosomatics article that explored the impact of collaborative care on racial/ethnic minorities, but it was not conceptualized in terms of social justice ( 2 ). In comparison, these topics have been represented in other leading medical and psychiatric journals since at least 2015 ( 1 , 3 , 4 ).…”

mentioning

confidence: 99%