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Health Justice Standards in Graduate Medical Education: Moving from Performative to Concrete Change.


ABSTRACT:

Background

Inadequate support for underrepresented-in-medicine physicians, lack of physician knowledge about structural drivers of health, and biased patient care and research widen US health disparities. Despite stating the importance of health equity and diversity, national physician education organizations have not yet prioritized these goals.

Aim

To develop a comprehensive set of Health Justice Standards within our residency program to address structural drivers of inequity.

Setting

The J. Willis Hurst Internal Medicine Residency Program of Emory University is an academic internal medicine residency program located in Atlanta, Georgia.

Participants

This initiative was led by the resident-founded Churchwell Diversity and Inclusion Collective, modified by Emory IM leadership, and presented to Emory IM residents.

Program description

We used an iterative process to develop and implement these Standards and shared our progress with our coresidents to evaluate impact.

Program evaluation

In the year since their development, we have made demonstrable progress in each domain. Presentation of our work significantly correlated with increased resident interest in advocacy (p<0.001).

Discussion

A visionary, actionable health justice framework can be used to generate changes in residency programs' policies and should be developed on a national level.

SUBMITTER: Van Doren VE 

PROVIDER: S-EPMC9894507 | biostudies-literature | 2023 May

REPOSITORIES: biostudies-literature

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Publications

Health Justice Standards in Graduate Medical Education: Moving from Performative to Concrete Change.

Van Doren Vanessa Elizabeth VE   Spencer Mark L ML   Resnick Daniel D   Agrawal Shub S SS   Garcia Mackenzie L W MLW   Desai Krisha K   Fazal Amara A   Sadjadi Raha R   Rollin Francois G FG   Henry Tracey L TL  

Journal of general internal medicine 20230202 7


<h4>Background</h4>Inadequate support for underrepresented-in-medicine physicians, lack of physician knowledge about structural drivers of health, and biased patient care and research widen US health disparities. Despite stating the importance of health equity and diversity, national physician education organizations have not yet prioritized these goals.<h4>Aim</h4>To develop a comprehensive set of Health Justice Standards within our residency program to address structural drivers of inequity.<h  ...[more]

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