From Theory to Action: Evaluation of a Longitudinal Project-Based Antiracism Course for Post-Graduate Physicians

Objectives Few opportunities exist for postgraduate physicians to learn to address racism in their professional practice. We created a virtual, 5-session antiracism course that included the development of a formal action project to address racism at participants’ home institution. Methods We deliver...

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Main Authors: Camila M. Mateo, Danny McCormick, Chrissie Connors, Gaurab Basu
Format: Article
Language:English
Published: SAGE Publishing 2024-12-01
Series:Journal of Medical Education and Curricular Development
Online Access:https://doi.org/10.1177/23821205241303643
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author Camila M. Mateo
Danny McCormick
Chrissie Connors
Gaurab Basu
author_facet Camila M. Mateo
Danny McCormick
Chrissie Connors
Gaurab Basu
author_sort Camila M. Mateo
collection DOAJ
description Objectives Few opportunities exist for postgraduate physicians to learn to address racism in their professional practice. We created a virtual, 5-session antiracism course that included the development of a formal action project to address racism at participants’ home institution. Methods We delivered this curriculum virtually to 2 cohorts (2021 and 2022) of postgraduate physicians, nationally. The curriculum had 3 educational aims: (1) to increase knowledge on antiracism, (2) to increase comfort and engagement in discussing antiracism at home institutions, and (3) to increase self-efficacy to execute an institution-based project. Theory-informed practice, community building, and project-based learning were used to achieve our educational aims. We analyzed changes in these domains in addressing racism using matched 7-item Likert-scale questions from pre- and post-course surveys and the Wilcoxon signed rank test. We assessed perceptions and impacts of the course with post-course survey items using descriptive statistics. Results Forty-three of 50 participants (86%) who completed pre- and post-course surveys were included in the analysis. We found pre–post course increases in mean scores (converted from Likert scales), for all 15 paired questions. For example, we found improvements in understanding the historical context of racism in medical institutions (mean score change: 5.12 [SD 1.00] to 6.42 [SD 0.76], P  < .001), comfort in talking to colleagues about racism (5.21 [SD 1.08] to 6.19 [SD 0.70], P  < .001), and capacity to address racism in patient care at their home institution (4.51 [SD 1.35] to 5.56 [SD 0.91], P  < 0.001). 93% reported the course increased the likelihood of working to address racism at their institution. Conclusion This project-based antiracism course for postgraduate learners increased self-reported knowledge of, comfort with, and self-efficacy in addressing racism and was well received by participants.
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spelling doaj-art-29eda46b4ec047a391ca873cc172ac332025-08-20T02:33:43ZengSAGE PublishingJournal of Medical Education and Curricular Development2382-12052024-12-011110.1177/23821205241303643From Theory to Action: Evaluation of a Longitudinal Project-Based Antiracism Course for Post-Graduate PhysiciansCamila M. Mateo0Danny McCormick1Chrissie Connors2Gaurab Basu3 , Boston, MA, USA Center for Health Equity Education and Advocacy, , Cambridge, MA, USA Center for Health Equity Education and Advocacy, , Cambridge, MA, USA Center for Health Equity Education and Advocacy, , Cambridge, MA, USAObjectives Few opportunities exist for postgraduate physicians to learn to address racism in their professional practice. We created a virtual, 5-session antiracism course that included the development of a formal action project to address racism at participants’ home institution. Methods We delivered this curriculum virtually to 2 cohorts (2021 and 2022) of postgraduate physicians, nationally. The curriculum had 3 educational aims: (1) to increase knowledge on antiracism, (2) to increase comfort and engagement in discussing antiracism at home institutions, and (3) to increase self-efficacy to execute an institution-based project. Theory-informed practice, community building, and project-based learning were used to achieve our educational aims. We analyzed changes in these domains in addressing racism using matched 7-item Likert-scale questions from pre- and post-course surveys and the Wilcoxon signed rank test. We assessed perceptions and impacts of the course with post-course survey items using descriptive statistics. Results Forty-three of 50 participants (86%) who completed pre- and post-course surveys were included in the analysis. We found pre–post course increases in mean scores (converted from Likert scales), for all 15 paired questions. For example, we found improvements in understanding the historical context of racism in medical institutions (mean score change: 5.12 [SD 1.00] to 6.42 [SD 0.76], P  < .001), comfort in talking to colleagues about racism (5.21 [SD 1.08] to 6.19 [SD 0.70], P  < .001), and capacity to address racism in patient care at their home institution (4.51 [SD 1.35] to 5.56 [SD 0.91], P  < 0.001). 93% reported the course increased the likelihood of working to address racism at their institution. Conclusion This project-based antiracism course for postgraduate learners increased self-reported knowledge of, comfort with, and self-efficacy in addressing racism and was well received by participants.https://doi.org/10.1177/23821205241303643
spellingShingle Camila M. Mateo
Danny McCormick
Chrissie Connors
Gaurab Basu
From Theory to Action: Evaluation of a Longitudinal Project-Based Antiracism Course for Post-Graduate Physicians
Journal of Medical Education and Curricular Development
title From Theory to Action: Evaluation of a Longitudinal Project-Based Antiracism Course for Post-Graduate Physicians
title_full From Theory to Action: Evaluation of a Longitudinal Project-Based Antiracism Course for Post-Graduate Physicians
title_fullStr From Theory to Action: Evaluation of a Longitudinal Project-Based Antiracism Course for Post-Graduate Physicians
title_full_unstemmed From Theory to Action: Evaluation of a Longitudinal Project-Based Antiracism Course for Post-Graduate Physicians
title_short From Theory to Action: Evaluation of a Longitudinal Project-Based Antiracism Course for Post-Graduate Physicians
title_sort from theory to action evaluation of a longitudinal project based antiracism course for post graduate physicians
url https://doi.org/10.1177/23821205241303643
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