“…As an intellectual home for our profession, we (i.e., the journals in Family Medicine) have a unique responsibility and opportunity to educate and continue the conversation about institutional racism, health inequities, and antiracism in medicine. (Sexton et al, 2021).…”
Section: Description Of the Joint Call For Actionmentioning
confidence: 99%
“…The result was a call to action written by editors of 10 Family Medicine journals [ American Family Physician (AFP), Annals of Family Medicine (AFM), Canadian Family Physician (CFP), Family Medicine (FM), Family Practice Management (FPM), Family Physician Inquiry Network (FPIN), FP Essentials (FPE), The Journal of Family Practice (JFP), Journal of the American Board of Family Medicine (JABFM) and Peer Reviewed Reports in Medical Education (PRiMER)] simultaneously published online on all of the journals' websites in October 2020 and in print January 2021 (Sexton et al, 2021). The editors together committed to educating authors, peer reviewers and readers on the health effects of institutional racism and the importance of developing anti‐racist publishing practices throughout the discipline.As an intellectual home for our profession, we (i.e., the journals in Family Medicine) have a unique responsibility and opportunity to educate and continue the conversation about institutional racism, health inequities, and anti‐racism in medicine.(Sexton et al, 2021). …”
Section: Description Of the Joint Call For Actionmentioning
confidence: 99%
“…The joint statement (Sexton et al, 2021) listed several objectives to establish benchmarks and goals. Objectives included recruiting and mentoring authors from groups underrepresented in medicine; increasing content on cultural humility, diversity and inclusion, implicit bias and the impacts of systemic racism on health; recruiting editors and editorial board members from underrepresented groups in medicine; and encouraging collaboration and accountability within the specialty of Family Medicine .…”
Section: Outcomes Of the Family Medicine Journals' Joint Statementmentioning
Editors of 10 North American Family Medicine journals simultaneously published a Joint Call for Action to address systemic racism and encourage diversity, equity, inclusion and accessibility/ antiracism (DEIA) initiatives in medicine and medical publishing in January 2021.
“…As an intellectual home for our profession, we (i.e., the journals in Family Medicine) have a unique responsibility and opportunity to educate and continue the conversation about institutional racism, health inequities, and antiracism in medicine. (Sexton et al, 2021).…”
Section: Description Of the Joint Call For Actionmentioning
confidence: 99%
“…The result was a call to action written by editors of 10 Family Medicine journals [ American Family Physician (AFP), Annals of Family Medicine (AFM), Canadian Family Physician (CFP), Family Medicine (FM), Family Practice Management (FPM), Family Physician Inquiry Network (FPIN), FP Essentials (FPE), The Journal of Family Practice (JFP), Journal of the American Board of Family Medicine (JABFM) and Peer Reviewed Reports in Medical Education (PRiMER)] simultaneously published online on all of the journals' websites in October 2020 and in print January 2021 (Sexton et al, 2021). The editors together committed to educating authors, peer reviewers and readers on the health effects of institutional racism and the importance of developing anti‐racist publishing practices throughout the discipline.As an intellectual home for our profession, we (i.e., the journals in Family Medicine) have a unique responsibility and opportunity to educate and continue the conversation about institutional racism, health inequities, and anti‐racism in medicine.(Sexton et al, 2021). …”
Section: Description Of the Joint Call For Actionmentioning
confidence: 99%
“…The joint statement (Sexton et al, 2021) listed several objectives to establish benchmarks and goals. Objectives included recruiting and mentoring authors from groups underrepresented in medicine; increasing content on cultural humility, diversity and inclusion, implicit bias and the impacts of systemic racism on health; recruiting editors and editorial board members from underrepresented groups in medicine; and encouraging collaboration and accountability within the specialty of Family Medicine .…”
Section: Outcomes Of the Family Medicine Journals' Joint Statementmentioning
Editors of 10 North American Family Medicine journals simultaneously published a Joint Call for Action to address systemic racism and encourage diversity, equity, inclusion and accessibility/ antiracism (DEIA) initiatives in medicine and medical publishing in January 2021.
“…The American Indian/Alaska Native (AIAN) communities have endured systemic racism in health research for more than 400 years. Systematic racism prevents AI populations from achieving health equity and complete health (Sexton et al, 2021). The AI populations experience worse mental and physical health outcomes than whites and are more likely to experience discrimination in health care settings.…”
Section: Health Research Health Disparities and Aiansmentioning
American Indian (AI) and Alaska Native (AN) community stakeholder engagement has the power to transform health research. However, the engagement and dissemination process is challenging in AIAN communities due to the historical and current negative experiences of AIAN populations in health research (Dillard et al., 2018). Whereas there is a paucity of recommendations about how to engage stakeholders in health research, from agenda-setting to proposal development, study design, recruitment, data collection, analysis, results, and dissemination (Concannon et al., 2014), there is limited information about how these recommendations are operationalized within the context of AIAN health research and practice (Concannon et al., 2014; Forsythe et al., 2016). For the purposes of this article, stakeholders are individuals, organizations, or communities who have a direct interest in the process and outcomes of a project, research, or policy effort (Boaz et al., 2018). Stakeholder engagement is a systematic process involving stakeholders, which provides opportunities for consultation, input, reviews, reactions, support, and assistance with dissemination. Dissemination focuses on how, when, by whom, and under what circumstances evidence spreads throughout agencies, organizations, states, counties, communities, tribes, researchers, policy makers, and service organizations.
“…Our professional organizations condemn racism, acknowledge its impact on health and the health care system, and encourage institutions and residency programs to adopt antiracist action, including curriculum. [16][17][18][19][20] Family physicians provide the majority of care to the nation's underresourced communities, which are largely Black, Latino, and Indigenous communities. [21][22][23] Providing formal, structured curriculum on racism, in the form of racial justice curriculum (RJC), can equip family medicine residents and faculty to think critically about how to use their roles as clinicians, educators, and researchers to address health disparities.…”
Background and Objectives: Structural racism is a cause of health disparities. Graduate medical education is tasked with training physicians who understand and address disparities. Addressing health disparities includes education on racism, such as racial justice curricula (RJC). We surveyed program directors (PDs) about the prevalence and characteristics of RJC in family medicine residency programs (FMRPs).
Methods: RJC questions were included in the 2020 Council of Academic Family Medicine Educational Research (CERA) survey of FMRP PDs. We calculated univariate and bivariate statistics to describe respondent characteristics and attitudes, program characteristics, curriculum characteristics, and barriers to implementation.
Results: Of 624 PDs, 312 (50%) responded and 283/312 (90.7%) completed RJC questions. Less than one-third of FMRPs reported RJC, of which 98.9% focused on implicit/unconscious bias. Program characteristics associated with RJC included location, percent underrepresented minorities in medicine (URMM) residents and faculty, and percent patients identifying as Black, Latino/a, and Native American. FMRPs with RJC were more likely to have PDs who reported favorable attitudes toward including RJC and believed it is important for family physicians to understand structural racism. The greatest barrier to implementation of RJC was lack of faculty training.
Conclusions: In this national survey, most FMRPs reported no RJC. Most respondent PDs endorsed that it is important for family physicians to understand structural racism and that RJC should be included in residency. Lack of faculty training was the greatest barrier to implementation. Research is needed to evaluate existing RJC and explore strategies for overcoming barriers to implemention.
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