Racial disparities in emergency medicine: Implementation of a novel educational module in the emergency medicine clerkship

被引:1
|
作者
Ellis, Joshua [1 ,2 ,5 ,6 ]
Landry, Alden M. [1 ,2 ]
Darling, Alanna [3 ]
Cabrera, Payton [4 ]
Ullman, Edward [1 ,2 ]
Grossestreuer, Anne V. [1 ,2 ]
Dubosh, Nicole M. [1 ,2 ]
机构
[1] Beth Israel Deaconess Med Ctr, Dept Emergency Med, Boston, MA USA
[2] Harvard Med Sch, Boston, MA USA
[3] Baystate Med Ctr, Dept Emergency Med, Springfield, MA USA
[4] Beth Israel Deaconess Med Ctr, Dept Emergency Med, Boston, MA USA
[5] Beth Israel Deaconess Med Ctr, Dept Emergency Med, One Deaconess Rd Rosenburg 2, Boston, MA 02215 USA
[6] Harvard Med Sch, One Deaconess Rd Rosenburg 2, Boston, MA 02215 USA
关键词
CULTURAL COMPETENCE; RACE; PAIN; BIAS;
D O I
10.1002/aet2.10837
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
ObjectivesDespite decades of literature recognizing racial disparities (RDs) in emergency medicine (EM), published curricula dedicated to addressing them are sparse. We present details of our novel RD curriculum for EM clerkships and its educational outcomes. MethodsWe created a 30-min interactive didactic module on the topic designed for third- and fourth-year medical students enrolled in our EM clerkships. Through a modified Delphi process, education faculty and content experts in RD developed a 10-question multiple-choice test of knowledge on RD that the students completed immediately prior to and 2 weeks following the activity. Students also completed a Likert-style learner satisfaction survey. Median pre- and posttest scores were compared using a paired Wilcoxon signed-rank test and presented using medians and 95% confidence intervals (CIs). Satisfaction survey responses were dichotomized into favorable and neutral/not favorable. ResultsFor the 36 students who completed the module, the median pretest score was 40% (95% CI 36%-50%) and the posttest score was 70% (95% CI 60%-70%) with a p-value of <0.001. Thirty-five of the 36 students improved on the posttest with a mean increase of 24.2% (95% CI 20.2-28.2). The satisfaction survey also showed a positive response, with at least 83% of participants responding favorably to all statements (overall mean favorable response 93%, 95% CI 90%-96%).ConclusionsThis EM-based module on RD led to improvement in students' knowledge on the topic and positive reception by participants. This is a feasible option for educating students in EM on the topic of RD.
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页数:5
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