Cultivating Empathy Through Virtual Reality: Advancing Conversations About Racism, Inequity, and Climate in Medicine
Cultivating Empathy Through Virtual Reality: Advancing Conversations About Racism, Inequity, and Climate in Medicine
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DOI：
10.1097/acm.0000000000003615
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发表时间：
2020-12-01
影响因子：
7.4
通讯作者：
Smith, Lawrence
中科院分区：
文献类型：
--
作者：
Roswell, Robert O.;Cogburn, Courtney D.;Smith, Lawrence
问题差异和偏见是健康不平等的基本原因，它们对美国各地学术医学机构的气候产生负面影响。2019年，扎克医学院和诺斯韦尔健康学院和Northwell Health驾驶了虚拟现实（VR）种族主义作为专业人士的一部分医学院和卫生系统领导者，教职员工的发展。参与者在微攻击方面经历了60分钟的互动，大组的会话，并且作为个人，也是一个20分钟的VR模块。随后是小组反思和汇报。与VR学术团队合作开发的会议代表了对机构气候评估调查的回应，该调查表明需要扩大有关跨文化交流和增强包容性的专业培训。 。在一项邮政工作表调查中，由76名参与者完成（67.9％），大多数受访者（90.8％）报告说有从事VR体验的感觉。此外，大多数人同意VR是增强同理心的有效工具（94.7％），即会议增强了他们对少数族裔的同理心（85.5％），并且他们的交流方法将改变（67.1％）（67.1％）。在开放式的回应中，参与者经常传达热情，强大的情感和生理反应以及增强同理心。他们还建议了更多的后续讨论时间。接下来的步骤安置步骤包括评估VR模块的可扩展性；确定有效的互补参与；并测量模块对种族同理心，歧视和机构气候的纵向影响。随着VR在医学教育中变得越来越普遍，开发VR模块以解决其他形式的歧视（例如，性别歧视，同性恋恐惧症）也可以使医学院和卫生系统的机构气候受益，因为学术医学继续朝着健康公平迈进。
ProblemRacism and bias are fundamental causes of health inequities, and they negatively affect the climate of academic medical institutions across the United States.ApproachIn 2019, the Zucker School of Medicine and Northwell Health piloted a virtual reality (VR) racism experience as a component of professional development for medical school and health system leaders, faculty, and staff. Participants experienced a 60-minute, interactive, large-group session on microaggressions and, as individuals, a 20-minute VR module. These were followed by group reflection and debriefing. The sessions, developed in collaboration with a VR academic team, represented a response to institutional climate assessment surveys, which indicated the need for expanded professional training on cross-cultural communication and enhancing inclusion.OutcomesIn October 2019, 112 faculty and staff participated in the workshop. On a postworkshop survey, completed by 76 participants (67.9%), most respondents (90.8%) reported feeling engaged in the VR experience. Additionally, the majority agreed that VR was an effective tool for enhancing empathy (94.7%), that the session enhanced their own empathy for racial minorities (85.5%), and that their approach to communication would change (67.1%). In open-ended responses, participants frequently conveyed enthusiasm, powerful emotional and physiologic responses, and enhanced empathy. They also suggested more time for follow-up discussions.Next StepsNext steps include assessing the scalability of the VR module; determining effective complementary engagements; and measuring the module's longitudinal effects on racial empathy, discrimination, and institutional climate. As VR becomes more common in medical education, developing VR modules to address other forms of discrimination (e.g., sexism, homophobia) could also benefit the institutional climates of medical schools and health systems as academic medicine continues to build toward health equity.