Developing a curriculum in obstetric, gynecologic, and reproductive health care equity to bridge research and practice

开发妇产科和生殖健康保健公平课程以连接研究和实践

• 批准号: 10731634
• 负责人: Teresa Janevic
• 金额: $ 16.2万
• 依托单位: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-07-01 至 2027-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10731634
• 关键词: Active Learning; Advocate; Area; Awareness; Behavior; Biological; Caring; Categories; Clinical; Clinical Clerkship; Collaborations; Communities; Competence; Creativeness; Data; Dimensions; Discipline of obstetrics; Discrimination; Education; Educational Activities; Educational Curriculum; Equitable healthcare; Equity; Ethnic Origin; Evidence based practice; Faculty; Family; Focus Groups; Foundations; Gender; Goals; Growth; Gynecologic; Gynecology; Health; Health Professional; Health Services Research; Health system; Healthcare; Immigration; Individual; Instruction; Intervention; Justice; Knowledge; Learning; Left; Life Cycle Stages; Longitudinal Surveys; Maternal Health; Medical; Medical Students; Medicine; Mission; Modeling; Obesity; Outcome; Patient-Centered Care; Patient-Focused Outcomes; Patients; Physicians; Quality of Care; Race; Reaction; Reproductive Health; Reproductive Sciences; Research; Research Institute; Role; Sex Orientation; Sexual Health; Structural Racism; Students; Surveys; Testing; Training; Training Programs; Woman; Women' s Health; Work; anti-racism; care outcomes; career; clinical care; clinical training; community engagement; curriculum development; design; diversity and inclusion; experience; gender diversity; health care delivery; health care quality; health communication; health disparity; health equity; health inequalities; health training; improved; intersectionality; learning community; lectures; medical schools; next generation; novel; outcome disparities; peer; portability; programs; racism; reproductive; research in practice; sex; skills; social determinants; social health determinants; structural determinants; structural health determinants; systems research; tool; woman health professional; women faculty

PROJECT SUMMARY Structural racism is a fundamental cause of health inequity. There is an urgent need to train health professionals on structural and social determinants of health, and the role of health care bias in perpetuating and exacerbating health disparities. Simultaneously, the US maternal health crisis has fueled increasing recognition of curricular gaps in sexual and reproductive health equity for obstetrics and gynecology (Ob/Gyn) practitioners, and specifically best practices in research on race, sex, and gender as they relate to quality of care and patient experience. Initiating this instruction early in medical training and establishing core competencies in unbiased and antiracist health care practice is critical to cultivating the next generation of clinicians. We aim to develop, implement, and evaluate a curriculum for medical school learners about the intersection of race, ethnicity, sex, and gender in Oby/Gyn health care equity. Specifically, we will develop didactic modules on topics including social and structural determinants of health, gendered racism, intersectionality, reproductive justice, health care discrimination, and care of gender diverse individuals, with cross-cutting themes of best practices in research, biologic mechanisms, and interventions (Aim 1). We will create a reflective learning community app to bridge didactic lectures to clinical clerkships (Aim 2). We will engage community representatives and medical school learners in co-design of curriculum and app content, including novel integration of narrative and graphic medicine tools to illustrate patient experiences and lessons for research and clinical care. Finally, we will implement the curriculum with 140 medical school learners in Ob/Gyn clerkship and elective didactics and evaluate program objectives through longitudinal learner surveys (Aim 3). At project completion, we will have a portable model for clinical training programs, using student-led, applied, and reflective learning to bridge research and practice. This model is responsive to the RFA-OD-22-015 goal to support creative educational activities that develop skills in multidimensional and intersectional health-related research and healthcare delivery and will fill a critical gap in physician training, with the expected impact of advancing equity in Ob/Gyn health care quality and outcomes.

项目概要 结构性种族主义是健康不平等的根本原因。迫切需要培训卫生专业人员 关于健康的结构性和社会决定因素，以及医疗保健偏见在延续和加剧中的作用 健康差异。与此同时，美国孕产妇健康危机促使人们越来越认识到课程 妇产科 (Ob/Gyn) 从业者在性健康和生殖健康公平方面的差距，以及 特别是种族、性别和性别研究的最佳实践，因为它们与护理质量和患者有关 经验。在医疗培训中尽早开始这项指导，并在公正的环境中建立核心能力 反种族主义的医疗保健实践对于培养下一代临床医生至关重要。我们的目标是发展、 为医学院学习者实施和评估有关种族、民族、性别、 妇产科医疗保健公平性中的性别问题。具体来说，我们将开发有关主题的教学模块，包括 健康的社会和结构决定因素、性别种族主义、交叉性、生殖正义、卫生保健 歧视和对性别多样化个人的照顾，以研究最佳实践的跨领域主题， 生物学机制和干预措施（目标 1）。我们将创建一个反思性学习社区应用程序来桥接 对临床见习人员的教学讲座（目标 2）。我们将聘请社区代表和医学院 学习者共同设计课程和应用程序内容，包括叙事和图形医学的新颖整合 用于说明患者经验以及研究和临床护理教训的工具。最后，我们将实施 140 名医学院学习者参与妇产科见习、选修教学和评估计划的课程 通过纵向学习者调查实现目标（目标 3）。项目完成后，我们将拥有一个便携式模型 临床培训计划，利用学生主导的、应用的和反思性的学习来连接研究和实践。 该模型响应 RFA-OD-22-015 目标，支持培养技能的创造性教育活动 多维和跨领域的健康相关研究和医疗保健服务，将填补一个关键空白 医生培训，以提高妇产科医疗保健质量和结果的公平性带来的预期影响。