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.

项目摘要 结构性种族主义是造成健康不平等的基本原因。迫切需要培训卫生专业人员 关于健康的结构和社会决定因素，以及医疗保健偏见在永久性和恶化中的作用 健康差异。同时，美国的母亲健康危机加剧了对课程的认识 妇产科（OB/GYN）从业者的性和生殖健康公平方面的差距，以及 特别是关于种族，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。早期在医学培训中启动这项指导，并建立公正的核心能力 反种族主义医疗保健实践对于培养下一代临床医生至关重要。我们旨在发展， 实施并评估医学院学习者的课程，以了解种族，种族，性别， 和OBY/GYN医疗保健公平的性别。具体来说，我们将开发有关主题的教学模块 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 歧视和照顾性别多样化的个人，以研究最佳实践为主题， 生物机制和干预措施（AIM 1）。我们将创建一个反思性学习社区应用程序来桥接 临床文员的教学讲座（AIM 2）。我们将吸引社区代表和医学院 课程和应用内容共同设计的学习者，包括叙事和图形医学的新颖集成 说明患者经验和研究和临床护理的经验的工具。最后，我们将实施 与140名医学院学习者的课程 通过纵向学习者调查的目标（AIM 3）。在项目完成时，我们将有一个便携式模型 临床培训计划，使用学生主导，应用和反思性学习来桥接研究和实践。 该模型对RFA-OD-22-015的目标敏感，以支持发展技能的创意教育活动 在多维和交叉健康相关的研究和医疗保健方面，将填补关键的空白 在医师培训中，在OB/GYN医疗保健质量和成果方面提高公平性的预期影响。