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. 2022 Oct;14(5):554-560.
doi: 10.4300/JGME-D-21-00868.1.

A Reflection and Discussion Exercise on Racial Justice and Equity

Rohan Patnaik  1 , Nabil Attlassy  1 , Susan Davids  2 , Kathlyn E Fletcher  3
Affiliations

A Reflection and Discussion Exercise on Racial Justice and Equity

Rohan Patnaik et al. J Grad Med Educ. 2022 Oct.

Abstract

Background: Residents have valuable perspectives about diversity and equity in medical training, yet many graduate medical education curricula lack dedicated activities focused on such issues.

Objectives: To describe and report feasibility and acceptability of an innovation that uses individual reflection and group discussion to create conversation in our residency program about equity and injustice through the lens of the Black Lives Matter movement.

Methods: In July 2020, we sent a survey with reflection prompts to all postgraduate year 2 and above internal medicine residents. In the discussion session (during required academic time), we presented 10 of the residents' responses to the reflection prompts. After each response was read aloud, the residents had an open discussion. We used thematic analysis to analyze the responses to the reflection prompts. Acceptability was tracked through free-text comments in the survey. Feasibility was measured by the time and resources needed to conduct the session.

Results: We received responses from 24 out of 72 (33%) residents. We identified 10 codes that fell into 4 themes. The most commonly identified codes included anger or frustration toward events, self-reflection on privilege, increased awareness and discussion of racism in daily life, and life being minimally impacted/homeostasis. The 4 overarching themes were (1) awareness, (2) motivation for change, (3) emotional response, and (4) self-reflection.

Conclusions: Using a format of reflection and sharing of anonymous responses was an inexpensive and effective method to begin a discussion about equity and injustice in medicine.

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Conflict of interest statement

Conflict of interest: The authors declare they have no competing interests.

References

    1. How George Floyd Died and What Happened Next. The New York Times . 2020. September 8. www.nytimes.com/article/george-floyd.html .
    1. Charles D, Himmelstein K, Keenan W, Barcelo N. White Coats for Black Lives National Working Group. White coats for Black lives: medical students responding to racism and police brutality. J Urban Health . 2015;92(6):1007–1010. doi: 10.1007/s11524-015-9993-9. - DOI - PMC - PubMed
    1. Gateau KL. White coats for Black lives. J Grad Med Educ . 2021;13(3):327–328. doi: 10.4300/JGME-D-20-00901.1. - DOI - PMC - PubMed
    1. Jordan M. White Coats for Black Lives UTSW Caregivers Commit to Correcting Racial Inequities in Health Care Center Times Plus Published June 16 2020 Accessed August 26. 2021. https://www.utsouthwestern.edu/ctplus/stories/2020/white-coats-for-black... .
    1. Seymour LJ. On Inclusion Diversity and Why Black Lives Matter Too What our MCW Community BLM Protests Mean to our Colleagues of Color The Transformational Times Blog Published September 11 2020 Accessed August 26 2021. https://transformational-times-blog.blogspot.com/2020/09/the-9112020-new... .

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