Towards Inclusive Excellence: Advancing Diversity and Equity in Medical Education

Ritcha Saxena; Ishrat Nur Ridi; Kevin Carnewale

doi:10.36676/jrps.2023-v14i4-026

Authors

Ritcha Saxena Department of Biomedical Sciences, University of Minnesota Medical College, Duluth, Minnesota, USA
Ishrat Nur Ridi Department of Medical Oncology, National Institute of Cancer Research & Hospital, Dhaka, Bangladesh
Kevin Carnewale Department of Pathology, Des Moines College of Osteopathic Medicine, Des Moines University, Iowa, USA

DOI:

https://doi.org/10.36676/jrps.2023-v14i4-026

Keywords:

Diversity, Inclusion, Medical Education, Healthcare, Cultural Competence

Abstract

This study underscores the paramount importance of Diversity, Equity, and Inclusion (DEI) in shaping the future generation of healthcare professionals. By prioritizing DEI, healthcare institutions can address health disparities, enhance cultural competence, and promote a more equitable healthcare environment. Strategies encompass the integration of diverse faculty, the infusion of DEI content throughout the curriculum, faculty diversity initiatives, and specialized training to deliver culturally competent care. The benefits extend to patient-centred healthcare, advocacy for health justice, policy reform, and groundbreaking medical research. By embedding DEI principles into medical education, institutions exemplify their commitment to social responsibility, preparing the next cohort of healthcare professionals to dismantle barriers, eradicate inequities, and forge an inclusive healthcare system accessible to all patients.

References

Flexner A. Medical education in the United States and Canada. From the Carnegie Foundation for the Advancement of Teaching, Bulletin Number Four, 1910. Bull World Health Organ. 2002;80(7):594-602

Skochelak SE, Stack SJ. Creating the Medical Schools of the Future. Acad Med. 2017;92(1):16-19. doi:10.1097/ACM.0000000000001160 DOI: https://doi.org/10.1097/ACM.0000000000001160

Betancourt JR, Green AR, Carrillo JE, Ananeh-Firempong O 2nd. Defining cultural competence: a practical framework for addressing racial/ethnic disparities in health and health care. Public Health Rep. 2003;118(4):293-302. doi:10.1093/phr/118.4.293 DOI: https://doi.org/10.1016/S0033-3549(04)50253-4

Dogra N, Reitmanova S, Carter-Pokras O. Teaching cultural diversity: current status in U.K., U.S., and Canadian medical schools. J Gen Intern Med. 2010;25 Suppl 2(Suppl 2):S164-S168. doi:10.1007/s11606-009-1202-7 DOI: https://doi.org/10.1007/s11606-009-1202-7

Sullivan Commission on Diversity in the Healthcare Workforce. Missing persons: minorities in the health professions. Washington: Sullivan Commission; 2004.

Paez KA, Allen JK, Carson KA, Cooper LA. Provider and clinic cultural competence in a primary care setting. Soc Sci Med. 2008;66(5):1204-1216. doi:10.1016/j.socscimed.2007.11.027 DOI: https://doi.org/10.1016/j.socscimed.2007.11.027

Nosek BA, Smyth FL, Hansen JJ, Devos T, Lindner NM, Ranganath KA, Banaji MR. Pervasiveness and Correlates of Implicit Attitudes and Stereotypes. European Review of Social Psychology. 2007;18:36–88 DOI: https://doi.org/10.1080/10463280701489053

Green AR, Carney DR, Pallin DJ, et al. Implicit bias among physicians and its prediction of thrombolysis decisions for black and white patients. J Gen Intern Med. 2007;22(9):1231-1238. doi:10.1007/s11606-007-0258-5 DOI: https://doi.org/10.1007/s11606-007-0258-5

Williams DR, Mohammed SA. Racism and Health I: Pathways and Scientific Evidence. Am Behav Sci. 2013;57(8):10.1177/0002764213487340. doi:10.1177/0002764213487340 DOI: https://doi.org/10.1177/0002764213487340

Price EG, Gozu A, Kern DE, et al. The role of cultural diversity climate in recruitment, promotion, and retention of faculty in academic medicine. J Gen Intern Med. 2005;20(7):565-571. doi:10.1111/j.1525-1497.2005.0127.x DOI: https://doi.org/10.1111/j.1525-1497.2005.0127.x

Dogra N, Bhatti F, Ertubey C, et al. Teaching diversity to medical undergraduates: Curriculum development, delivery and assessment. AMEE GUIDE No. 103. Med Teach. 2016;38(4):323-337. doi:10.3109/0142159X.2015.1105944 DOI: https://doi.org/10.3109/0142159X.2015.1105944

Rosenkranz KM, Arora TK, Termuhlen PM, et al. Diversity, Equity and Inclusion in Medicine: Why It Matters and How do We Achieve It?. J Surg Educ. 2021;78(4):1058-1065. doi:10.1016/j.jsurg.2020.11.013 DOI: https://doi.org/10.1016/j.jsurg.2020.11.013

National Academies of Sciences, Engineering, and Medicine; Health and Medicine Division; Board on Population Health and Public Health Practice; Roundtable on Health Literacy, McHugh MK, Alper J, eds. The Roles of Trust and Health Literacy in Achieving Health Equity: Public Health Institutions: Proceedings of a Workshop—in Brief. Washington (DC): National Academies Press (US); February 27, 2023.)

Sen, A. (1999). Development as Freedom. Oxford University Press.

Global Education Monitoring Report 2017/18: Accountability in Education: Meeting our Commitments. United Nations Educational, Scientific, and Cultural Organization 2018. https://en.unesco.org/gem-report/report/2017/accountability-education.

Denson, N., & Chang, M. J. (2009). Racial Diversity Matters: The Impact of Diversity-Related Student Engagement and Institutional Context. American Educational Research Journal, 46(2), 322–353. https://doi.org/10.3102/0002831208323278 DOI: https://doi.org/10.3102/0002831208323278

Cox, T.H. and Blake, S. (1991) Managing Cultural Diversity: Implications for Organizational Competitiveness. The Executive, 5, 45-56. https://doi.org/10.5465/AME.1991.4274465 DOI: https://doi.org/10.5465/ame.1991.4274465

Ainscow, Mel & Booth, Tony & DYSON, ALAN. (2004). Understanding and developing inclusive practices in schools: A collaborative action research network. International Journal of Inclusive Education. 8. 125-139. 10.1080/1360311032000158015. DOI: https://doi.org/10.1080/1360311032000158015

Stubbe DE. Practicing Cultural Competence and Cultural Humility in the Care of Diverse Patients. Focus (Am Psychiatr Publ). 2020;18(1):49-51. doi:10.1176/appi.focus.20190041 DOI: https://doi.org/10.1176/appi.focus.20190041

Cultural Competence in Health Care: Emerging Frameworks and Practical Approaches, Joseph R. Betancourt, M.D., M.P.H., Alexander R. Green, M.D., and J. Emilio Carrillo, M.D., The Commonwealth Fund, October 2002