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• W3206129615 abstract "To the Editor: On June 3, 2020, internal medicine (IM) residents at the University of California, San Francisco knelt for 9 minutes in memory of George Floyd, who was unjustly murdered the week prior. To ensure this was not simply a performative act, we formed the IM Antiracism Solidarity Coalition to confront systemic racism in medicine. 1 During 2020–2021, we successfully led several departmental changes, including the creation of an antiracist working group and an antiracism curriculum. We took several replicable steps to advance these actions. First, we built a coalition of residents interested in embracing antiracist praxis. We then identified departmental areas for improvement and presented residency program leaders with a prioritized proposal that centered the voices of Black trainees and patients. Our coalition established antiracism education as one priority, and we created a lecture series and symposium examining structural racism in medicine. We identified faculty champions who served as pedagogical mentors and facilitated access to institutional resources, including curricular time and funding. Residents recruited speakers and highlighted concurrent campus activities on antiracism to form a foundational 4-part noon lecture series through Spring 2021 that was available to all IM residents. The curriculum culminated in a daylong symposium in April 2021—including a keynote address, workshops, and race-based caucusing—for which all residents on outpatient rotations were granted protected time to participate. For the symposium, residents designed 6 original interactive workshops, facilitated by University of California, San Francisco faculty, that deconstructed race in the core areas of practice: clinical medicine, medical education, and research. Participants were guided through seminal literature and case studies and tasked with identifying personal and structural areas for antiracist intervention in their practice as physicians. The day concluded with race-based caucusing for residents identifying as people of color and those identifying as White. The symposium was well received. Formal evaluation is underway with the intention of broader dissemination, as few published curricula on structural racism exist. 2 The IM department has adopted a curricular footprint with longitudinal antiracist education for all residents and will continue to sponsor the antiracist working group to address other areas of systemic racism in medicine. The time is now for medical schools and health systems to embrace antiracist change. Resident physicians can be catalysts for reform. Our work should be amplified with programmatic support by way of faculty partnerships, funding, and dedicated curricular time. Acknowledgments: The authors thank Sarah Schaeffer, MD, MPH, for guidance throughout this process." @default.
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• W3206129615 date "2022-07-21" @default.
• W3206129615 modified "2023-09-26" @default.
• W3206129615 title "Creating a Culture of Antiracism in an Internal Medicine Residency: Resident Physicians as Catalysts of Change" @default.
• W3206129615 cites W2324215897 @default.
• W3206129615 doi "https://doi.org/10.1097/acm.0000000000004474" @default.
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