Evidence map›Paper›PMID 29387786›Full record

ArticleMedEdPORTAL : the journal of teaching and learning resources2017

Racism as a Unique Social Determinant of Mental Health: Development of a Didactic Curriculum for Psychiatry Residents.

Morgan Medlock, Anna Weissman, Shane Shucheng Wong, Andrew Carlo, Mary Zeng, Christina Borba, Michael Curry, Derri Shtasel

Abstract read
In one paragraph

Article in MedEdPORTAL : the journal of teaching and learning resources, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Outcomes of antiracist pedagogy in health professions education: a scoping review.Advances in health sciences education : theory and practice · 2026
    Article
  5. Enhancing Cultural Humility: Addressing Mental Health Disparities in AANHPI Communities.MedEdPORTAL : the journal of teaching and learning resources · 2026
    Article
  6. Article
  7. Review
  8. Article
  9. Core Competencies of an Anti-racist Physician: Elective Course for Undergraduate Medical Students.MedEdPORTAL : the journal of teaching and learning resources · 2024
    Article
  10. Article
  11. Building an Infectious Disease Diversity, Equity, and Antiracism (ID2EA) Curriculum: A Single Center's Experience and Reflections.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
    Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Morgan MedlockFourth-year Psychiatry Resident, Massachusetts General Hospital.
Anna WeissmanFourth-year Psychiatry Resident, Massachusetts General Hospital.
Shane Shucheng WongFourth-year Child Psychiatry Resident, Massachusetts General Hospital.
Andrew CarloFourth-year Psychiatry Resident, Massachusetts General Hospital.
Mary ZengFourth-year Psychiatry Resident, Massachusetts General Hospital.
Christina BorbaDirector of Research, Department of Psychiatry, Boston University School of Medicine.
Michael CurryDirector of Legislative Affairs, Massachusetts League of Community Health Centers; Board Member, National Association for the Advancement of Colored People (NAACP).
Derri ShtaselDirector, Division of Public and Community Psychiatry, Massachusetts General Hospital.

Funding

Epidemiological and socio-cultural landscape of schizophrenia in rural EthiopiaK01MH100428 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI BORBA, CHRISTINA PAULA CABRAL · 2014 to 2018
$903k
NIMH NIH HHS K01 MH100428
6 · The paper itself

Abstract

introductionMental health disparities based on minority racial status are well characterized, including inequities in access, symptom severity, diagnosis, and treatment. For African Americans, racism may affect mental health through factors such as poverty and segregation, which have operated since slavery. While the need to address racism in medical training has been recognized, there are few examples of formal didactic curricula in the psychiatric literature. Antiracism didactics during psychiatry residency provide a unique opportunity to equip physicians to address bias and racism in mental health care.

methodsWith advocacy by residents in the Massachusetts General Hospital/McLean Psychiatry residency program, the Division of Public and Community Psychiatry developed a curriculum addressing racial inequities in mental health, particularly those experienced by African Americans. Four 50-minute interactive didactic lectures were integrated into the required didactic curriculum (one lecture per postgraduate training class) during the 2015-2016 academic year.

resultsOf residents who attended lectures and provided anonymous feedback, 97% agreed that discussing racism in formal didactics was at least "somewhat" positive, and 92% agreed that it should "probably" or "definitely" remain in the curriculum. Qualitative feedback centered on a need for more time to discuss racism as well as a desire to learn more about minority mental health advocacy in general. DISCUSSION: Teaching about racism as part of required training conveys the explicit message that this is core curricular material and critical knowledge for all physicians. These lectures can serve as a springboard for dissemination and provide scaffolding for similar curriculum development in medical residency programs.

Indexed as

AdvocacyBiasDisparitiesHealth PolicyMental HealthPsychiatryRaceRacism

Identifiers

PMID29387786
PMCPMC5788030

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.