Evidence map›Paper›PMID 36849483›Full record

ArticleAnnals of family medicine2023

The Current State of Antiracism Curricula in Undergraduate and Graduate Medical Education: A Qualitative Study of US Academic Health Centers.

Gina Fatahi, Maja Racic, Marcos I Roche-Miranda, Davis G Patterson, Sean Phelan, Christine A Riedy, Philip M Alberti, Stephen D Persell, Patricia Matthews-Juarez, Paul D Juarez and 4 more

Open access · diamondAbstract read
In one paragraph

Article in Annals of family medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
11.3field-weighted citation impact, top 1% of its field
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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

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  10. Disrupting Psychiatry Didactics: Creation of a Lecturer Toolkit to Include Topics of Equity, Diversity, and Inclusion.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2025
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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

14 authors at 10 institutions in 2 countries.

Gina FatahiNational Center for Integrated Behavioral Health, Mayo Clinic, Phoenix, Arizona (G.F., M.R.).
Maja RacicNational Center for Integrated Behavioral Health, Mayo Clinic, Phoenix, Arizona (G.F., M.R.).
Marcos I Roche-MirandaSchool of Medicine, Medical Sciences Campus, University of Puerto Rico, San Juan, Puerto Rico (M.I.R.).
Davis G PattersonDepartment of Family Medicine, University of Washington School of Medicine, Seattle, Washington (D.G.P.).
Sean PhelanCenter for Health Equity and Community Engagement Research, Mayo Clinic, Rochester, Minnesota (S.P.).
Christine A RiedyDepartment of Oral Health Policy and Epidemiology, Harvard School of Dental Medicine, Boston, Massachusetts (C.A.R.).
Philip M AlbertiAssociation of American Medical Colleges, Washington, DC (P.M.A.).
Stephen D PersellDivision of General Internal Medicine, Department of Medicine, Feinberg School of Medicine Northwestern University, Chicago, Illinois (S.D.P.).
Patricia Matthews-JuarezDepartment of Family & Community Medicine, Meharry Medical College, Nashville, Tennessee (P.M.J., P.D.J.).
Paul D JuarezDepartment of Family & Community Medicine, Meharry Medical College, Nashville, Tennessee (P.M.J., P.D.J.).
Tonya L FancherDepartment of Internal Medicine and Center for a Diverse Healthcare Workforce, University of California, Davis School of Medicine, Sacramento, California (T.L.F.).
Irene SandvoldUS Department of Health and Human Services, Health Resources and Services Administration, Bureau of Health Workforce, Division of Medicine and Dentistry, Rockville, Maryland (I.S., N.D.K.).
Nancy Douglas-KerselliusUS Department of Health and Human Services, Health Resources and Services Administration, Bureau of Health Workforce, Division of Medicine and Dentistry, Rockville, Maryland (I.S., N.D.K.).
Chyke A DoubeniDepartment of Family and Community Medicine, The Ohio State University, Columbus, Ohio (C.A.D.) chyke.doubeni@gmail.com.
Mayo Clinic in Florida · USHealth Resources and Services Administration · USMeharry Medical College · USAssociation of American Medical Colleges · USHarvard University · USNorthwestern University · USThe Ohio State University · USUniversity of California, Davis · USUniversity of Puerto Rico, Medical Sciences Campus · PRUniversity of Washington · US

Funding

Research Design, Data, and Analytics CoreP30DK092949 · NIDDK · UNIVERSITY OF CHICAGO · PI Ronald T. Ackermann, MARSHALL H CHIN · 2011 to 2026
$10.0M
NIDDK NIH HHS P30 DK092949
6 · The paper itself

Abstract

purposeWe undertook a study to evaluate the current state of pedagogy on antiracism, including barriers to implementation and strengths of existing curricula, in undergraduate medical education (UME) and graduate medical education (GME) programs in US academic health centers.

methodsWe conducted a cross-sectional study with an exploratory qualitative approach using semistructured interviews. Participants were leaders of UME and GME programs at 5 institutions participating in the Academic Units for Primary Care Training and Enhancement program and 6 affiliated sites from November 2021 to April 2022.

resultsA total of 29 program leaders from the 11 academic health centers participated in this study. Three participants from 2 institutions reported the implementation of robust, intentional, and longitudinal antiracism curricula. Nine participants from 7 institutions described race and antiracism-related topics integrated into health equity curricula. Only 9 participants reported having "adequately trained" faculty. Participants mentioned individual, systemic, and structural barriers to implementing antiracism-related training in medical education such as institutional inertia and insufficient resources. Fear related to introducing an antiracism curriculum and undervaluing of this curriculum relative to other content were identified. Through learners and faculty feedback, antiracism content was evaluated and included in UME and GME curricula. Most participants identified learners as a stronger voice for transformation than faculty; antiracism content was mainly included in health equity curricula.

conclusionsInclusion of antiracism in medical education requires intentional training, focused institutional policies, enhanced foundational awareness of the impact of racism on patients and communities, and changes at the level of institutions and accreditation bodies.

Indexed as

AntiracismEducation, MedicalCross-Sectional StudiesCurriculumEducation, Medical, GraduateHumanscurriculumgraduate medical educationhealth equitymedical educationmedical schoolspedagogyracismsocial missionundergraduate medical education

Identifiers

PMID36849483
PMCPMC9970667
OpenAlexW4322489731

What OpenQuestion holds

Textmetadata
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.