Evidence map›Paper›PMID 41018038›Full record

ArticleJournal of medical education and curricular development

Qualitative Analysis of Contextual Factors Shaping Antiracism Discussions in the Medical School Learning Community: An Activity Theory Analysis.

Maria Alonso Luaces, Kristina M Bridges, Natabhona M Mabachi, Margaret L Smith, Carrie L Francis

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Article in Journal of medical education and curricular development. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Maria Alonso LuacesDepartment of Family Medicine and Community Health, University of Kansas Medical Center, Kansas City, KS, USA.ORCID https://orcid.org/0000-0002-5042-3912
Kristina M BridgesDepartment of Family Medicine and Community Health, University of Kansas Medical Center, Kansas City, KS, USA.ORCID https://orcid.org/0000-0003-3542-974X
Natabhona M MabachiDepartment of Family Medicine and Community Health, University of Kansas Medical Center, Kansas City, KS, USA.
Margaret L SmithDepartment of Family Medicine and Community Health, University of Kansas Medical Center, Kansas City, KS, USA.ORCID https://orcid.org/0009-0002-3874-4542
Carrie L FrancisDepartment of Otolaryngology - Head and Neck Surgery, University of Kansas Medical Center, Kansas City, KS, USA.ORCID https://orcid.org/0000-0002-0489-1889

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Traditional discussions of race-related health inequities in medical education often focus on the racialized individual, neglecting the role of systemic racism and other oppressive structures that drive resource inequities. Structural competency equips healthcare providers and trainees to critically analyze how structural racism creates health disparities. Method: This study used focus groups with medical students (n = 56) and key informant interviews with faculty (n = 9) at a single academic medical center to explore experiences and perceptions of discussions about structural competency and the health effects of structural racism in small group learning communities. Activity Theory served as the analytical framework to understand environmental factors shaping these discussions, highlighting primary and secondary contradictions within the model activity system. Results: The analysis revealed several tensions within the activity system that impacted discussions about race, structural racism, and inequities including, (1) questions of whether structural competency should be an explicit medical school outcome, (2) persistent biases in the curriculum, (3) faculty discomfort and limited expertise in leading discussions, (4) questions about who bears responsibility for facilitating these conversations, and (5) implicit and explicit rules shaping which types of knowledge are prioritized. Conclusions: These findings inform the development of educational tools and faculty support strategies to enhance teaching and learning around structural competency in medical education.

Indexed as

activity theoryantiracismlearning communitymedical educationstructural competency

Identifiers

PMID41018038
PMCPMC12464411

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LicenceCC BY-NC
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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.