Literature DB >> 31040014

Pushing for health equity through structural competency and implicit bias education: A qualitative evaluation of a racial/ethnic health disparities elective course for pharmacy learners.

Nicole D Avant1, Gordon L Gillespie2.   

Abstract

BACKGROUND AND
PURPOSE: Health equity attainment requires dismantling implicit bias and structural racism. Mitigating bias in clinical interventions and implementing structural interventions to impact where people live, work, play, and eat fosters optimal patient outcomes. Consequently, pharmacy students need exposure to these concepts. The objective of this project was to evaluate an elective course focused on exposing students to the root causes of health disparities, contemporary factors that perpetuate disparities, and evidence-based policies to reduce health disparities. EDUCATIONAL ACTIVITY AND
SETTING: This three-credit course emphasized critical thinking, robust discussions, and learning challenging constructs through self-discovery. Nine second-year and third-year learners were assessed by short-answer exams, learning management system discussion threads, weekly reflections, participation, and a class project. A qualitative descriptive design was used for this study. Weekly reflections were subjected to thematic analysis using a constant comparative analysis method to generate themes.
FINDINGS: Five themes were derived from the data underlying strategies to facilitate this course: (1) create and maintain a welcoming and inclusive learning environment; (2) utilize experiential learning for personal awareness development and knowledge expansion; (3) incorporate intergroup diversity to empower learners to create change; (4) anticipate and acknowledge emotions to facilitate learning; and (5) provide students with an opportunity to complete a final self-reflection paper.
SUMMARY: This course provided pharmacy learners with unique, differential skill sets and knowledge, potentially adding depth to their careers and impacting the way they will practice pharmacy.
Copyright © 2019 Elsevier Inc. All rights reserved.

Entities:  

Keywords:  Active learning; Bias reduction; Cultural competency; Institutional racism; Social determinants; Teaching

Year:  2019        PMID: 31040014     DOI: 10.1016/j.cptl.2019.01.013

Source DB:  PubMed          Journal:  Curr Pharm Teach Learn        ISSN: 1877-1297


  11 in total

Review 1.  A call for grounding implicit bias training in clinical and translational frameworks.

Authors:  Nao Hagiwara; Frederick W Kron; Mark W Scerbo; Ginger S Watson
Journal:  Lancet       Date:  2020-05-02       Impact factor: 79.321

2.  The Past, Present, and Futurist Role of the Pharmacy Profession to Achieve Black Health Equity.

Authors:  Nicole D Avant; Holly Y McGee
Journal:  Am J Pharm Educ       Date:  2021-10       Impact factor: 2.047

3.  Structural competency in emergency medical education: A scoping review and operational framework.

Authors:  Bisan A Salhi; Amy Zeidan; Christine R Stehman; Sarah Kleinschmidt; E Liang Liu; Kristen Bascombe; Kian Preston-Suni; Melissa H White; Jeff Druck; Bernard L Lopez; Margaret E Samuels-Kalow
Journal:  AEM Educ Train       Date:  2022-06-23

Review 4.  Undoing Racism and Mitigating Bias Among Healthcare Professionals: Lessons Learned During a Systematic Review.

Authors:  Tiffany N Ricks; Christine Abbyad; Elizabeth Polinard
Journal:  J Racial Ethn Health Disparities       Date:  2021-09-03

5.  Correction: Structural Racism and Supporting Black Lives - A Pharmacist's Vow amid COVID-19.

Authors:  Nicole D Avant
Journal:  Innov Pharm       Date:  2021-06-10

6.  Implementation and Evaluation of a 10-Week Health Equity Curriculum for Pharmacy Students.

Authors:  Stephanie L Hsia; Aubrey Landsfeld; Kelly Lam; Rupa Lalchandani Tuan
Journal:  Am J Pharm Educ       Date:  2021-07-22       Impact factor: 2.047

Review 7.  The Rx-HEART Framework to Address Health Equity and Racism Within Pharmacy Education.

Authors:  Lakesha M Butler; Vibhuti Arya; Nkem P Nonyel; Terri Smith Moore
Journal:  Am J Pharm Educ       Date:  2021-07-22       Impact factor: 2.047

8.  Twelve tips for teaching implicit bias recognition and management.

Authors:  Cristina M Gonzalez; Monica L Lypson; Javeed Sukhera
Journal:  Med Teach       Date:  2021-02-08       Impact factor: 3.650

9.  Connections and Biases in Health Equity and Culture Research: A Semantic Network Analysis.

Authors:  Mireya Martínez-García; José Manuel Villegas Camacho; Enrique Hernández-Lemus
Journal:  Front Public Health       Date:  2022-03-29

10.  Structural Racism and Supporting Black Lives - A Pharmacist's Vow amid COVID-19.

Authors:  Nicole D Avant
Journal:  Innov Pharm       Date:  2021-06-10
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