Paul A Ravenna1, Santina Wheat2, Fadya El Rayess3, Leon McCrea4, A Ildiko Martonffy5, Cara Marshall6, Suki Tepperberg7, Rachel S C Friedman8, Wendy B Barr9. 1. is Assistant Professor, Department of Family and Community Medicine, Northwestern Feinberg School of Medicine, and Associate Program Director, Northwestern McGaw Family Medicine Residency Program at Lake Forest. 2. is Associate Professor, Department of Family and Community Medicine, Northwestern Feinberg School of Medicine, and Program Director, McGaw Northwestern Family Medicine Program at Humboldt Park. 3. is Associate Professor, Department of Family Medicine, Alpert Medical School of Brown University, and Program Director, Brown Family Medicine Residency. 4. is Senior Associate Dean, Office of Diversity, Equity, and Inclusion, Associate Professor, Department of Family, Community, and Preventive Medicine, Drexel University College of Medicine, and Program Director, Tower Health/Drexel University College of Medicine Family Medicine Residency. 5. is Associate Professor, Department of Family Medicine and Community Health, University of Wisconsin, and Program Director, University of Wisconsin-Madison Family Medicine Residency. 6. is Assistant Professor, Departments of Family Medicine and Community Health, University of Massachusetts, and Associate Program Director, Lawrence Family Medicine Residency. 7. is Assistant Professor, Department of Family Medicine, Boston University School of Medicine, and Associate Program Director, Boston University Family Medicine Residency. 8. is Associate Program Director, Kaiser Permanente Santa Rosa Family Medicine Residency. 9. is Associate Professor, Department of Family Medicine, and Program Director, Lawrence Family Medicine Residency.
Abstract
Background: As the Accreditation Council for Graduate Medical Education (ACGME) began to ask programs to report their efforts surrounding diversity, equity, and inclusion (DEI), program directors felt ill prepared to evaluate their programs and measure change. Objective: To develop a tool that would allow graduate medical education (GME) programs to evaluate the current state of DEI within their residencies, identify areas of need, and track progress; to evaluate feasibility of using this assessment method within family medicine training programs; and to analyze and report pilot data from implementation of these milestones within family medicine residency programs. Methods: The Association of Family Medicine Residency Directors (AFMRD) Diversity and Health Equity (DHE) Task Force developed a tool for program DEI evaluation modeled after the ACGME Milestones. These milestones focus on DEI assessment in 5 key domains: Institution, Curriculum, Evaluation, Resident Personnel, and Faculty Personnel. After finalizing a draft, a pilot implementation of the milestones was conducted by a convenience sample of 10 AFMRD DHE Task Force members for their own programs. Results: Scores varied widely across surveyed programs for all milestones. Highest average scores were seen for the Curriculum milestone (2.65) and the lowest for the Faculty Personnel milestone (2.0). Milestone assessments were completed within 10 to 40 minutes using various methods. Conclusions: The AFMRD DEI Milestones were developed for program assessment, goal setting, and tracking of progress related to DEI within residency programs. The pilot implementation showed these milestones were easily used by family medicine faculty members in diverse settings.
Background: As the Accreditation Council for Graduate Medical Education (ACGME) began to ask programs to report their efforts surrounding diversity, equity, and inclusion (DEI), program directors felt ill prepared to evaluate their programs and measure change. Objective: To develop a tool that would allow graduate medical education (GME) programs to evaluate the current state of DEI within their residencies, identify areas of need, and track progress; to evaluate feasibility of using this assessment method within family medicine training programs; and to analyze and report pilot data from implementation of these milestones within family medicine residency programs. Methods: The Association of Family Medicine Residency Directors (AFMRD) Diversity and Health Equity (DHE) Task Force developed a tool for program DEI evaluation modeled after the ACGME Milestones. These milestones focus on DEI assessment in 5 key domains: Institution, Curriculum, Evaluation, Resident Personnel, and Faculty Personnel. After finalizing a draft, a pilot implementation of the milestones was conducted by a convenience sample of 10 AFMRD DHE Task Force members for their own programs. Results: Scores varied widely across surveyed programs for all milestones. Highest average scores were seen for the Curriculum milestone (2.65) and the lowest for the Faculty Personnel milestone (2.0). Milestone assessments were completed within 10 to 40 minutes using various methods. Conclusions: The AFMRD DEI Milestones were developed for program assessment, goal setting, and tracking of progress related to DEI within residency programs. The pilot implementation showed these milestones were easily used by family medicine faculty members in diverse settings.
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