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Our Internal Medicine Residency Program completes an annual self-assessment and identifies areas for further exploration and improvement. We set goals for these individual areas and create working groups comprised of faculty and residents. As part of these efforts, we created the Implicit Bias Improvement Group in 2019 under the mentorship of one of the Associate Program Directors, Bi Awosika M.D. With the heightened unraveling of structural racism within the summer of 2020, the group led residency-wide town halls dedicated to challenging long standing structural racism within our institution. Residents and faculty provided a listening ear and shared insights and personal experiences regarding injustices while supporting each other. Subsequent efforts from this group have led to various initiatives including the implementation of an implicit bias academic half day and a departmental health equity rounds. In the summer of 2021, we rebranded this group as MedCARES: Medical Community Advocates for Representation, Equity, and Social Justice to better encompass our vision.
Our group has now expanded to include interprofessional members across other departments. Our current global aim has evolved towards exploring and addressing social inequities as healthcare providers to provide optimal care to our patients, while fostering and supporting diversity and inclusion within the residency program. We continue to expand our efforts and hope you will join us. Following the lead from an article entitled Diversity Is Not Enough: Advancing a Framework for Antiracism in Medical Education, we have created the following framework:
See – We know that we cannot change what we do not see. Therefore, we aim to see at the individual and institutional levels.
Name – We recognize that naming the experiences “confirms specificity, clarity, and importance.” This allows us to “understand, rectify, and move forward.” We recognize “that we are all vulnerable to perpetuating racism and responsible for rectifying it.”
Understand – We will explore underpinnings and consequences with rigor of science.
Act – “Once we see, name and understand... we must act.” We must make changes in “pedagogy, policy and culture” that are grounded in equity.
Full participants in this pathway will:
MINOR Criteria: Complete three of the four criteria throughout residency:1. Attend MedCARES meetings (approximately 5-6 meetings each year)2. Assist in developing or participating as one of the facilitators for at least ONE MedCARES Academic Half Day3. Research and contribute 3 SUBMISSIONS each year to the "MedCARES Corner" in the StethoScoop
4. Present as least one DEI perspective for a total of TWO noon conferences that your team is responsible in presenting MAJOR Criteria: Complete at least ONE of the following criteria to completed prior to the completion of residency training. 1. Help plan and/or lead ONE Health Equity Rounds2. Facilitate ONE Discussion Session after one MedCARES Documentary series 3. Community Outreach Scholarly Initiative: Resident can select an organization or institution and spend at least a total of 25 hours over residency training contributing to an initiative of their choosing. It is recommended to connect with a mentor from that organization/institution. There will be two opportunities to present the final product:
4. Pursue one longitudinal mentorship relationship with a pre-med or medical student that is URiM5. Completion of any scholarly work that aligns with MedCARES aims. This can be in conjunction with other pathways (medical education, acute care pathway, etc).
For more information, Contact Bi Awosika M.D. firstname.lastname@example.org
University of CincinnatiDepartment of Internal Medicine231 Albert Sabin WayMedical Sciences Building Room 6058PO Box 670557Cincinnati, OH 45267-0557Fax: 513-558-3878 Email: email@example.com