Building an Infectious Disease Diversity, Equity, and Antiracism (ID2EA) Curriculum: A Single Center's Experience and Reflections

Abstract In response to longstanding healthcare inequities unmasked by the Coronavirus Disease 2019 pandemic, the infectious diseases (ID) section at the Yale School of Medicine designed and implemented a pilot curriculum integrating Infectious Disease Diversity, Equity, and Antiracism (ID2EA) into...

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Bibliographic Details
Published in:Clinical infectious diseases 2023-09, Vol.77 (5), p.703-710
Main Authors: Gleeson, Shana E, Zapata, Heidi, Bathgate, Meghan E, Emu, Brinda, Frederick, Jennifer, Friedland, Gerald, Golden, Marjorie P, Meyer, Jaimie P, Radin, Joanna, Sideleau, Robert, Shaw, Albert, Shenoi, Sheela V, Trubin, Paul A, Virata, Michael, Barakat, Lydia A, Desruisseaux, Mahalia S
Format: Article
Language:English
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Summary:Abstract In response to longstanding healthcare inequities unmasked by the Coronavirus Disease 2019 pandemic, the infectious diseases (ID) section at the Yale School of Medicine designed and implemented a pilot curriculum integrating Infectious Disease Diversity, Equity, and Antiracism (ID2EA) into ID educational training and measured program outcomes. We herein describe a mixed-methods assessment of section members on whether the ID2EA curriculum affected their beliefs and behaviors regarding racism and healthcare inequities. Participants rated the curriculum as useful (92% averaging across sessions) and effective in achieving stated learning objectives (89% averaging across sessions), including fostering understanding of how inequities and racism are linked to health disparities and identifying strategies to effectively deal with racism and inequities. Despite limitations in response rates and assessment of longer-term behavioral change, this work demonstrates that training in diversity, equity, and antiracism can be successfully integrated into ID physicians’ educational activities and affect physicians’ perspectives on these topics. To complement existing infectious diseases training on bias and microaggressions, we designed a curriculum that examined historical and geographical factors that led to healthcare inequities. Notably, our program integrated community members, so their voices were part of the educational experience.
ISSN:1058-4838
1537-6591
DOI:10.1093/cid/ciad236