An Entrustable Professional Activity Addressing Racism and Pediatric Health Inequities.

Autor:	Unaka NI; Division of Hospital Medicine, Cincinnati Children's Hospital, Cincinnati, Ohio.; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio., Winn A; Division of General Pediatrics, Department of Pediatrics, Boston Children's Hospital, Boston, Massachusetts.; Department of Pediatrics, Harvard Medical School, Boston, Massachusetts., Spinks-Franklin A; Section of Developmental Pediatrics, Department of Pediatrics, Texas Children's Hospital/Baylor College of Medicine, Houston, Texas., Poitevien P; Division of Hospitalist Medicine, Department of Pediatrics, Hasbro Children's Hospital, Warren Alpert Medical School of Brown University, Providence, Rhode Island., Trimm F; Office of Diversity and Inclusion, Department of Pediatrics, University of South Alabama College of Medicine, Mobile, Alabama., Nuncio Lujano BJ; The American Board of Pediatrics, Chapel Hill, North Carolina., Turner DA; The American Board of Pediatrics, Chapel Hill, North Carolina.
Jazyk:	angličtina
Zdroj:	Pediatrics [Pediatrics] 2022 Feb 01; Vol. 149 (2).
DOI:	10.1542/peds.2021-054604
Abstrakt:	Racism and discrimination are the root of many pediatric health inequities and are well described in the literature. Despite the pervasiveness of pediatric health inequities, we have failed to adequately educate and prepare general pediatricians and pediatric subspecialists to address them. Deficiencies within education across the entire continuum and in our health care systems as a whole contribute to health inequities in unacceptable ways. To address these deficiencies, the field of pediatrics, along with other specialties, has been on a journey toward a more competency-based approach to education and assessment, and the framework created for the future is built on entrustable professional activities (EPAs). Competency-based medical education is one approach to addressing the deficiencies within graduate medical education and across the continuum by allowing educators to focus on the desired equitable patient outcomes and then develop an approach to teaching and assessing the tasks, knowledge, skills, and attitudes needed to achieve the goal of optimal, equitable patient care. To that end, we describe the development and content of a revised EPA entitled: Use of Population Health Strategies and Quality Improvement Methods to Promote Health and Address Racism, Discrimination, and Other Contributors to Inequities Among Pediatric Populations. We also highlight the ways in which this EPA can be used to inform curricula, assessments, professional development, organizational systems, and culture change. Competing Interests: FINANCIAL DISCLOSURE: The authors have indicated they have no financial relationships relevant to this article to disclose. (Copyright © 2022 by the American Academy of Pediatrics.)
Databáze:	MEDLINE
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