Call to action: equity, diversity, and inclusion in emergency medicine resident physician selection.

Autor: Primavesi R; Montreal General Hospital, McGill University, Montreal, QC, Canada. robert.primavesi@mcgill.ca., Patocka C; University of Calgary, Calgary, AB, Canada., Burcheri A; Concordia University, Montreal, QC, Canada., Coutin A; University of Ottawa, Ottawa, ON, Canada., Morizio A; Montreal General Hospital, McGill University, Montreal, QC, Canada., Ali A; University of Toronto, Toronto, ON, Canada., Pandya A; University of Calgary, Calgary, AB, Canada., Gagné A; Montreal General Hospital, McGill University, Montreal, QC, Canada., Johnston B; University of Calgary, Calgary, AB, Canada., Thoma B; University of Saskatchewan, Saskatoon, SK, Canada., LeBlanc C; Dalhousie University, Halifax, NS, Canada., Fovet F; Thompson Rivers University, Kamloops, BC, Canada., Gallinger J; Canadian Resident Matching Service (CaRMS), Ottawa, ON, Canada., Mohadeb J; University of Manitoba, Winnipeg, MB, Canada., Ragheb M; University of Manitoba, Winnipeg, MB, Canada., Dong S; University of Alberta, Edmonton, AB, Canada., Smith S; University of Saskatchewan, Saskatoon, SK, Canada., Oyedokun T; University of Saskatchewan, Saskatoon, SK, Canada., Newmarch T; University of Toronto, Toronto, ON, Canada., Knight V; Montreal General Hospital, McGill University, Montreal, QC, Canada., McColl T; University of Manitoba, Winnipeg, MB, Canada.
Jazyk: angličtina
Zdroj: CJEM [CJEM] 2023 Jul; Vol. 25 (7), pp. 550-557. Date of Electronic Publication: 2023 Jun 27.
DOI: 10.1007/s43678-023-00528-9
Abstrakt: Objectives: This call to action seeks to improve emergency care in Canada for equity-deserving communities, enabled by equitable representation among emergency physicians nationally. Specifically, this work describes current resident selection processes and makes recommendations to enhance the equity, diversity, and inclusion (EDI) of resident physician selection in Canadian emergency medicine (EM) residency programs.
Methods: A diverse panel of EM residency program directors, attending and resident physicians, medical students, and community representatives met monthly from September 2021 to May 2022 via videoconference to coordinate a scoping literature review, two surveys, and structured interviews. This work informed the development of recommendations for incorporating EDI into Canadian EM resident physician selection. At the 2022 Canadian Association of Emergency Physicians (CAEP) Academic Symposium, these recommendations were presented to symposium attendees composed of national EM community leaders, members, and learners. Attendees were divided into small working groups to discuss the recommendations and address three conversation-facilitating questions.
Results: Symposium feedback informed a final set of eight recommendations to promote EDI practices during the resident selection process that address recruitment, retention, mitigating inequities and biases, and education. Each recommendation is accompanied by specific, actionable sub-items to guide programs toward a more equitable selection process. The small working groups also described perceived barriers to the implementation of these recommendations and outlined strategies for success that are incorporated into the recommendations.
Conclusion: We call on Canadian EM training programs to implement these eight recommendations to strengthen EDI practices in EM resident physician selection and, in doing so, help to improve the care that patients from equity-deserving groups receive in Canada's emergency departments (EDs).
(© 2023. The Author(s), under exclusive licence to Canadian Association of Emergency Physicians (CAEP)/ Association Canadienne de Médecine d'Urgence (ACMU).)
Databáze: MEDLINE
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