• Courtney A Gilliam, H Mollie Grow, Paul Homer, Thelben A Mullett, Mayumi Willgerodt, Samantha Kunze-Garcia, Heather McPhillips, and Sahar N Rooholamini.
• Department of Pediatrics, Assistant Professor, Division of Pediatric Hospital Medicine Cincinnati Children's Hospital Medical Center, Cincinnati, OH. Electronic address: Courtney.gilliam@cchmc.org.
• J Natl Med Assoc. 2023 Feb 1; 115 (1): 3143-14.

BackgroundThe Accreditation Council for Graduate Medical Education (ACGME) Common Program Requirements include training in caring for diverse populations and understanding social determinants of health. Our large pediatric residency program implemented a longitudinal equity, diversity and inclusion (EDI) curriculum.ObjectiveTo explore pediatric residents' perspectives and experiences in our longitudinal EDI curriculum.MethodsWe applied the holistic framework by Haji et al. to characterize the effect of our EDI curriculum. We conducted 4 focus groups from November 2019 to September 2020 with trained facilitators using a structured question guide. We approached all eligible senior residents (n = 87) via email to participate. Project members coded written notes and transcripts and analyzed data using inductive thematic analysis.Results26 pediatric senior residents participated either in person (n = 13) or online (n = 13). Themes emerged from domains of knowledge, attitudes and behavioral change. These included having: (1) increased knowledge surrounding EDI issues, (2) a framework and language to better engage in EDI efforts and (3) increased confidence interrupting bias and microaggressions. Additional themes demonstrated: an increased need for EDI education at the institutional level, the unique experiences of Black, Indigenous, People of Color (BIPOC) trainees, and systemic barriers to equitable care.ConclusionA longitudinal EDI curriculum has the potential to influence individual trainees, their work, and perceptions of the broader institutions in which they operate. Residents recognized and valued the curriculum and felt driven to use this knowledge to ensure that institutional policies and practices led to equitable clinical care.Copyright © 2022 National Medical Association. Published by Elsevier Inc. All rights reserved.

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