• J Gen Intern Med · May 2023

    Health Justice Standards in Graduate Medical Education: Moving from Performative to Concrete Change.

    • Vanessa Elizabeth Van Doren, Mark L Spencer, Daniel Resnick, Shub S Agrawal, Mackenzie L W Garcia, Krisha Desai, Amara Fazal, Raha Sadjadi, Francois G Rollin, and Tracey L Henry.
    • Department of Medicine, Emory University School of Medicine, Atlanta, GA, USA. vvandor@emory.edu.
    • J Gen Intern Med. 2023 May 1; 38 (7): 170517081705-1708.

    BackgroundInadequate support for underrepresented-in-medicine physicians, lack of physician knowledge about structural drivers of health, and biased patient care and research widen US health disparities. Despite stating the importance of health equity and diversity, national physician education organizations have not yet prioritized these goals.AimTo develop a comprehensive set of Health Justice Standards within our residency program to address structural drivers of inequity.SettingThe J. Willis Hurst Internal Medicine Residency Program of Emory University is an academic internal medicine residency program located in Atlanta, Georgia.ParticipantsThis initiative was led by the resident-founded Churchwell Diversity and Inclusion Collective, modified by Emory IM leadership, and presented to Emory IM residents.Program DescriptionWe used an iterative process to develop and implement these Standards and shared our progress with our coresidents to evaluate impact.Program EvaluationIn the year since their development, we have made demonstrable progress in each domain. Presentation of our work significantly correlated with increased resident interest in advocacy (p<0.001).DiscussionA visionary, actionable health justice framework can be used to generate changes in residency programs' policies and should be developed on a national level.© 2023. The Author(s), under exclusive licence to Society of General Internal Medicine.

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