Brown Advocates for Social Change and Equity (BASCE) Leadership Program: An Innovative Training Model to Address Structural Racism in Medicine

Garcia-Sampson, Ry

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Year:: 2019
Contributor:: Garcia-Sampson, Ry (creator); Diaz, Joseph (Advisor); El Rayess, Fadya (Reader); Brown University. School of Public Health (sponsor)
Genre:: theses
Subject:: Anti-racism; Educational evaluation; Medical education; Medicine--Study and teaching (Graduate); Medicine--Study and teaching (Continuing education)
Extent:: 7, 71 p.
DOI: https://doi.org/10.26300/t4x5-y483

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Abstract:: Background: Medical students, residents, and providers are increasingly calling for a focus on health equity and addressing racism within medical education and practice. However, most providers have not received the training necessary to think critically about race nor do they feel comfortable leading discussions about racism within the classroom or in clinical settings. To address these gaps and provide training for healthcare providers to combat structural racism, the Office of Diversity and Multicultural Affairs (ODMA) at the Warren Alpert Medical School (AMS) of Brown University launched the Brown Advocates for Social Change and Equity (BASCE) Leadership Program in the Fall of 2017. BASCE is a leadership program for medical students, residents, and faculty which aims to train health care leaders to critically reflect on and challenge how racism influences research, medical education, and by extension the health outcomes of patients. Methods: A sample of BASCE participants from across two cohort years were recruited. Consenting participants completed a survey and/or interview about their experience with the BASCE program. The primary outcomes were knowledge of racism, confidence in teaching others, preparation to address racism within institution, and leadership roles in addressing racism , assessed with descriptive statistics. Interviews assessed overall experience with the BASCE program, curriculum design, barriers to participation, and feedback about ways to improve the BASCE program. Interviews were recorded, transcribed using ExpressScribe and analyzed using Immersion Crystallization. Results: 14 participants (74% of eligible) completed the survey; 14 participants (74% of eligible) completed an interview. Before participating in BASCE, only 14% reported feeling confident to teach about racism and 29% felt prepared to lead a project or initiative addressing racism. Post-BASCE, 92% reported feeling confident to teach about racism and healthcare and 77% felt prepared to lead a project addressing racism within their institution or department. Interviews revealed 21 themes which fell into 4 main categories: 1) Positive aspects and/or skills gained from BASCE program, 2) barriers or facilitators to participation, 3) suggestions for improvement of the BASCE curriculum, and 4) suggestions for BASCE network. Overall, the participants felt that the program had met its stated goals and would recommend the program to others. Conclusion: This evaluation highlights an innovative training program to promote leadership among healthcare providers interested in addressing racism within medicine. The BASCE program is unique in its mixed cohort design which engages healthcare providers across the traditional training hierarchy and clinical siloes. The BASCE program can serve as a model for other institutions looking to increase their capacity to provide education and training around racism within healthcare.
Notes:: Thesis (M. P. H.)--Brown University, 2019

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Rights: In Copyright
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Citation

Garcia-Sampson, Ry, "Brown Advocates for Social Change and Equity (BASCE) Leadership Program: An Innovative Training Model to Address Structural Racism in Medicine" (2019). Public Health Theses and Dissertations. Brown Digital Repository. Brown University Library. https://doi.org/10.26300/t4x5-y483

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Public Health Theses and Dissertations

Theses and Dissertations for the Public Health department.
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