<mods:mods xmlns:mods="http://www.loc.gov/mods/v3" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.loc.gov/mods/v3 http://www.loc.gov/standards/mods/v3/mods-3-7.xsd"><mods:titleInfo><mods:title>Brown Advocates for Social Change and Equity (BASCE) Leadership Program: An Innovative Training Model to Address Structural Racism in Medicine</mods:title></mods:titleInfo><mods:typeOfResource>text</mods:typeOfResource><mods:name type="personal"><mods:namePart>Garcia-Sampson, Ry</mods:namePart><mods:role><mods:roleTerm type="text">creator</mods:roleTerm></mods:role></mods:name><mods:name type="personal"><mods:namePart>Diaz, Joseph</mods:namePart><mods:role><mods:roleTerm type="text">Advisor</mods:roleTerm></mods:role></mods:name><mods:name type="personal"><mods:namePart>El Rayess, Fadya</mods:namePart><mods:role><mods:roleTerm type="text">Reader</mods:roleTerm></mods:role></mods:name><mods:name type="corporate"><mods:namePart>Brown University. School of Public Health</mods:namePart><mods:role><mods:roleTerm type="text">sponsor</mods:roleTerm></mods:role></mods:name><mods:originInfo><mods:copyrightDate>2019</mods:copyrightDate></mods:originInfo><mods:physicalDescription><mods:extent>7, 71 p.</mods:extent><mods:digitalOrigin>born digital</mods:digitalOrigin></mods:physicalDescription><mods:note type="thesis">Thesis (M. P. H.)--Brown University, 2019</mods:note><mods:genre authority="aat">theses</mods:genre><mods: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.</mods:abstract><mods:subject authority="fast" authorityURI="http://id.worldcat.org/fast" valueURI="http://id.worldcat.org/fast/01742067"><mods:topic>Anti-racism</mods:topic></mods:subject><mods:subject authority="fast" authorityURI="http://id.worldcat.org/fast" valueURI="http://id.worldcat.org/fast/00903437"><mods:topic>Educational evaluation</mods:topic></mods:subject><mods:subject authority="fast" authorityURI="http://id.worldcat.org/fast" valueURI="http://id.worldcat.org/fast/01014024"><mods:topic>Medical education</mods:topic></mods:subject><mods:subject authority="fast" authorityURI="http://id.worldcat.org/fast" valueURI="http://id.worldcat.org/fast/01015134"><mods:topic>Medicine--Study and teaching (Graduate)</mods:topic></mods:subject><mods:subject authority="fast" authorityURI="http://id.worldcat.org/fast" valueURI="http://id.worldcat.org/fast/01015131"><mods:topic>Medicine--Study and teaching (Continuing education)</mods:topic></mods:subject><mods:language><mods:languageTerm authority="iso639-2b">English</mods:languageTerm></mods:language><mods:recordInfo><mods:recordContentSource authority="marcorg">RPB</mods:recordContentSource><mods:recordCreationDate encoding="iso8601">20190603</mods:recordCreationDate></mods:recordInfo><mods:identifier type="doi">10.26300/t4x5-y483</mods:identifier><mods:accessCondition type="rights statement" xlink:href="http://rightsstatements.org/vocab/InC/1.0/">In Copyright</mods:accessCondition><mods:accessCondition type="restriction on access">Collection is open for research.</mods:accessCondition></mods:mods>