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Recommendations for teaching about racial and ethnic disparities in health and health care

Making Education Easy

Authors:
Summary:

This study reports recommendations developed by the US Society of General Internal Medicine Health Disparities Task Force, following a review and consensus process of health curricula. These recommendations specify that a curricula address 3 areas of racial and ethnic health disparities and focus on specific learning objectives:1) examining and understanding attitudes, such as mistrust, subconscious bias, and stereotyping, which practitioners and patients may bring to clinical encounters; 2) gaining knowledge of the existence and magnitude of health disparities, including the multifactorial causes of health disparities and the many solutions required to diminish or eliminate them; and 3) acquiring the skills to effectively communicate and negotiate across cultures, languages, and literacy levels, including the use of key tools to improve communication

Comment:
A timely paper from a dedicated Task Force utilising robust methods (literature review and consensus) to provide clear directions for teaching facilities. The drive for developing similar curriculum on disparities in NZ must start at medical schools. However, education must continue for clinicians also and perhaps similar guidelines should be developed for and adopted by respective colleges or at the DHB level.
Reference: Ann Intern Med. 2007;147:654-65
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

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