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Demystifying Structural Competency: Promoting Anti-Racist Training in Ambulatory Medical Education

Presenter(s)

• Iman Hassan, MD MS | Assistant Professor; Director for Community and Population Health Initiatives, Internal Medicine Residency, Montefiore Medical Center
• Shani Scott, MD | Assistant Professor; Associate Program Director, Internal Medicine Residency & Director of Diversity Affairs, Department of Medicine

Structural competency is a useful anti-racism framework because it explicitly engages learners with the broader structural forces that result in health disparities, including structural racism and its downstream effects. This workshop will provide concrete tools for incorporating structural competency into clinical care, including a guide to developing a structural differential and precepting learners to incorporate structural competency. The structural differential encourages learners and providers to consider the root structural and social determinants of health impacting an individual patient’s clinical presentation and to develop, in conjunction with patients, solutions that address root causes, at the individual, health system, and community/population level.

Utilizing Online Clinical Training to Address Anxiety Among Black Patients Living with Cancer

Presenter(s)

• Brittany Chambers, Associate Director of Education, Mount Sinai Health – Center to Advance Palliative Care

Research studies show that Black patients receive less information and communication from their clinicians compared to White patients. To improve clinician-patient communication, this session will describe an interactive, case-based, self-study course that was developed to train clinicians in using evidence-based strategies to treat anxiety. In the session, the presenter will share the impetus behind this education initiative and lessons learned in creating self-study courses for health professionals. The presenter will also share data on the number of clinicians trained to date, reported impact on their clinical practice and tips for ways to engage the targeted audience.

Immersion in the Social Determinants of Health: Designing an Inclusive Elective

Presenter(s)

• Divya Venkat, MD | Co-Director, Inclusion Health Track, Allegheny Health Network
• Elizabeth Cuevas, MD | Division Director, Center for Inclusion Health, Division Chief, Academic Internal Medicine

This workshop describes an interactive method of teaching the social determinants of health through experiential learning. Participants will learn about an innovative elective for trainees where they participate in multiple different experiences around community engagement. During this workshop, participants will engage in an interactive group discussion around designing this type of curriculum at their home institutions and will trouble shoot a common scenario. Participants will leave this with a toolkit on how to design this curriculum and a potential list of experiences to choose from for trainees.