Accepted Type
Oral
Code
OB1-3-1
Acceptance Declaration
Accept
Additional Information
I declare I have no actual or potential conflict of interest in relation to this program.
Was this work accepted for CCME 2020?
yes
Category
General Call (Workshop, Oral Presentation, Poster Presentation)
Type
Oral
Sub Type
Education Innovation
Will the presenter be a:
Student
Affiliation
Considered for Poster
yes
Title
Community-based Patient Panels as Teaching Tools in Medical Education to build Anti-Oppressive Medical Practice and Advocacy Skills
Length of Presentation
Background/Purpose
Patient panels-in which patients share their lived experience with illness, injury, and disability-are important tools in pre-clinical medical education that build empathy and understanding of the holistic illness experience. Currently at the University of Toronto, panelists are recruited as volunteers from curriculum leads' own patient pools-a method that has led to panels composed of patients who are primarily White, of high socioeconomic status, and with strong social supports. Thus, students learn to empathize with privileged patients, often undermining empathy for patients without social supports, who cannot adhere to "healthy lifestyles", and who experience discrimination and oppression in healthcare. This perpetuates inequitable healthcare outcomes.
Summary of the Innovation
A pilot patient panel was conducted using a recruitment approach focused on intentional diversification of patient panels through community-based engagement. A partnership was formed with an organization that houses a speaker's bureau of panelists with lived experience of various forms of marginalization. A grant was obtained to compensate panelists.
In a post-panel survey (n = 59), students highlighted that the more diverse panel helped them build empathy towards marginalized patients (93%) and explore approaches to addressing inequity (81%). Students requested this approach play a more consistent role in the curriculum.
Conclusion
Community-based patient panels that are diverse across social differences and illness experiences are important teaching tools to educate medical students about health and structural inequities, build understanding towards marginalized populations, and promote reciprocal approaches to advocacy. This pilot project was used to advocate for permanent implementation of such approaches to all patient panels.
Keyword 1
diversity
Keyword 2
patient panels
Keyword 3
community based
Level of Training
Undergraduate
Abstract Themes
Teaching and learning
Teaching and Learning
- Competency-Based Education
- Diversity
- Humanities
- Lectures
- Inclusive education
Additional Theme (First choice)
Undergraduate
Additional Theme (Second Choice)
Additional Theme (Third Choice)
Authors
Presenter
Helena Kita
Nikisha Khare
Chantal Phillips
Alex Florescu
Term 1
Yes
Term 2
Yes
Term 3
Yes
Term 4
Yes
Term 5
Yes