Submission ID 78046

Code OE-5-3
At the end of this workshop, participants will be able to:
Category Medical Education
Type Oral
Will the presenter be a: Fellow
Title The Need for Intersectionality and Critical Approaches to Equity, Diversity, and Inclusion in PGME
Background/Purpose Although the importance of critical approaches to health professions education scholarship is increasingly recognized, how critical concepts, theories, and methodologies have been used to conceptualize and problematize issues related to equity, diversity, and inclusion (EDI) has not been well documented. Our goal was to characterize how EDI issues have been conceptualized and problematized in North American postgraduate medical education (PGME) literature
Methods We took a critical narrative review approach and searched the medical education literature from 2009-2019 for manuscripts that addressed EDI in PGME. 1155 articles were narrowed down by relevance to 126 articles. Analysis was informed by critical race theory (CRT), intersectionality theory, and the concept of the hidden curriculum to generate themes specific to EDI reform in postgraduate training.
Results Intersectionality was essentially absent. EDI issues were mainly descriptive in nature and were largely undertheorized and underconceptualized. Moreover, we noted the dominance of positivist/post-positivist paradigmatic approaches to EDI issues that primarily employed descriptive quantitative methodologies. Conversely, few studies examined the meaning of these issues for marginalized stakeholders from constructionist or critical paradigms.
Discussion That discrimination exists in the learning environment and negatively impacts learners is well established by positivist paradigms. While descriptive analyses of EDI problems are useful, they lack explanatory power for the mechanisms perpetuating EDI issues. Critical paradigms are well suited for moving from cataloguing downstream effects of discriminatory structures to understanding its upstream mechanisms. CRT and intersectionality theory are important lenses that connect individual experiences and the structures that influence them.
Keyword 1 Intersectionality
Keyword 2 Critical theory
Keyword 3 Equity, diversity, inclusion
Abstract content most relevant to: (check all that apply) Residency Education
Abstract Track - First Choice Equity, Diversity and Inclusion
Authors Justin Lam
Michal Coret
Carlos Khalil
Kat Butler
Ryan Giroux
Tina Martimianakis
Justin Lam

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