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 |
