Health Highlight: Tue. 18, Apr.
Chipping away at healthcare disparities using short, structured conversations during daily teaching rounds.
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“Teaching Anti-Racism in the Clinical Environment: The Five-Minute Moment for Racial Justice in Healthcare”
🌐 Full Article • 📚 Glasp Highlights
THE BRIEF
This article examines the benefits of using The 5-Minute Moment, a teaching method typically used to train physical exams to new practitioners, as a routine way to have structured in-the-moment conversations about anti-racism in healthcare. 1 2
“The [5-Minute Moment] framework provides language for educators to begin and engage in meaningful discussions around race in clinical decisions with learners.” 3
Tell me more
The 5-Minute Moment for Racial Justice in Healthcare is a framework that teaches anti-racism during patient care rounds in brief teaching moments, supplemented by historical narratives that explain the historical roots of structural racism in medicine and how it contributes to existing health disparities.
The framework has five components:
Context — create a non-judgmental space to discuss why this topic is clinically important.
Current Standard — discussion of the current methods for diagnosis, evaluation, and treatment.
Historical Narrative — grounding the current standard through its historical origins.
Disparities — describing the limitations of the current standard and how it may impact health disparities in specific populations.
Steps to Equity — highlight specific steps and resources that can help alleviate disparities and lead to more equitable care.
Isn’t this already taught?
The lack of a defined curriculum to identify racial bias in behaviors that are not clearly racist or unfair limits anti-racism teaching in healthcare.
“Limited structured curriculum exists in delivering anti-racism pedagogy in the clinical learning environment—where learners encounter real-world patients and experience and witness how racial biases affect clinical-decision making. The typical mandatory workshops and small group discussions can feel abstract.
The expectation is not that five minutes is enough time for a deep conversation, but short, well-timed educational actions can have a big impact on students.
Over time, teachers may come up with their own examples for “5-Minute Moments for Racial Justice” and, with practice and more experience, add anti-racism lessons to their regular lessons.
🏷️ #AntiRacist #Healthcare #5MinuteMoments #HealthcareDisparities
Notes
“The Bedside 5 Minute Moment (How We Teach the Bedside Physical Exam)” https://www.youtube.com/watch?v=UMK5NWfCpKk
“5M2 Resources” https://bedsidemedicine.org/new-page-1
“Teaching Anti-Racism in the Clinical Environment: The Five-Minute Moment for Racial Justice in Healthcare” https://www.amjmed.com/article/S0002–9343(22)00894–4/fulltext