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An Entrustable Professional Activity Addressing Racism and Pediatric Health Inequities.

Publication ,  Journal Article
Unaka, NI; Winn, A; Spinks-Franklin, A; Poitevien, P; Trimm, F; Nuncio Lujano, BJ; Turner, DA
Published in: Pediatrics
February 1, 2022

Racism and discrimination are the root of many pediatric health inequities and are well described in the literature. Despite the pervasiveness of pediatric health inequities, we have failed to adequately educate and prepare general pediatricians and pediatric subspecialists to address them. Deficiencies within education across the entire continuum and in our health care systems as a whole contribute to health inequities in unacceptable ways. To address these deficiencies, the field of pediatrics, along with other specialties, has been on a journey toward a more competency-based approach to education and assessment, and the framework created for the future is built on entrustable professional activities (EPAs). Competency-based medical education is one approach to addressing the deficiencies within graduate medical education and across the continuum by allowing educators to focus on the desired equitable patient outcomes and then develop an approach to teaching and assessing the tasks, knowledge, skills, and attitudes needed to achieve the goal of optimal, equitable patient care. To that end, we describe the development and content of a revised EPA entitled: Use of Population Health Strategies and Quality Improvement Methods to Promote Health and Address Racism, Discrimination, and Other Contributors to Inequities Among Pediatric Populations. We also highlight the ways in which this EPA can be used to inform curricula, assessments, professional development, organizational systems, and culture change.

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Published In

Pediatrics

DOI

EISSN

1098-4275

Publication Date

February 1, 2022

Volume

149

Issue

2

Location

United States

Related Subject Headings

  • Racism
  • Professional Role
  • Pediatrics
  • Pediatrics
  • Male
  • Humans
  • Health Promotion
  • Health Inequities
  • Female
  • 52 Psychology
 

Citation

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Chicago
ICMJE
MLA
NLM
Unaka, N. I., Winn, A., Spinks-Franklin, A., Poitevien, P., Trimm, F., Nuncio Lujano, B. J., & Turner, D. A. (2022). An Entrustable Professional Activity Addressing Racism and Pediatric Health Inequities. Pediatrics, 149(2). https://doi.org/10.1542/peds.2021-054604
Unaka, Ndidi I., Ariel Winn, Adiaha Spinks-Franklin, Patricia Poitevien, Franklin Trimm, Brenda J. Nuncio Lujano, and David A. Turner. “An Entrustable Professional Activity Addressing Racism and Pediatric Health Inequities.Pediatrics 149, no. 2 (February 1, 2022). https://doi.org/10.1542/peds.2021-054604.
Unaka NI, Winn A, Spinks-Franklin A, Poitevien P, Trimm F, Nuncio Lujano BJ, et al. An Entrustable Professional Activity Addressing Racism and Pediatric Health Inequities. Pediatrics. 2022 Feb 1;149(2).
Unaka, Ndidi I., et al. “An Entrustable Professional Activity Addressing Racism and Pediatric Health Inequities.Pediatrics, vol. 149, no. 2, Feb. 2022. Pubmed, doi:10.1542/peds.2021-054604.
Unaka NI, Winn A, Spinks-Franklin A, Poitevien P, Trimm F, Nuncio Lujano BJ, Turner DA. An Entrustable Professional Activity Addressing Racism and Pediatric Health Inequities. Pediatrics. 2022 Feb 1;149(2).

Published In

Pediatrics

DOI

EISSN

1098-4275

Publication Date

February 1, 2022

Volume

149

Issue

2

Location

United States

Related Subject Headings

  • Racism
  • Professional Role
  • Pediatrics
  • Pediatrics
  • Male
  • Humans
  • Health Promotion
  • Health Inequities
  • Female
  • 52 Psychology