关键词: Cultural literacy Curriculum Equality Family planning Racism

来  源:   DOI:10.1016/j.contraception.2024.110556

Abstract:
The Centering Equality, Race, and Cultural Literacy in Family Planning (CERCL-FP) program aims to break racial silence and dismantle structural racism in the field of family planning, by providing racial equity workshops and trainings.
OBJECTIVE: The objective of this study was to begin a multi-phased, rigorous evaluation to determine the impact and outcomes of the work of CERCL-FP.
METHODS: A needs assessment with former graduates and current directors of fellowships in family planning was conducted using qualitative interviews. The focus of these interviews was to determine the ability, readiness, and willingness of the field of family planning to retrofit new curricula grounded in equity, race, and cultural literacy.
RESULTS: Nine (N = 9) interviews were completed with seven board certified obstetrician-gynecologists and two board certified family medicine physicians. Three themes were identified: (1) Establishing the Distribution of Work; (2) The Push/Pull of Change from Inside and Outside: Curricula and Faculty Responsibilities; and (3) Reproductive Justice and Fellowships in Family Planning. Despite acknowledging the need to retrofit the field of family planning with content grounded in equity, race, and cultural literacy, there are structural, institutional, and individual level barriers that have limited the adoption of CERCL-FP curricula within family planning curriculum nationwide.
CONCLUSIONS: Findings from this study illuminate multiple barriers that should be considered when expanding foundational knowledge of clinicians and researchers.
CONCLUSIONS: Similar to the slow integration of research findings into clinical practice, this study shows that integration of social science and new curricula within the field of family planning faces significant barriers. Strategies to address these barriers are crucial to ensuring successful integration of equity, race, and cultural literacy within family planning.
摘要:
以平等为中心,种族,和计划生育中的文化素养(CERCL-FP)计划旨在打破种族沉默并消除计划生育领域的结构性种族主义,通过提供种族平等讲习班和培训。
目的:本研究的目的是开始多阶段,严格的评估,以确定CERCL-FP工作的影响和成果。
方法:使用定性访谈对以前的毕业生和现任计划生育研究金主任进行了需求评估。这些面试的重点是确定能力,准备就绪,以及计划生育领域对基于公平的新课程进行改造的意愿,种族,文化素养。
结果:完成了9次(N=9)访谈,其中有7位经过董事会认证的妇产科医生和2位经过董事会认证的家庭医学医生。确定了三个主题:1)建立工作分配;2)从内部和外部推动变化:课程和教师职责;3)计划生育中的生殖正义和研究金。尽管承认有必要以公平为基础的内容来改造计划生育领域,种族,文化素养,有结构性的,机构,和个人层面的障碍限制了在全国计划生育课程中采用CERCL-FP课程。
结论:这项研究的结果阐明了在扩大临床医生和研究人员的基础知识时应考虑的多个障碍。
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