Abstract Details

Title Five Years of a Neurology Diversity Curriculum: Lessons Learned and Next Steps

Topic Research Methodology, Education, and History

Presentation(s) Research Methodology and Education Posters (7:00 AM-5:00 PM)

Poster/Presentation
Number 031

Background The lack of formalized culturally responsive care in neurology residency training across the country has been well documented, despite a majority of program directors acknowledging the importance of such training.

Objective To create a formal diversity, equity and inclusion (DEI) curriculum for neurology residents.

Design/Methods The Department of Neurology at University of California San Francisco (UCSF) has incorporated a formal diversity curriculum in our residency education since 2015. We present lessons learned in hopes that other institution will formally incorporate curricula and build on our experiences.

Results Our curriculum started with integrating six lectures into the existing resident didactics covering topics such as implicit bias in healthcare, religion in end of life care, and sexual and gender minority health. This year, we restructured the curriculum to become more comprehensive and systematic. We created two sets of core topics that will cycle every other year to ensure residents are exposed to the breadth of training over their residency. The first year includes six fundamental topics to establish foundational understanding of structural racism, implicit bias and their impact on health. The second cycle builds upon the foundation from the first year with a focus on the needs of particular communities.

Conclusions In creating and instituting this curriculum over the past five years, there have been many lessons learned: 1) training should be performed by a multidisciplinary team with trained and experienced educators; 2) sustainability of the curriculum requires buy-in from departmental leadership down to junior faculty; 3) the curriculum needs to balance training on core topics to give trainees shared language to discuss issues of systemic racism and other forms of discrimination with flexibility to change in response to current events and the needs of the community; and 4) the sessions need to be practical.

Authors/Disclosures
Noriko T. Anderson, MD (UCSF) PRESENTER	Dr. Anderson has nothing to disclose.
Nicole Rosendale, MD (UCSF Dept of Neurology at ZSFG)	Dr. Rosendale has received personal compensation in the range of $5,000-$9,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for Continuum. The institution of Dr. Rosendale has received research support from American Academy of Neurology. The institution of Dr. Rosendale has received research support from NIH StrokeNet Fellowship. Dr. Rosendale has received publishing royalties from a publication relating to health care.