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Equity in Progress: Development of Health Equity Curricula in Three Psychiatry Residency Programs

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  1. Williams MT, Rosen DC, Kanter JW, editors. Eliminating race-based mental health disparities: promoting equity and culturally responsive care across settings. New Harbinger; 2019.

  2. CLER Evaluation Committee. CLER pathways to excellence: expectations for an optimal clinical learning environment to achieve safe and high-quality patient care, Version 2.0. Chicago, IL: Accreditation Council for Graduate Medical Education; 2019.

  3. Psychiatry Milestones [Internet]. Accreditation Council for Graduate Medical Education (ACGME); 2020. Available from: Accessed 14 Feb 2020.

  4. Thomas PA, Kern DE, Hughes MT, Chen BY, editors. Curriculum development for medical education: a six-step approach. Third ed. Baltimore: Johns Hopkins University Press; 2016.

    Google Scholar 

  5. Kleinman A, Benson P. Anthropology in the clinic: the problem of cultural competency and how to fix it. PLoS Med. 2006;3:e294.

    Article  Google Scholar 

  6. Metzl JM, Hansen H. Structural competency and psychiatry. JAMA Psychiatry. 2018;75(2):115–6.

    Article  PubMed  Google Scholar 

  7. Hansen H, Braslow J, Rohrbaugh RM. From cultural to structural competency-training psychiatry residents to act on social determinants of health and institutional racism. JAMA Psychiatry. 2018;75(2):117–8.

    Article  Google Scholar 

  8. Structural competency in mental health and medicine: a case-based approach to treating the social determinants of health. Cham: Springer; 2019.

  9. Delgado R, Stefancic J. Critical race theory: an introduction. Third ed. New York: New York University Press; 2017.

    Google Scholar 

  10. Shadravan SM, Bath E. Invoking history and structural competency to minimize racial bias. J Am Acad Psychiatry Law. 2019;47:2–6.

    PubMed  Google Scholar 

  11. LeMelle S, Arbuckle MR, Ranz JM. Integrating systems-based practice, community psychiatry, and recovery into residency training. Acad Psychiatry. 2013;37:35–7.

    Article  Google Scholar 

  12. Hansen H, Metzl J. Structural competency in the U.S. healthcare crisis: putting social and policy interventions into clinical practice. J Bioethical Inq. 2016;13:179–83.

    CAS  Article  Google Scholar 

  13. Common Program Requirements (Residency); effective July 1, 2019. Accreditation Council for Graduate Medical Education Website (ACGME). Accessed 15 Jan 2020.

  14. Metzl JM, Hansen H. Structural competency: theorizing a new medical engagement with stigma and inequality. Soc Sci Med 1982. 2014;103:126–33.

  15. Miller CC. ‘A very unwelcome feeling’: the first women at Yale look back. New York Times, New York; 30 Oct 2019. Accessed 12 Feb 2020.

  16. Caron C. Yale police are called over a black student napping in her building. New York Times, New York; 2018;A21. Accessed 12 Feb 2020.

  17. Díaz E, Armah T, Linse CT, Fiskin A, Jordan A, Hafler J. Novel brief cultural psychiatry training for residents. Acad Psychiatry. 2016;40:366–8.

    Article  Google Scholar 

  18. Aysola J, Myers JS. Integrating training in quality improvement and health equity in graduate medical education: two curricula for the price of one. Acad Med. 2018;93:31–4.

    Article  Google Scholar 

  19. Mathis W, Cyrus K, Jordan A, Rohrbaugh R. Introducing a structural competency framework for psychiatry residents: drawing your neighborhood. Acad Psychiatry. 2019;43:635–8.

    Article  Google Scholar 

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Dr. Goodsmith was supported by the VA Office of Academic Affiliations through the UCLA National Clinician Scholars Program. The contents do not represent the views of the US Department of Veterans Affairs or the US Government.

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Isom, J., Jordan, A., Goodsmith, N. et al. Equity in Progress: Development of Health Equity Curricula in Three Psychiatry Residency Programs. Acad Psychiatry 45, 54–60 (2021).

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