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Addressing EDI in Forensic Curricula


Course Description

In the wake of our country’s long overdue national awakening, medical organizations, including the American Psychiatric Association, have voiced their opposition to structural racism and other forms of prejudice, while also grappling with their own histories of racist, sexist, and prejudicial policies and practices. Educational leaders and trainees have identified that equity, diversity, and inclusion (EDI) are an integral part of medical education. EDI is particularly relevant in forensic education, given the disproportionate impact of the criminal justice system on minoritized populations and the potential for implicit biases to impact forensic evaluations and legal processes. Incorporating EDI educational content into existing curriculum, though extremely important, can be challenged by several potential barriers, including lack of faculty expertise, discomfort discussing these topics, and overly crowded existing curricula. In this panel, Drs. Michaelsen and Wasser will review ways to incorporate EDI curriculum into forensic training for general psychiatry residents, with emphasis on the training topics recommended by the recent resident training resource document. Drs. Kapoor and Prahbu will discuss an EDI curriculum for fellowship training, as well as early experiences with the new curriculum. The session will encourage active audience discussion of some of the challenges (and successes) in their training programs.

REFERENCES
Castillo EG, Isom J, DeBonis KL, Jordan A, Braslow JT, Rohrbaugh R. Reconsidering Systems-Based Practice: Advancing Structural Competency, Health Equity, and Social Responsibility in Graduate Medical Education. Acad Med. 2020 Dec;95(12):1817-1822.
Isom J, Jordan A, Goodsmith N, Medlock MM, DeSouza F, Shadravan SM, Halbert E, Hairston D, Castillo E, Rohrbaugh R. Equity in Progress: Development of Health Equity Curricula in Three Psychiatry Residency Programs. Acad Psychiatry. 2021 Feb;45(1):54-60.

QUESTIONS AND ANSWERS
1. Inequities and disparities in care are addressed primarily in which of the ACGME core competency areas?
A. Medical Knowledge
B. Professionalism
C. Systems-Based Practice
D. Practice-Based Learning and Improvement
ANSWER: C

2. Which of the following is an example of a known race-based disparity in mental health care?
A. Limited coverage
B. Geographic barriers
C. Lengthy wait times
D. A culturally uninformed and unresponsive workforce
E. All of the above
ANSWER:  E


Speakers
Katherine Michaelsen, MD
Tobias Wasser, MD
Reena Kapoor, MD
Maya Prabhu, MD


Accreditation Statement

The American Academy of Psychiatry and the Law is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.


The American Academy of Psychiatry and the Law designates this enduring material for a maximum of 2.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


Learning Objectives
Participants will recognize the importance of EDI in forensic education; identify ways to introduce forensically relevant EDI education into general psychiatry and forensic training programs; and discuss potential challenges and creative solutions to incorporating EDI topics in forensic training for residents and fellows.


Disclosure
All speakers and individuals in control of content for this presentation returned signed statements stating they had no financial relationships with ineligible companies.