{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T12:34:08Z","timestamp":1790944448506,"version":"4.1.0"},"reference-count":34,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"UPMC Children's Hospital of Pittsburgh","award":["Educational Innovation Grant"],"award-info":[{"award-number":["Educational Innovation Grant"]}]},{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["TL1TR001858-05"],"award-info":[{"award-number":["TL1TR001858-05"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Medical Education and Curricular Development"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p> Racism has been recognized as a public health crisis, with calls for greater focus on antiracism in medical training. We sought to evaluate a longitudinal antiracist curriculum among pediatric residents. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p> In 2020\u22122021, we delivered seven educational sessions to pediatric trainees in a single residency program. We administered pre-\/post-surveys to assess changes in awareness of structural racism, knowledge of health inequities, antiracist clinical skills, and individual\/institutional advocacy behaviors. Awareness was measured with 27 Likert-type items spanning five conceptual domains (schools, healthcare, justice system, employment, and housing\/transportation). We evaluated knowledge with 18 true\/false or multiple-choice questions. Participants indicated comfort with clinical skills using 13 Likert-type items drawn from national toolkits and policy statements. Individual\/institutional advocacy behaviors were measured with 14 items from the Antiracism Behavioral Inventory. McNemar or paired Wilcoxon signed-rank tests compared measures before and after implementation. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> Out of 121 residents, 79 (65%) completed pre-surveys, 47 (39%) completed post-surveys, and 37 (31%) were eligible for matching across responses. 78% of respondents were female and 68% identified as White. We found significant increases in awareness across several conceptual domains (schools: p\u2009=\u20090.03; healthcare: p\u2009=\u20090.004; employment: p\u2009=\u20090.003; housing\/transportation: p\u2009=\u20090.02). Mean knowledge score increased after implementation ( p\u2009=\u20090.03). Self-reported clinical skills improved significantly ( p\u2009&lt;\u20090.001). Individual advocacy behaviors increased ( p\u2009&lt;\u20090.001); there were no changes in institutional advocacy. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p> We demonstrate improvements in several educational constructs with a novel antiracist curriculum. Efforts to scale and sustain this work are ongoing, and additional teaching and evaluation methodologies may be incorporated in the future. <\/jats:p><\/jats:sec>","DOI":"10.1177\/23821205231162986","type":"journal-article","created":{"date-parts":[[2023,4,26]],"date-time":"2023-04-26T07:15:51Z","timestamp":1682493351000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Antiracist Curriculum Implementation for Pediatric Residents"],"prefix":"10.1177","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5660-7114","authenticated-orcid":false,"given":"Nicholas","family":"Szoko","sequence":"first","affiliation":[{"name":"Division of Adolescent and Young Adult Medicine, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Braveen","family":"Ragunanthan","sequence":"additional","affiliation":[{"name":"Delta Health Center, Inc., Mound Bayou, MS, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Radovic","sequence":"additional","affiliation":[{"name":"Division of Adolescent and Young Adult Medicine, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica L.","family":"Garrison","sequence":"additional","affiliation":[{"name":"Division of Pediatric Hospital Medicine, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Orquidia","family":"Torres","sequence":"additional","affiliation":[{"name":"Division of Adolescent and Young Adult Medicine, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,4,26]]},"reference":[{"key":"bibr1-23821205231162986","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2019-1765"},{"key":"bibr2-23821205231162986","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)31371-4"},{"key":"bibr3-23821205231162986","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000001806"},{"key":"bibr4-23821205231162986","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMpv2024535"},{"key":"bibr5-23821205231162986","doi-asserted-by":"publisher","DOI":"10.15766\/mep_2374-8265.10888"},{"key":"bibr6-23821205231162986","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000002491"},{"key":"bibr7-23821205231162986","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000001689"},{"key":"bibr8-23821205231162986","doi-asserted-by":"publisher","DOI":"10.22454\/FamMed.2019.947255"},{"key":"bibr9-23821205231162986","doi-asserted-by":"publisher","DOI":"10.4300\/JGME-D-20-00722.1"},{"key":"bibr10-23821205231162986","doi-asserted-by":"publisher","DOI":"10.15766\/mep_2374-8265.10969"},{"key":"bibr11-23821205231162986","unstructured":"Anti-racism Education Collection. MedEdPORTAL. https:\/\/www.mededportal.org\/anti-racism.2023. Accessed March 9, 2023."},{"key":"bibr12-23821205231162986","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000004017"},{"key":"bibr13-23821205231162986","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp2021812"},{"key":"bibr14-23821205231162986","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000004374"},{"key":"bibr15-23821205231162986","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.26714"},{"key":"bibr16-23821205231162986","doi-asserted-by":"publisher","DOI":"10.1002\/aet2.10668"},{"key":"bibr17-23821205231162986","doi-asserted-by":"publisher","DOI":"10.1007\/s40596-021-01396-0"},{"key":"bibr18-23821205231162986","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2021.39.15_suppl.11042"},{"key":"bibr19-23821205231162986","doi-asserted-by":"publisher","DOI":"10.1016\/j.acap.2021.09.020"},{"key":"bibr20-23821205231162986","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000004043"},{"key":"bibr21-23821205231162986","doi-asserted-by":"publisher","DOI":"10.1096\/fba.2020-00112"},{"key":"bibr22-23821205231162986","unstructured":"Trent M, Johnson T, Marbin J, Boyd R. Fighting Racism to Advance Child Health Equity. American Academy of Pediatrics. https:\/\/shop.aap.org\/fighting-racism-to-advance-child-health-equity\/. 2021. Accessed May 28, 2021"},{"key":"bibr23-23821205231162986","unstructured":"Centers for Disease Control and Prevention. Impact of Racism on our Nation\u2019s Health. https:\/\/www.cdc.gov\/healthequity\/racism-disparities\/impact-of-racism.html. 2021. Accessed October 11, 2021"},{"key":"bibr24-23821205231162986","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2019.10490"},{"key":"bibr25-23821205231162986","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2020-026666"},{"key":"bibr26-23821205231162986","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0207274"},{"key":"bibr27-23821205231162986","unstructured":"Howell J, Goodkind S, Jacobs L, Branson D, Miller E. Pittsburgh\u2019s Inequality Across Gender and Race. Gender Analysis White Papers. City of Pittsburgh's Gender Equity Commission; 2019."},{"key":"bibr28-23821205231162986","doi-asserted-by":"publisher","DOI":"10.1016\/j.acap.2022.10.003"},{"key":"bibr29-23821205231162986","doi-asserted-by":"publisher","DOI":"10.15766\/mep_2374-8265.10851"},{"key":"bibr30-23821205231162986","doi-asserted-by":"publisher","DOI":"10.15766\/mep_2374-8265.10858"},{"key":"bibr31-23821205231162986","doi-asserted-by":"publisher","DOI":"10.56021\/9780801858444"},{"key":"bibr32-23821205231162986","volume-title":"Mind in Society: the Development of Higher Psychological Processes","author":"Vygotsky LS","year":"1978"},{"key":"bibr33-23821205231162986","doi-asserted-by":"publisher","DOI":"10.1080\/09515070.2015.1101534"},{"key":"bibr34-23821205231162986","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2007.09.002"}],"container-title":["Journal of Medical Education and Curricular Development"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23821205231162986","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/23821205231162986","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23821205231162986","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,2]],"date-time":"2025-03-02T02:03:37Z","timestamp":1740881017000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/23821205231162986"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1]]},"references-count":34,"alternative-id":["10.1177\/23821205231162986"],"URL":"https:\/\/doi.org\/10.1177\/23821205231162986","relation":{},"ISSN":["2382-1205","2382-1205"],"issn-type":[{"value":"2382-1205","type":"print"},{"value":"2382-1205","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1]]},"article-number":"23821205231162986"}}