{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T05:00:03Z","timestamp":1785214803618,"version":"3.55.0"},"reference-count":18,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Palliative Medicine Reports"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Providing quality palliative care requires an understanding of the causes of structural inequities that lead to disparities in health outcomes for minoritized patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The Harvard Interprofessional Palliative Care Fellowship program (Boston, MA) is a year-long fellowship comprised of physicians, nurse practitioners, a social worker, and a pharmacist training in either adult or pediatric palliative care. A novel health equity curriculum, consisting of a day-long retreat, incorporation of health equity content into existing core didactics and quarterly health equity didactic sessions, was developed and integrated into the existing educational structure of the fellowship. The content included topics such as understanding implicit bias, structural inequities and trauma-informed care. The fellows\u2019 perceptions of the curriculum were evaluated using qualitative analysis and retrospective pre-post survey methodology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Sixteen fellows completed the health equity retreat evaluation and 18 fellows completed the end-of-year evaluation. The data demonstrated an increase in percentage of fellows reporting: ability to identify how structural racism affects the health of palliative care patients (44.4% to 94.4%) and comfort speaking up about racism and\/or microaggressions (38.9% to 94.4%). Importantly, 88.9% of fellows reported that the learning environment felt safe and conducive to self-reflection and sharing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This novel health equity curriculum was effective in imparting health equity-related knowledge and skills in a safe learning environment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26892820251408397","type":"journal-article","created":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T16:13:04Z","timestamp":1772122384000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Advancing Inclusive Care: Embedding Health Equity in Palliative Care Fellowship Training"],"prefix":"10.1177","volume":"7","author":[{"given":"Sudha","family":"Natarajan","sequence":"first","affiliation":[{"name":"Division of Palliative Care and Geriatric Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexis","family":"Drutchas","sequence":"additional","affiliation":[{"name":"Division of Palliative Care and Geriatric Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carine","family":"Davila","sequence":"additional","affiliation":[{"name":"Division of Palliative Care and Geriatric Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyle","family":"Kozelka","sequence":"additional","affiliation":[{"name":"Division of Palliative Care and Geriatric Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Perla","family":"Macip Rodriguez","sequence":"additional","affiliation":[{"name":"Department of Supportive Oncology, Dana Farber Cancer Institute, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra","family":"Manyak","sequence":"additional","affiliation":[{"name":"Department of Community Health, Tufts University, Medford, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen","family":"Doyle","sequence":"additional","affiliation":[{"name":"Division of Palliative Care and Geriatric Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane","family":"deLima Thomas","sequence":"additional","affiliation":[{"name":"Department of Supportive Oncology, Dana Farber Cancer Institute, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,2,26]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.22.01413"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2022.07.003"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1056\/nejmra1404684"},{"key":"e_1_3_4_5_2","volume-title":"2021 Edition: NHPCO Facts and Figures","author":"National Hospice and Palliative Care Organization","year":"2021","unstructured":"National Hospice and Palliative Care Organization. 2021 Edition: NHPCO Facts and Figures. Alexandria, VA; 2021."},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2017.0151"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-023-01185-6"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.outlook.2022.05.013"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jnma.2021.12.015"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1353\/hpu.2020.0147"},{"key":"e_1_3_4_11_2","unstructured":"American Association of Hospice and Palliative Medicine. Hospice and Palliative Medicine Core Competencies \u2013 Version 2.3. 2009."},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2017.07.003"},{"key":"e_1_3_4_13_2","unstructured":"Brown Biomed Faculty Development. Reviewing didactics for inclusivity: Practical tips for faculty. 2019. Available from: https:\/\/www.youtube.com\/watch?v=KfDdqDBedx0 [Last accessed: July16 2025]."},{"key":"e_1_3_4_14_2","unstructured":"Alpert Medical School. Creating Inclusive Curricula. 2018. Available from: https:\/\/facultydev.med.brown.edu\/sites\/default\/files\/CREATING%20INCLUSIVE%20CURRICULA.AMS_.pdf [Last accessed: February25 2025]."},{"key":"e_1_3_4_15_2","unstructured":"The Center for Teaching and Learning WU at StL. Establishing classroom ground rules. n.d. Available from: https:\/\/ctl.wustl.edu\/resources\/establishing-classroom-ground-rules\/ [Last accessed: July16 2025]."},{"key":"e_1_3_4_16_2","unstructured":"Strauss A and Corbin JC. Basics of qualitative research: Grounded theory procedures and techniques (SAGE California). 1990."},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.4324\/9780203793206"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.1177\/109821400002100305"},{"key":"e_1_3_4_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.acap.2019.05.100"}],"container-title":["Palliative Medicine Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/26892820251408397","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/26892820251408397","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/26892820251408397","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T04:21:27Z","timestamp":1785212487000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/26892820251408397"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":18,"alternative-id":["10.1177\/26892820251408397"],"URL":"https:\/\/doi.org\/10.1177\/26892820251408397","relation":{},"ISSN":["2689-2820","2689-2820"],"issn-type":[{"value":"2689-2820","type":"print"},{"value":"2689-2820","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"article-number":"26892820251408397"}}