Equity and Antiracism curriculum

Starting in 2017 a group of residents and faculty formed RPrIDE (Residency Promoting Inclusion Diversity and Equity). We recognized that racism is at the core of health inequities and that following through on our commitment to train leaders in primary care meant committing ourselves to the work of anti-racism. Since then, we have developed a comprehensive curriculum focusing on internal reflection, understanding the history of racism and medicine, recognizing structural inequities in patient care, responding to microaggressions, and building tools to critique the use of racial categories in current practice. Our commitment to anti-racism has also influenced our recruitment processes, approach to feedback, and many other aspects of our program.

There are two faculty, Patricia Egwuatu and Rachel Weiner, and a R3 Lead, Lanre Adekola who guide this work. All residents are invited to participated.

Please read our charter below and feel free to contact us if you have questions:

Patricia Egwuatu
Patricia.I.Egwuatu@kp.org

Olanrewaju Adekola
Olanrewaju.I.Adekola@kp.org

Rachel Weiner
Rachel.E.Weiner@kp.org

Mission

Racism is at the core of inequities in the social structures and health systems of this country. These inequities are destructive to the health of patients and the well-being of care providers. If we are committed to training leaders in primary care and improving the health of our community, we must commit ourselves to undoing racism.

Vision

RPrIDE is committed to undoing racism by shaping a residency that:

• Provides equitable care to our patients regardless of race
• Trains residents to be knowledgeable, skilled, and dedicated to addressing the role of racism in healthcare
• Challenges its own organizational structure in order to create a work environment that allows residents, staff, and faculty of color to thrive
• Fosters cultural humility and self-awareness of how internalized racism influences our professional and personal lives
• Serves as an example of how to work on undoing racism for the Kaiser Permanente region

Goals

Within the KPWA Family Medicine Residency, the RPrIDE group's aim is to be a leader in creating processes and working on projects that will further the work of undoing racism. RPrIDE will also serve as a resource to help ensure that all of the work as a residency is approached with a lens of undoing racism. Further, RPrIDE will build connections with groups outside of the residency who share similar goals and will serve as advocates for the work of undoing racism in the larger KP organization and our community. Our areas of focus are:

• Education of residents and faculty
• Patient care
• Recruitment of residents and faculty

Membership

Residents, faculty, and staff who are interested and committed to attending meetings as able are welcome to become RPrIDE members. RPrIDE meetings will also be open to any other resident, faculty, or staff who wishes to attend and observe.

RPrIDE will aim to have one chair from each residency class and from the faculty. The chair will help guide the focus of RPrIDE, be the coordinator for projects, and lead meetings.

Process

• RPrIDE will meet monthly as a group
• RPrIDE will use consensus for decision making within the group
• RPrIDE will come up with priorities and action steps yearly. RPrIDE will share these with the residency and ask for consensus. RPrIDE will then implement projects stemming from these priorities throughout the year.
• RPrIDE will plan to report back on our work to the residency annually
• Throughout the year, RPrIDE will communicate our process and work to the residency and will welcome feedback and concerns at any time. For decisions and projects that will affect the residency in a significant way, RPrIDE will seek consensus from residents and faculty before proceeding.