From Listening to Action: Academic Surgical Departmental Response to Social Injustice Through Curricular Development

Abstract

Objective: The aim of this study was to describe the development and evaluation of a structured department wide cultural competency curriculum.

Summary background data: Despite numerous organizational policies and statements, social injustice and bias still exist. Our department committed to assist individuals of the entire department to develop foundational knowledge and skills to combat implicit bias and systemic racism through the creation of a cultural competency curriculum. The purpose of this manuscript is to detail our curriculum and the evaluation of its effectiveness.

Methods: Using a well-established curriculum development framework, a cultural competency curriculum was developed focusing on knowledge, skills and attitudes at the individual level, for all members of the department. The curriculum was implemented through 6-hour-long sessions over a 9-week period. Effectiveness was assessed through a post curriculum survey.

Results: Twenty percent of the respondents had experienced bias based on race, ethnicity, or sexual orientation in the past 12 months, whereas 30% had experienced bias based on sex. Seventy-one percent independently explored related topics. The curriculum was overall well received and generally achieved the goals and objectives.

Conclusion: Using a standard curriculum development framework, an effective department-wide cultural competency curriculum can be developed and implemented.