Why Competency Frameworks Are Insufficiently Nuanced for Health Equity Teaching and Assessment

Authors

Zareen Zaidi, Professor of medicine at the George Washington University School of Medicine and Health Sciences in Washington, DC.
Daniele Ölveczky, Assistant professor of medicine at Harvard Medical School in Boston, Massachusetts.
Nicole A. Perez, Assistant professor in the Department of Medical Education at the University of Illinois College of Medicine at Chicago.
Paolo C. Martin, Assistant professor of medicine and health professions education at the Center for Health Professions Education at Uniformed Services University of the Health Sciences in Bethesda, Maryland.
Andres Fernandez, Assistant professor in the Department of Neurology at the Sidney Kimmel Medical College at Thomas Jefferson University in Philadelphia, Pennsylvania.
Philicia Duncan, Assistant professor at the Ohio State University Wexner Medical Center in Columbus.
Hannah L. Anderson, Research associate at the Children's Hospital of Philadelphia in Pennsylvania.

Document Type

Journal Article

Publication Date

1-1-2024

Journal

AMA journal of ethics

Volume

26

Issue

1

DOI

10.1001/amajethics.2024.12

Abstract

This article suggests how competency-based medical education should robustly integrate health equity by focusing on physicians' responsibilities to (1) know why and how underlying structural mechanisms contribute to health equity and then (2) take action to achieve health equity in their practice. This article first canvasses currently available frameworks for helping trainees cultivate these 2 specific skills of discernment and action. This article then offers strategies for teaching and assessing these skills in specific learning activities.

APA Citation

Zaidi, Zareen; Ölveczky, Daniele; Perez, Nicole A.; Martin, Paolo C.; Fernandez, Andres; Duncan, Philicia; and Anderson, Hannah L., "Why Competency Frameworks Are Insufficiently Nuanced for Health Equity Teaching and Assessment" (2024). GW Authored Works. Paper 4236.
https://hsrc.himmelfarb.gwu.edu/gwhpubs/4236

Department

Medicine