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

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 practi...

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Bibliographic Details
Published in:AMA journal of ethics 2024-01, Vol.26 (1), p.E12-20
Main Authors: Zaidi, Zareen, Ölveczky, Daniele, Perez, Nicole A, Martin, Paolo C, Fernandez, Andres, Duncan, Philicia, Anderson, Hannah L
Format: Article
Language:English
Online Access:Get full text
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Summary: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.
ISSN:2376-6980
2376-6980
DOI:10.1001/amajethics.2024.12