Abstracts
Abstract
Background: Equity-deserving groups are communities marginalized from institutional power by oppressive forces (e.g., racism, sexism, homophobia, ableism). Dear MD to Be is a medical-student-led podcast created to interview physicians of intersectional backgrounds about their institutional experience. This study aims to evaluate the podcast as a tool for knowledge, mentorship, and psychological safety for equity-deserving listeners.
Methods: Between February and March 2022, we recruited medical students across all levels of training from English-speaking Canadian medical schools using email listservs and social media. We disseminated a cross-sectional questionnaire assessing demographics, knowledge gained from podcast engagement, attitudes towards podcasts as a tool for mentorship, and psychological/emotional gains from the podcast content. We conducted descriptive and frequency analyses of quantitative data and applied thematic analysis to qualitative data.
Results: Thirty-eight individuals completed the entire survey from all levels of training, with 97% self-identifying with at least one equity-deserving group. 100% agreed that the Dear MD to Be podcast was an accessible form of mentorship; participants appreciated self-pacing mentorship and interacting with many narratives. Listeners gleaned lessons about wellness, advocacy work, allyship, cultural imposter syndrome, and navigating discrimination. Furthermore, most listeners felt represented, empowered, and legitimized by podcast content.
Conclusions: Podcasts can serve as a medium for accessible equity-centred mentorship. By disseminating multiple underrepresented narratives in medicine, the Dear MD to Be podcast serves as a source of EDI knowledge while contributing to learner safety.
Résumé
Contexte : Les groupes méritant l'équité sont des communautés mises en marge du pouvoir institutionnel par des forces oppressives (par exemple, le racisme, le sexisme, l'homophobie, la discrimination fondée sur la capacité physique). Dear MD to Be est un balado dirigé par des étudiants en médecine et créé pour interviewer des médecins de milieux mixtes sur leur expérience institutionnelle. Cette étude vise à évaluer le balado en tant qu'outil de connaissance, de mentorat et de sécurité psychologique pour les auditeurs en quête d'équité.
Méthodes : Entre février et mars 2022, nous avons recruté des étudiants en médecine de tous les niveaux de formation dans les facultés de médecine canadiennes anglophones en utilisant des listes de diffusion par courriel et les médias sociaux. Nous avons diffusé un questionnaire transversal évaluant les données démographiques, les connaissances acquises grâce à l'engagement dans les balados, les attitudes à l'égard des balados en tant qu'outil de mentorat et les gains psychologiques/émotionnels du contenu des balados. Nous avons effectué des analyses descriptives et de fréquence des données quantitatives et appliqué une analyse thématique aux données qualitatives.
Résultats : Au total, trente-huit personnes de tous les niveaux de formation ont répondu à l'ensemble du questionnaire, 97 % d'entre elles s'identifiant à au moins un groupe méritant l'équité. 100 % des personnes interrogées ont reconnu que le balado Dear MD to Be constituait une forme accessible de mentorat; les participants ont apprécié le mentorat à rythme libre et l'interaction avec de nombreux récits. Les auditeurs ont glané des leçons sur le bien-être, le travail de plaidoyer, l'allié, le syndrome de l'imposteur culturel et la lutte contre la discrimination. En outre, la plupart des auditeurs se sont sentis représentés, responsabilisés et légitimés par le contenu du balado.
Conclusions : Les balados peuvent servir de support à un mentorat accessible et axé sur l'équité. En diffusant de multiples récits de personnes sous-représentées en médecine, le balado Dear MD to Be sert de source de connaissances sur l'équité, la diversité et l’inclusivité tout en contribuant à la sécurité de l'apprenant.
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Appendices
Bibliography
- Faces of U of T Medicine: Maham Bushra and Meera Mahendiran. Available from: https://applymd.utoronto.ca/news/faces-u-t-medicine-maham-bushra-and-meera-mahendiran [Accessed 2023 Feb 27]
- Kelly JM, Perseghin A, Dow AW, Trivedi SP, Rodman A, Berk J. Learning through listening: a scoping review of podcast use in medical education. Acad Med. 2022 Jul;97(7):1079. https://doi.org/10.1097/ACM.0000000000004565
- Riddell J, Robins L, Brown A, Sherbino J, Lin M, Ilgen JS. Independent and interwoven: a qualitative exploration of residents’ experiences with educational podcasts. Acad Med. 2020 Jan;95(1):89. https://doi/org/10.1097/ACM.0000000000002984
- Zhou SY, Balakrishna A, Nyhof-Young J, Javeed I, Robinson LA. What do participants value in a diversity mentorship program? Perspectives from a Canadian medical school. Equal Divers Incl Int J. 2021 Oct 22;40(8):947–59. https://doi.org/10.1108/EDI-12-2020-0348
- University of Toronto Scarborough News. Inspiring Inclusive Excellence - Professor Wisdom Tettey’s installation address. Feb 2019. Available from: https://utsc.utoronto.ca/news-events/inspiring-inclusive-excellence-professor-wisdom-tetteys-installation-address [Accessed Feb 2021]
- Page KR, Castillo-Page L, Poll-Hunter N, Garrison G, Wright SM. Assessing the evolving definition of underrepresented minority and its application in academic medicine. Acad Med J Assoc Am Med Coll. 2013 Jan;88(1):67–72. https://doi.org/10.1097/ACM.0b013e318276466c
- Saddler N, Adams S, Robinson LA, Okafor I. Taking initiative in addressing diversity in medicine. Can J Sci Math Technol Educ. 2021 Jun 1;21(2):309–20. https://doi.org/10.1007/s42330-021-00154-6
- Li M, Adus SL, Weyman K. “There’s always something to talk about!” The unexpected benefits of going virtual in a Canadian diversity mentorship program. Can Med Educ J. 2022;13(1):90–2. https://doi.org/10.36834/cmej.72692
- Yehia BR, Cronholm PF, Wilson N, et al. Mentorship and pursuit of academic medicine careers: a mixed methods study of residents from diverse backgrounds. BMC Med Educ. 2014 Feb 9;14(1):26. https://doi/org/ 10.1186/1472-6920-14-26.
- de Dios MA, Kuo C, Hernandez L, et al. The development of a diversity mentoring program for faculty and trainees: a program at the Brown Clinical Psychology Training Consortium. Behav Ther AABT. 2013 Jun;36(5):121–6.
- Kosoko-Lasaki O, Sonnino RE, Voytko ML. Mentoring for women and underrepresented minority faculty and students: experience at two institutions of higher education. J Natl Med Assoc. 2006 Sep;98(9):1449–59.
- Frei E, Stamm M, Buddeberg-Fischer B. Mentoring programs for medical students - a review of the PubMed literature 2000 - 2008. BMC Med Educ. 2010 Apr 30;10(1):32. https://doi.org/10.1186/1472-6920-10-32
- Tekian A, Jalovecky MJ, Hruska L. The impact of mentoring and advising at-risk underrepresented minority students on medical school performance. Acad Med. 2001 Dec;76(12):1264. https://doi.org/10.1097/00001888-200112000-00024
- Promoting Understanding of Diversity Through Mentoring Undergraduate Students - Scisney‐Matlock - 2001 - New Directions for Teaching and Learning - Wiley Online Library https://doi.org/10.1002/tl.8
- Achinstein B. Mentoring for diversity and equity: focusing on students of color and new teachers of color. Teach Coll Rec. 2012 Nov 1;114(14):289–308. https://doi.org/10.1177/016146811211401404
- Choi AMK, Moon JE, Steinecke A, Prescott JE. Developing a culture of mentorship to strengthen academic medical centers. Acad Med. 2019 May;94(5):630.: https://doi.org/10.1097/ACM.0000000000002498
- Bhatnagar V, Diaz S, Bucur PA, Bhatnagar V, Diaz S, Bucur PA. The need for more mentorship in medical school. Cureus. 2020 May 6;12(5). https://doi.org/10.7759/cureus.7984.
- Jackson VA, Palepu A, Szalacha L, Caswell C, Carr PL, Inui T. “Having the right chemistry”: a qualitative study of mentoring in academic medicine. Acad Med. 2003 Mar;78(3):328. https://doi.org/10.1097/00001888-200303000-00020
- Rodríguez JE, Campbell KM, Pololi LH. Addressing disparities in academic medicine: what of the minority tax?. BMC medical education. 2015 Dec;15(1):1-5. https://doi.org/10.1186/s12909-015-0290-9
- Braun V, Clarke V. One size fits all? What counts as quality practice in (reflexive) thematic analysis? Qual Res Psychol. 2021 Jul 3;18(3):328–52. https://doi.org/10.1080/14780887.2020.1769238
- Braun V, Clarke V. Thematic analysis. In Cooper H, Camic PM, Long DL, Panter AT, Rindskopf D, Sher KJ. (Eds.), APA handbook of research methods in psychology, Vol. 2. Research designs: Quantitative, qualitative, neuropsychological, and biological. 2012;p57-71. American Psychological Association. https://doi.org/10.1037/13620-004
- Childers RE, Dattalo M, Christmas C. Podcast pearls in residency training. Ann Intern Med. 2014 Jan 7;160(1):70–1. https://doi.org/10.7326/L14-5000-2
- White J, Sharma N. Podcasting: a technology, not a toy. Adv Health Sci Educ. 2012 Oct 1;17(4):601–3. https://doi.org/10.1007/s10459-012-9361-4
- Shantikumar S. From lecture theatre to portable media: students’ perceptions of an enhanced podcast for revision. Med Teach. 2009 Jan 1;31(6):535–8. https://doi.org/10.1080/01421590802365584
- Kaplan H, Verma D, Sargsyan Z. What traditional lectures can learn from podcasts. J Grad Med Educ. 2020 Jun 1;12(3):250–3. https://doi.org/10.4300/JGME-D-19-00619.1
- Dahlstrom MF. Using narratives and storytelling to communicate science with nonexpert audiences. Proc Natl Acad Sci. 2014;111(4 suppl):13614–13620. https://www.pnas.org/doi/full/10.1073/pnas.1320645111.
- Cox K. Stories as case knowledge: case knowledge as stories. Med Educ. 2001;35(9):862–6. https://doi.org/10.1046/j.1365-2923.2001.01016.x
- Easton G. How medical teachers use narratives in lectures: a qualitative study. BMC Med Educ. 2016;16(1):3. https://doi.org/10.1186/s12909-015-0498-8.
- Maguire EA, Valentine ER, Wilding JM, Kapur N. Routes to remembering: the brains behind superior memory. Nat Neurosci. 2003 Jan;6(1):90–5. https://doi.org/10.1038/nn988.