Addressing the ACGME Mandate for Healthcare Disparities Education in Residency Programs: A Needs Assessment

Acad Radiol. 2021 Jul;28(7):930-937. doi: 10.1016/j.acra.2021.05.003. Epub 2021 Jun 16.

Abstract

Purpose: To assess current opinions and efforts from radiology residency program leadership regarding healthcare disparities (HCD) education for residents.

Methods: Radiology residency program directors across the United States were sent a 10-item survey and asked a series of qualitative questions regarding their opinions about HCD and current methods of implementation into their residency curriculum, in addition to demographic information such as program location and setting.

Results: 73 out of 334 program directors responded. 49.3% were located in the Northeast, 16.4% in the Southeast, 16.4% in the Midwest, 12.3% in the Southwest, and 5.5% in the Pacific. Community programs made up 16.4% of respondents, while academic programs made up 76.7%. 6.8% identified as "other". 98.6% agreed with the provided definition of HCD. 83.6% agreed or strongly agreed that HCD present an obstacle to providing imaging care. 74.0% agreed or strongly agreed that HCD education is an essential component of residency training. However, 74.0% agreed or strongly agreed that HCD education is difficult to implement due to competing educational requirements. Only 16.4% agreed or strongly agreed that they had sufficient material on HCD to train residents.

Conclusion: Although many radiology residency programs agree that HCD education is essential in residency training, the majority feel that a curriculum is difficult to implement and that they lack sufficient resources. This study confirms the need to address this gap with a standardized curriculum which has been developed and is discussed.

Keywords: Health care disparities; Radiology; Resident education.

MeSH terms

  • Curriculum
  • Education, Medical, Graduate
  • Healthcare Disparities
  • Humans
  • Internship and Residency*
  • Needs Assessment
  • Surveys and Questionnaires
  • United States