Presenters
- Arissa Walberg, PhD, Faculty, Central Washington Family Medicine Residency, Yakima, WA
- David Bauman, PsyD, Behavioral Health Education Director, Central Washington Family Medicine Residency,
- Jessica Coleman, MD, Medical Resident, Central Washington Family Medicine Residency
Summary
The Black Lives Matter movement has brought much needed awareness to the systemic racism and marginalization that plagues our country. This has caused many healthcare organizations to take a look at their role in this injustice and what they can do to enact change. At CWFM, the family medicine residents are taught how to use the Contextual Interview (CI) as a tool to develop a sense of patients lives outside of the clinic walls. This allows for a better understanding of symptoms, functioning, and values which in turn facilitate patient-provider relationship and treatment plans. Role-plays are one of the teaching modalities used for the contextual interview. During these role-plays specific prompts facilitate in-depth discussion about how the CI also provides a glimpse into sources of privilege and marginalization as well as how their identities impact a person’s experience with the healthcare system. This presentation will provide a brief overview of the CI and how it can be the launching pad for building awareness amongst medical and behavioral health learners about racism and marginalization during case discussions. Attendees will hear directly from one of our medical residents about her experience with this training. Lastly, attendees will have the opportunity to share their feedback and identify action steps to take against systemic racism.
Objectives
- Demonstrate how the Contextual Interview can be used as the foundation to learning about patient experience with privilege and marginalization.
- Use specific prompts to enhance awareness of systemic racism during case discussions.
- Identify action steps for addressing systemic racism.