Developing Confidence in Engaging in Diversity, Equity, and Inclusion and Social Determinants of Health Topics Through Self-Authorship

OBJECTIVE

This study used a self-authorship framework to explore if diversity, equity, and inclusion (DEI) and social determinants of health (SDoH)-focused laboratories and learning activities increase student confidence in understanding aspects of implicit bias and SDoH, and how these activities impact student comfort in discussing and confidence in initiating conversations on DEI/SDoH topics with colleagues, faculty, supervisors, and patients.

METHODS

First-year PharmD students engaged in 3 learning activities across 2 courses. Students were challenged to evaluate their biases and incorporate DEI/SDoH into their professional identity formation. This study used a mixed-methods, embedded approach to analyze assessment data collected via a questionnaire and assignments administered at 3 points during the fall semester. Quantitative analysis used a quasi-experimental, between-participants, pretest-posttest design. The qualitative component used open-ended questions to gain additional insight into participant experiences, gathered detail on perceptions, and provided context.

RESULTS

A 1-way analysis of variance showed statistically significant increases between assessment points for all items related to confidence in understanding implicit bias and SDoH. Comfort in discussing DEI/SDoH topics with supervisors/faculty and patients increased over time. Comfort in discussing DEI/SDoH topics with colleagues did not increase. Three salient themes emerged from qualitative analyses: bias and privilege awareness, education, and professionalism.

CONCLUSION

This study found that students started evaluating their own knowledge, beliefs, and claims in social and professional settings as defined by the self-authorship framework. Student comfort and confidence in discussing DEI/SDoH topics increased over time. Findings support that engaging students in multimodal programming may support incorporation of DEI/SDoH into professional identity formation.

Impact of family environment on future mental health professionals' attitudes toward lesbians and gay men

This study explored the relationship between dimensions of functioning in the family of origin of graduate students in helping profession programs and their attitudes toward lesbians and gay men. One hundred forty-three participants completed the Family Environment Scale (FES-R: Moos & Moos, 1986), the Attitudes Toward Lesbians and Gay Men scale (ATLG: Herek, 1994), and demographic questions. Results suggest that three family dimensions (conflict, intellectual-cultural orientation, and moral-religious emphasis) significantly predicted attitudes toward lesbians and gay men. The results also revealed that younger students held more negative attitudes toward lesbians and gay men than their older peers. Implications for educators, researchers, and practitioners are discussed.