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Abstract Details

Impacting the Culture of Neurologic Care: Piloting a Structural Competency Training into Neurology Core Competencies
好色先生, Research, and Methodology
P3 - Poster Session 3 (5:30 PM-6:30 PM)
15-006
To determine the effectiveness of piloting a three-part structural competency training into the curriculum for neurology residents, fellows, and faculty utilizing materials from a structural competency training program developed by Neff and colleagues. 

In today’s medical education landscape, providing training on the structural factors that propagate health inequities is essential to prepare physician learners to provide socially just and equitable patient care. Resident physicians have expressed a need for this training in their education, as they feel overwhelmed by the lack of knowledge regarding interventions to address structural inequality in patient care.  
Three structural competency workshops were offered during neurology trainee didactics. Pre- and post-workshop surveys were administered for each workshop. Attendees were asked to rate their experience on a Likert-scale from 1 (strongly disagree) to 5 (strongly agree). 
Wilcoxon signed rank tests indicated participants’ knowledge of structural violence significantly increased following the first workshop (M = 4.36, SD = 0.75) relative to their pre-workshop understanding (M = 3.05, SD = 1.28), z = -2.89, p = .005, with a large effect size (r = 0.55). Most notably, attendees were significantly better at (1) identifying the six levels of intervention for structural vulnerability (pre-test M = 1.67; post-test M = 4.50), p = .005, and (2) confidently designing interventions to address the structural vulnerabilities of their patients (pre-test M = 1.83; post-test M = 4.60), p = .01. Overall, participants “agreed” the workshops were valuable (M = 4.40, SD = .70), should be routinely offered (M = 4.50, SD = .850), and that they would change aspects of their practice based on their newly acquired knowledge (M = 4.20, SD = .92). 

Incorporating structural competency training into the curriculum for neurology trainees is not only feasible, but is also valued and has important implications for how learners deliver patient care.

Authors/Disclosures
Sonia Kaur Singh, MD
PRESENTER 		Dr. Singh has nothing to disclose.
Kendra M. Anderson, PhD (UTHealth Neurosciences) Dr. Anderson has nothing to disclose.
Thy Nguyen, MD (University of Texas Health Science Center) Dr. Nguyen has received personal compensation in the range of $5,000-$9,999 for serving on a Speakers Bureau for ArgenX. Dr. Nguyen has received personal compensation in the range of $10,000-$49,999 for serving on a Speakers Bureau for UCB. Dr. Nguyen has received personal compensation in the range of $10,000-$49,999 for serving on a Speakers Bureau for Alexion. Dr. Nguyen has received personal compensation in the range of $5,000-$9,999 for serving on a Speakers Bureau for Takeda. Dr. Nguyen has received publishing royalties from a publication relating to health care.