Incorporating equity, diversity and inclusion (EDI) into the education and assessment of professionalism for healthcare professionals and trainees: a scoping review | BMC Medical Education

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Incorporating equity, diversity and inclusion (EDI) into the education and assessment of professionalism for healthcare professionals and trainees: a scoping review | BMC Medical Education
  • Lashkari M, Beigzadeh A. The concept and challenges of medical professionalism. Rep Health Care. 2014;1(1):43–5.

    Google Scholar 

  • Chen C, Anderson A. How should Health Professionalism be redefined to address Health Equity? Am Med Association J Ethics. 2021;23(3):E265–270. https://doi.org/10.1001/amajethics.2021.265.

    Article 

    Google Scholar 

  • Professionalism in Practice Michael G. DeGroote School of Medicine. Available online: Accessed 7 Jan 2024.

  • Ho MJ, Yu KH, Hirsh D, Huang TS, Yang PC. Does one size fit all? Building a framework for medical professionalism. Acad Med. 2011;86(11):1407–14. https://doi.org/10.1097/ACM.0b013e31823059d1.

    Article 

    Google Scholar 

  • Gomez LE, Bernet P. Diversity improves performance and outcomes. J Natl Med Assoc. 2019;111(4):383–92. https://doi.org/10.1016/j.jnma.2019.01.006.

    Article 

    Google Scholar 

  • Browne AJ, Smye VL, Rodney P, Tang SY, Mussell B, O’Neil J. Access to Primary Care from the perspective of Aboriginal patients at an Urban Emergency Department. Qual Health Res. 2011;21(3):333–48. https://doi.org/10.1177/1049732310385824.

    Article 

    Google Scholar 

  • Shaheen-Hussain S, Lombard A, Basile S. Confronting Medical Colonialism and Obstetric Violence in Canada. Lancet. 2023;401(10390):1763–5. https://doi.org/10.1016/S0140-6736(23)01007-3.

    Article 

    Google Scholar 

  • Williams KKA, Baidoobonso S, Haggerty J, Lofters A, Adams AM. Anti-black discrimination in Primary Health Care: a qualitative study exploring internalized racism in a Canadian context. Ethn Health. 2024;29(3):343–52. https://doi.org/10.1080/13557858.2024.2311429.

    Article 

    Google Scholar 

  • Boyer Y. Healing Racism in Canadian Health Care. Can Med Assoc J. 2017;189(46):E1408–9. https://doi.org/10.1503/cmaj.171234.

    Article 

    Google Scholar 

  • Browne AJ, Fiske JA. First Nations women’s encounters with Mainstream Health Care services. West J Nurs Res. 2001;23(2):126–47. https://doi.org/10.1177/019394590102300203.

    Article 

    Google Scholar 

  • American Medical Association and Association of American Medical Colleges. Advancing Health Equity: Guide on Language, Narrative and Concepts. ama-assn.org/equity-guide. Accessed 7 Jan 2024.

  • Mak S, Thomas A. Steps for conducting a scoping review. J Grad Med Educ. 2022;14:565–7. https://doi.org/10.4300/JGME-D-22-00621.1.

    Article 

    Google Scholar 

  • Arksey H, O’Malley L. Scoping studies: towards a methodological framework. J Soc Res Methodol. 2005;8:19–32. https://doi.org/10.1080/1364557032000119616.

    Article 

    Google Scholar 

  • Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Levac D, et al. PRISMA Extension for scoping reviews (PRISMA-ScR): Checklist and Explanation. Ann Intern Med. 2018;169:467–73. https://doi.org/10.7326/M18-0850.

    Article 

    Google Scholar 

  • Covidence systematic review software, Veritas Health Innovation, Melbourne, Australia. 2024. www.covidence.org. Accessed 16 Mar 2023.

  • Cook DA, Reed DA. Appraising the quality of medical education research methods: the Medical Education Research Study Quality Instrument and the Newcastle-Ottawa Scale-Education. Acad Med. 2015;90:1067–76. https://doi.org/10.1097/ACM.0000000000000786.

    Article 

    Google Scholar 

  • Côté L, Turgeon J. Appraising qualitative research articles in medicine and medical education. Med Teach. 2005;27:71–5. https://doi.org/10.1080/01421590400016308.

    Article 

    Google Scholar 

  • Thomas J, Harden A. Methods for the thematic synthesis of qualitative research in systematic reviews. BMC Med Res Methodol. 2008;8:1–0. https://doi.org/10.1186/1471-2288-8-45.

    Article 

    Google Scholar 

  • Midik O, Basar F, Emirzeoglu M, Emirzeoglu M, ALAYLI G, Alayli G, Sarisoy G, SARISOY G, Gunbey E, GUNBEY E, Yuce M. An elective program in medical education: communication with Hard of hearing people and Turkish sign Language. Marmara Med J. 2016;29(1):14–22. https://doi.org/10.5472/MMJoa.2901.03.

    Article 

    Google Scholar 

  • Midik O, Coskun O. Medical students’ conceptualisation of Health Advocacy in an interactive Programme. Interact Learn Environ. 2020;28:729–43. https://doi.org/10.1080/10494820.2018.1552876.

    Article 

    Google Scholar 

  • Kaçan CY. Ö. Örsal 2020 Effects of Transcultural Nursing Education on the Professional values, empathic skills, Cultural Sensitivity and Intelligence of students. J Commun Health Nurs 37 65–76 https://doi.org/10.1080/07370016.2020.1736374.

    Article 

    Google Scholar 

  • Lee MS, Kaulukukui SK, Smith MS, Laimana JJ, Voloch KA. Professional and cultural development of medical students mentoring adolescents in a predominately native hawaiian community. Hawai’i J Health Social Welf. 2019;78(12 Suppl 3):35.

    Google Scholar 

  • Fleming T, Creedy DK, West R. The influence of yarning circles: a Cultural Safety Professional Development Program for midwives. Women Birth. 2020;33:175–85. https://doi.org/10.1016/j.wombi.2019.03.016.

    Article 

    Google Scholar 

  • Rosen D, McCall J, Goodkind S. Teaching critical self-reflection through the Lens of Cultural Humility: an assignment in a Social Work Diversity Course. Social Work Educ. 2017;36:289–98. https://doi.org/10.1080/02615479.2017.1287260.

    Article 

    Google Scholar 

  • Awaad R, Ali S, Salvador M, Bandstra BA. Process-oriented Approach to Teaching Religion and Spirituality in Psychiatry Residency Training. Acad Psychiatry. 2015;39:654–60. https://doi.org/10.1007/s40596-014-0256-y.

    Article 

    Google Scholar 

  • Brown B, Warren NS, Brehm B, Breen P, Bierschbach JL, Smith R, Wall A, Loon RAV. The design and evaluation of an Interprofessional Elective Course with a Cultural competence component. J Allied Health 2008, 37.

  • Daly M, Perkins D, Kumar K, Roberts C, Moore M. What factors in Rural and Remote Extended Clinical Placements May contribute to preparedness for practice from the perspective of students and clinicians? Med Teach. 2013;35:900–7. https://doi.org/10.3109/0142159X.2013.820274.

    Article 

    Google Scholar 

  • Glaser J, Pfeffinger A, Quan J, Fernandez A. Medical students’ perceptions of and responses to Health Care disparities during clinical clerkships. Acad Med. 2019;94:1190–6. https://doi.org/10.1097/ACM.0000000000002582.

    Article 

    Google Scholar 

  • Jansen MB, Lund DW, Baume K, Lillyman S, Rooney K, Nielsen DS. International Clinical Placement – experiences of nursing students’ Cultural, Personal and Professional Development; a qualitative study. Nurse Educ Pract. 2021;51:102987. https://doi.org/10.1016/j.nepr.2021.102987.

    Article 

    Google Scholar 

  • Knecht LD, Wilson KJ, Linton ME, Koonmen JM, Johns EF. Assessing student expectations and perceptions of a short-term International Service‐learning experience. Public Health Nurs. 2020;37:121–9. https://doi.org/10.1111/phn.12669.

    Article 

    Google Scholar 

  • Yao CA, Swanson J, McCullough M, Taro TB, Gutierrez R, Bradshaw A, Campbell A, Magee WP, Magee WP. The Medical Mission and Modern Core Competency Training: a 10-Year Follow-Up of Resident experiences in global plastic surgery. Plast Reconstr Surg. 2016;138:e531–8. https://doi.org/10.1097/PRS.0000000000002484.

    Article 

    Google Scholar 

  • Żebryk P, Przymuszała P, Nowak JK, Cerbin-Koczorowska M, Marciniak R, Cameron H. The impact of ERASMUS exchanges on the Professional and Personal Development of Medical Students. IJERPH. 2021;18:13312. https://doi.org/10.3390/ijerph182413312.

    Article 

    Google Scholar 

  • Koskinen L, Campbell B, Aarts C, Chassé F, Hemingway A, Juhansoo T, Mitchell MP, Marquis FL, Critchley KA, Nordstrom PM. Enhancing Cultural competence: Trans-Atlantic experiences of European and Canadian nursing students. Int J Nurs Pract. 2009;15:502–9. https://doi.org/10.1111/j.1440-172X.2009.01776.x.

    Article 

    Google Scholar 

  • Behar-Horenstein LS, Feng X, Roberts KW, Gibbs M, Catalanotto FA, Hudson-Vassell CM. Developing Dental Students’ awareness of Health Care disparities and Desire to serve vulnerable populations through Service‐Learning. J Dent Educ. 2015;79:1189–200. https://doi.org/10.1002/j.0022-0337.2015.79.10.tb06012.x.

    Article 

    Google Scholar 

  • Green BF, Johansson I, Rosser M, Tengnah C, Segrott J. Studying abroad: a multiple case study of nursing students’ International experiences. Nurse Educ Today. 2008;28:981–92. https://doi.org/10.1016/j.nedt.2008.06.003.

    Article 

    Google Scholar 

  • Hande DN, Sångberg F, Ulvedal K, Kindblom K. The Experience of Exchange Studies in Physical Therapy between Sweden and India – A Qualitative Study. 2022; https://doi.org/10.36848/PMR/2022/50100.51035

  • Lee RLT, Pang SMC, Wong TKS, Chan MF. Evaluation of an Innovative Nursing Exchange Programme: Health Counselling skills and Cultural Awareness. Nurse Educ Today. 2007;27:868–77. https://doi.org/10.1016/j.nedt.2006.12.002.

    Article 

    Google Scholar 

  • Nishigori H, Otani T, Plint S, Uchino M, Ban NI, Came I, Saw I, Reflected. A qualitative study into learning outcomes of International Electives for Japanese and British Medical Students. Med Teach. 2009;31:e196–201. https://doi.org/10.1080/01421590802516764.

    Article 

    Google Scholar 

  • Clark Callister L, Harmer Cox A. Opening our hearts and minds: the meaning of international clinical nursing Electives in the Personal and Professional lives of nurses. Nurs Health Sci. 2006;8:95–102. https://doi.org/10.1111/j.1442-2018.2006.00259.x.

    Article 

    Google Scholar 

  • Chae D, Park Y, Kang K, Kim JA. Multilevel Investigation of Cultural competence among South Korean clinical nurses. Scandinavian Caring Sci. 2020;34:613–21. https://doi.org/10.1111/scs.12760.

    Article 

    Google Scholar 

  • Adams J, Lui C-W, Sibbritt D, Broom A, Wardle J, Homer C. Attitudes and Referral Practices of Maternity Care Professionals with Regard to complementary and alternative medicine: an integrative review: attitudes and referral of Maternity Care professionals to CAM. J Adv Nurs. 2011;67:472–83. https://doi.org/10.1111/j.1365-2648.2010.05510.x.

    Article 

    Google Scholar 

  • Fleming T, Creedy DK, West R. Cultural Safety Continuing Professional Development for Midwifery academics: an Integrative Literature Review. Women Birth. 2019;32:318–26. https://doi.org/10.1016/j.wombi.2018.10.001.

    Article 

    Google Scholar 

  • Teasley ML. Perceived levels of cultural competence through Socail Work Education and Professional Development for Urban School Social Workers. J Social Work Educ 2005, 41, 85–98; https://doi.org/10.5175/JSWE.2005.200300351

  • Ho M-J, Gosselin K, Chandratilake M, Monrouxe LV, Rees CE. Taiwanese Medical Students’ narratives of intercultural professionalism dilemmas: exploring tensions between Western Medicine and Taiwanese Culture. Adv Health Sci Educ. 2017;22:429–45. https://doi.org/10.1007/s10459-016-9738-x.

    Article 

    Google Scholar 

  • Ly CL, Chun MBJ. Welcome to Cultural Competency: surgery’s efforts to Acknowledge Diversity in Residency Training. J Surg Educ. 2013;70:284–90. https://doi.org/10.1016/j.jsurg.2012.10.005.

    Article 

    Google Scholar 

  • Crenshaw K, Shewchuk RM, Qu H, Staton LJ, Bigby JA, Houston TK, Allison J, Estrada CA. What should we include in a cultural competence curriculum? An emerging formative evaluation process to Foster Curriculum Development. Acad Med. 2011;86:333–41. https://doi.org/10.1097/ACM.0b013e3182087314.

    Article 

    Google Scholar 

  • Minicuci N, Giorato C, Rocco I, Lloyd-Sherlock P, Avruscio G, Cardin F. Survey of doctors’ perception of Professional values. PLoS ONE. 2020;15:e0244303. https://doi.org/10.1371/journal.pone.0244303.

    Article 

    Google Scholar 

  • Matthews M, Van Wyk J. Towards a culturally competent Health Professional: a South African case study. BMC Med Educ. 2018;18:112. https://doi.org/10.1186/s12909-018-1187-1.

    Article 

    Google Scholar 

  • Verdon S. Awakening a critical consciousness among Multidisciplinary professionals supporting culturally and linguistically diverse families: a pilot study on the impact of Professional Development. Child Care Pract. 2020;26:4–21. https://doi.org/10.1080/13575279.2018.1516626.

    Article 

    Google Scholar 

  • Hamdan Alshammari M, Alboliteeh M. Structural Equation Modeling of the Association between Professional and Cultural competencies of nurses in Saudi Arabia. Nurse Educ Pract. 2022;63:103382. https://doi.org/10.1016/j.nepr.2022.103382.

    Article 

    Google Scholar 

  • Howells S, Barton G, Westerveld M. Exploring the development of Cultural Awareness amongst Post-graduate Speech-Language Pathology Students. Int J Speech-Language Pathology2016, 18, 259–71; https://doi.org/10.3109/17549507.2016.1154982

  • Alexis DA, Kearney MD, Williams JC, Xu C, Higginbotham EJ, Aysola J. Assessment of perceptions of professionalism among Faculty, trainees, Staff, and students in a large University-Based Health System. JAMA Netw Open. 2020;3:e2021452. https://doi.org/10.1001/jamanetworkopen.2020.21452.

    Article 

    Google Scholar 

  • Maristany D, Hauer KE, Leep Hunderfund AN, Elks ML, Bullock JL, Kumbamu A, O’Brien BC. The Problem and Power of Professionalism: a critical analysis of medical students’ and residents’ perspectives and experiences of professionalism. Acad Med. 2023;98:S32–41. https://doi.org/10.1097/ACM.0000000000005367.

    Article 

    Google Scholar 

  • Leyerzapf H, Abma TA, Steenwijk RR, Croiset G, Verdonk P. Standing out and moving up: Performance Appraisal of Cultural Minority Physicians. Adv Health Sci Educ. 2015;20:995–1010. https://doi.org/10.1007/s10459-014-9577-6.

    Article 

    Google Scholar 

  • Osseo-Asare A, Balasuriya L, Huot SJ, Keene D, Berg D, Nunez-Smith M, Genao I, Latimore D, Boatright D. Minority Resident Physicians’ views on the role of Race/Ethnicity in their training experiences in the Workplace. JAMA Netw Open. 2018;1:e182723. https://doi.org/10.1001/jamanetworkopen.2018.2723.

    Article 

    Google Scholar 

  • Kristoffersson E, Hamberg K. I have to do twice as Well – Managing Everyday Racism in a Swedish Medical School. BMC Med Educ. 2022;22:235. https://doi.org/10.1186/s12909-022-03262-5.

    Article 

    Google Scholar 

  • Bullock JL, Lockspeiser T, Del Pino-Jones A, Richards R, Teherani A, Hauer KE. They don’t see a lot of people my color: a mixed methods study of Racial/Ethnic stereotype threat among medical students on core clerkships. Acad Med. 2020;95:S58–66. https://doi.org/10.1097/ACM.0000000000003628.

    Article 

    Google Scholar 

  • Chandratilake M, McAleer S, Gibson J. Cultural similarities and differences in medical professionalism: a multi-region study. Med Educ. 2012;46:257–66. https://doi.org/10.1111/j.1365-2923.2011.04153.x.

    Article 

    Google Scholar 

  • Cerdeña JP, Asabor EN, Rendell S, Okolo T, Lett E. Resculpting professionalism for equity and accountability. Ann Fam Med. 2022;20:573–7. https://doi.org/10.1370/afm.2892.

    Article 

    Google Scholar 

  • Allitt M, Frampton S. Beyond ‘Born not made’: challenging Character, emotions and Professionalism in Undergraduate Medical Education. Med Humanit. 2022;48:461–70. https://doi.org/10.1136/medhum-2021-012365.

    Article 

    Google Scholar 

  • Rosenberg AR, Jagsi R, Marron JM. Picture a Professional: rethinking expectations of Medical Professionalism through the Lens of Diversity, Equity, and inclusion. JCO. 2021;39:4004–8. https://doi.org/10.1200/JCO.21.01500.

    Article 

    Google Scholar 

  • AbdelHameid D. Professionalism 101 for Black Physicians. N Engl J Med. 2020;383:e34. https://doi.org/10.1056/NEJMpv2022773.

    Article 

    Google Scholar 

  • Frye V, Camacho-Rivera M, Salas-Ramirez K, Albritton T, Deen D, Sohler N, Barrick S, Nunes J. Professionalism: the wrong Tool to solve the right problem? Acad Med. 2020;95:860–3. https://doi.org/10.1097/ACM.0000000000003266.

    Article 

    Google Scholar 

  • Goddard VCT, Brockbank S. Re-opening Pandora’s Box: who owns professionalism and is it time for a 21st century. Definition? Med Educ. 2023;57:66–75. https://doi.org/10.1111/medu.14862.

    Article 

    Google Scholar 

  • McKimm J, Wilkinson T. Doctors on the move: exploring professionalism in the light of cultural transitions. Med Teach. 2015;37(9):837–43. https://doi.org/10.3109/0142159X.2015.1044953.

    Article 

    Google Scholar 

  • Wynia MK, Papadakis MA, Sullivan WM, Hafferty FW. More than a list of values and desired behaviors: a foundational understanding of medical professionalism. Acad Med. 2014;89(5):712–4. https://doi.org/10.1097/ACM.0000000000000212.

    Article 

    Google Scholar 

  • Wang C, Hou X-Y, Khawaja NG, Dunne MP, Shakespeare-Finch J. Improvement in the cognitive aspects of Cultural competence after short-term Overseas Study Programs. IJERPH. 2021;18:7102. https://doi.org/10.3390/ijerph18137102.

    Article 

    Google Scholar 

  • Dobson S, Voyer S, Regehr G. Perspective: agency and activism: rethinking health advocacy in the medical profession. Acad Med. 2012;87(9):1161. https://doi.org/10.1097/ACM.0b013e3182621c25.

    Article 

    Google Scholar 

  • Sud SR, Barnert ES, Waters E, Simon P. Do medical professionalism and medical education involve commitments to political advocacy? Acad Med. 2011;86(9):1061. https://doi.org/10.1097/ACM.0b013e31822673dc.

    Article 

    Google Scholar 

  • Earnest MA, Wong SL, Federico SG. Perspective: physician advocacy: what is it and how do we do it? Acad Med. 2010;85(1):63–7. https://doi.org/10.1097/ACM.0b013e3181c40d40.

    Article 

    Google Scholar 

  • Shaw D. Advocacy: the role of health professional associations. Int J Gynecol Obstet. 2014;127:S43–8. https://doi.org/10.1097/ACM.0b013e3181c40d40.

    Article 

    Google Scholar 

  • Truong M, Paradies Y, Priest N. Interventions to Improve Cultural Competency in Healthcare: a systematic review of reviews. BMC Health Serv Res. 2014;14:99. https://doi.org/10.1186/1472-6963-14-99.

    Article 

    Google Scholar 

  • Howell BA, Kristal RB, Whitmire LR, Gentry M, Rabin TL, Rosenbaum JA. Systematic Review of Advocacy Curricula in Graduate Medical Education. J GEN INTERN MED. 2019;34:2592–601. https://doi.org/10.1007/s11606-019-05184-3.

    Article 

    Google Scholar 

  • Garcia LB, Hernandez KE, Mata H. Professional Development Through Policy Advocacy; Career Development 2015.

  • Pan H, Norris JL, Liang Y-S, Li J-N, Ho M-J. Building a professionalism Framework for Healthcare providers in China: a nominal group technique study. Med Teach. 2013;35:e1531–6. https://doi.org/10.3109/0142159X.2013.802299.

    Article 

    Google Scholar 

  • Moore E, Rottmann C, Macdonald-Roach E, Making EDI, Visible. The Power of Identity Theories in Reviewing the Engineering Career Paths Literature.

  • Nixon SA. The coin model of privilege and critical allyship: implications for health. BMC Public Health. 2019;19(1):1637. https://doi.org/10.1186/s12889-019-7884-9.

    Article 

    Google Scholar 

  • Boulom V, Hasanadka R, Ochoa L, Brown OW, McDevitt D, Singh TM. Importance of diversity, equity, and inclusion in the community practice setting. J Vasc Surg. 2021;74(2):S118–24. https://doi.org/10.1016/j.jvs.2021.03.051.

    Article 

    Google Scholar 

  • Lekas HM, Pahl K, Fuller Lewis C. Rethinking cultural competence: shifting to cultural humility. Health Serv Insights. 2020;13:1178632920970580. https://doi.org/10.1177/1178632920970580.

    Article 

    Google Scholar 

  • Sow CF, Mn C, N. V. Developing a Professionalism Education Framework at the Institutional Level withMultidisciplinary Consensus. EIMJ. 2021;13:25–40. https://doi.org/10.21315/eimj2021.13.2.3.

    Article 

    Google Scholar 

  • Ichikawa N, Yamamoto-Mitani N, Takai Y, Tanaka M, Takemura Y. Understanding and measuring nurses’ professionalism: development and validation of the nurses’ professionalism inventory. J Nurs Adm Manag. 2020;28(7):1607–18.

    Article 

    Google Scholar 

  • Kelley KA, Stanke LD, Rabi SM, Kuba SE, Janke KK. Cross-validation of an instrument for measuring professionalism behaviors. Am J Pharm Educ. 2011;75(9):179.

    Article 

    Google Scholar 

  • Tay KT, Ng S, Hee JM, Chia EWY, Vythilingam D, Ong YT, Chiam M, Chin AMC, Fong W, Wijaya L, et al. Assessing professionalism in medicine – a scoping review of Assessment Tools from 1990 to 2018. J Med Educ Curric Dev. 2020;7:238212052095515. https://doi.org/10.1177/2382120520955159.

    Article 

    Google Scholar 

  • Li H, Ding N, Zhang Y, Liu Y, Wen D. Assessing medical professionalism: a systematic review of instruments and their Measurement Properties. PLoS ONE. 2017;12:e0177321. https://doi.org/10.1371/journal.pone.0177321.

    Article 

    Google Scholar 

  • Isaacson MC, Concepts. Cultural Humility or Competency. J Prof Nurs. 2014;30:251–8. https://doi.org/10.1016/j.profnurs.2013.09.011.

    Article 

    Google Scholar 

  • Mutch J, Golden S, Purdy E, Chang CH, Oliver N, Tallentire VR. Equity, diversity and inclusion in simulation-based education: constructing a developmental framework for medical educators. Adv Simul. 2024;9(1):20.

    Article 

    Google Scholar 

  • Purdy E, Symon B, Marks RE, Speirs C, Brazil V. Exploring equity, diversity, and inclusion in a simulation program using the SIM-EDI tool: the impact of a reflexive tool for simulation educators. Adv Simul. 2023;8(1):11.

    Article 

    Google Scholar 

  • 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. Equality, Diversity and Inclusion: An International Journal. 2021;40(8):947 – 59.

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