Abstract
Background
A difficult challenge in health equity training is conducting honest and safe discussions about differences in lived experience based on social identity, and how racism and other systems of oppression impact health care.
Objective
To evaluate a Theatre of the Oppressed workshop for medical students that examines systems of oppression as related to lived health care experiences.
Design
Mixed-methods cross-sectional survey and interviews.
Participants
Forty randomly assigned early first-year medical students.
Interventions
A 90-min virtual workshop with three clinical scenes created by students where a character is being discriminated against or oppressed. During performance, students can stop scene, replace oppressed character, and role play how they would address harm, marginalization, and power imbalance. Participants discuss what they have witnessed and experienced.
Main Measures/Approach
Likert-scale questions assessing workshop’s impact. Open-ended survey questions and interviews about workshop.
Key Results
Thirty-one (78%) of 40 participants completed the survey. Fifty-three percent were female. Thirty-seven percent were White, 33% Asian American, 15% Black, 11% Latinx, and 4% multiracial. Ninety percent thought this training could help them take better care of patients with lived experiences different from their own. Most agreed or strongly agreed the workshop helped them develop listening (23, 77%) and observation (26, 84%) skills. Twelve (39%) students felt stressed, while 29 (94%) felt safe. Twenty-five (81%) students agreed or strongly agreed there were meaningful discussions about systemic inequities. Students reported the workshop helped them step into others’ shoes, understand intersectional experiences of multiple identities, and discuss navigating and addressing bias, discrimination, social drivers of health, hierarchy, power structures, and systems of oppression. Some thought it was difficult to have open discussions because of fear of being poorly perceived by peers.
Conclusions
Theatre of the Oppressed enabled medical students to engage in meaningful discussions about racism and other systems of oppression.
Topic
JGIM
Author Descriptions
Section of General Internal Medicine, Department of Medicine, University of Chicago, Chicago, IL, USA
Marshall H. Chin MD, MPH, Monica E. Peek MD, MPH, MSc, Mengqi Zhu MS & Doriane C. Miller MD
Bucksbaum Institute for Clinical Excellence, University of Chicago, Chicago, IL, USA
Marshall H. Chin MD, MPH, Angela Pace-Moody MS, Monica B. Vela MD, Monica E. Peek MD, MPH, MSc & Doriane C. Miller MD
Department of Medicine, Hispanic Center of Excellence, University of Illinois College of Medicine at Chicago, Chicago, IL, USA
Monica B. Vela MD
Department of Surgery, Brigham and Women’s Hospital, Boston, MA, USA
Abena Appah-Sampong MD
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