Integrating the AAN Anti-racism Education Program into Neurology Residency Training
Melanie Duran1, Sally Elting1, Isabella Duran1, Katherine Fu1
1University of California, Los Angeles
Objective:

To evaluate neurology residents' experiences with a modified version of the AAN Anti-Racism Education Program adapted to a synchronous, discussion-based format.

Background:

Racism contributes to persistent inequities in healthcare outcomes across medical settings. The AAN Anti-Racism Education Program is designed to equip neurologists with the skills to recognize racism in healthcare, promote equity among patients and colleagues, and apply a racial equity framework in clinical practice. Adapting this curriculum to a synchronous, discussion-based format may enhance residents’ learning of key anti-racism concepts.

Design/Methods:
The curriculum included four one-hour sessions, each covering a distinct module presented by faculty via PowerPoint. Pre- and post-curriculum assessments were created using AAN materials. Pre- and post-curriculum assessment scores were compared using a Mann-Whitney U test. A separate survey evaluated residents’ perceptions of the curriculum’s relevance and value using Likert scale items. Open-ended responses were analyzed using qualitative content analysis.
Results:

Pre-curriculum scores (n = 15, M = 9.93, SD = 1.44) did not differ significantly from post-curriculum scores (n = 10, M = 10.60, SD = 0.70) (U=60.0, p = 0.35). Residents agreed that the curriculum was important to their training (70%), relevant to their workplace (90%), and planned to apply it in practice (90%). Most agreed that the facilitators communicated effectively (80%) and created an inclusive environment (70%), though only 20% strongly agreed the facilitators were well-prepared. Qualitative comments highlighted the need for clearer objectives, peer-led discussions, and more examples of racism experienced by healthcare providers.

Conclusions:

The modified curriculum reinforced neurology residents’ understanding of core anti-racism concepts, though interpretation of pre- and post-curriculum assessment scores was limited by a ceiling effect. Residents’ intent to apply the material in clinical practice highlights its practical value. Findings support continued integration of structured anti-racism education into neurology residency training and suggest improvements such as clarified objectives and enhanced faculty preparation.

10.1212/WNL.0000000000215757
Disclaimer: Abstracts were not reviewed by Neurology® and do not reflect the views of Neurology® editors or staff.