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Record W4416438744 · doi:10.1080/0142159x.2025.2586656

Equity, diversity, inclusion, and anti-oppression focused faculty development: Tensions in programming in health professions education

2025· article· en· W4416438744 on OpenAlexaff
Qian Wu, Abigail Fisher, Betty Onyura, Hollie Mullins, Lindsay Baker, Malika Sharma

Bibliographic record

VenueMedical Teacher · 2025
Typearticle
Languageen
FieldSocial Sciences
TopicCultural Competency in Health Care
Canadian institutionsThe Wilson CentrePublic Health OntarioWomen's College HospitalToronto Rehabilitation InstituteUniversity of TorontoCentre for Global Health ResearchSt. Michael's Hospital
Fundersnot available
KeywordsOperationalizationHealth professionsWork (physics)Health careMEDLINEHigher education

Abstract

fetched live from OpenAlex

PURPOSE: As equity, diversity, inclusion, and anti-oppression education gains prominence in health professions education (HPE), faculty development programs are increasingly tasked with addressing systemic inequities and fostering transformative change. Little is known about the principles that guide the development of anti-oppressive faculty development programs, the decisions involved in their creation, or the challenges they face during implementation and sustainability. MATERIALS AND METHODS: This study examines five anti-oppression focused faculty development programs in North America to explore how they navigated tensions between institutional priorities, cultural change, and pedagogical practices. Using an interpretive multi-case study methodology, we analyzed program structures, participant experiences, and contextual factors to uncover common goals of these programs and tensions that they commonly experienced. We conducted the study from 2022 to 2024. RESULTS: Programs shared three overarching goals: shifting culture through faculty development, challenging oppressive structures, and encouraging open dialogue. However, each goal revealed distinct tensions. Shifting culture required balancing discomfort as a growth mechanism with the need for psychological safety and engaging resistant participants while retaining those already invested. Challenging oppressive structures exposed conflicts between institutional priorities and programmatic integrity, reliance on marginalized facilitators, and the constraints of operating within oppressive systems. Encouraging open dialogue involved addressing hierarchical norms, ensuring psychological safety, and sustaining relational learning within time and resource limitations. CONCLUSIONS: Our findings illuminate the complexities of operationalizing anti-oppressive principles in HPE. We argue that programs must ground their work in shared values, anticipate institutional pressures, and navigate competing demands with intentionality. These insights offer actionable strategies for educators and program developers seeking to foster meaningful, sustainable change in anti-oppressive faculty development.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.003
metaresearch head score (Gemma)0.002
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesScience and technology studies
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.320
Threshold uncertainty score0.999

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0030.002
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.001
Science and technology studies0.0020.000
Scholarly communication0.0000.000
Open science0.0000.003
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.097
GPT teacher head0.450
Teacher spread0.354 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations2
Published2025
Admission routes1
Has abstractyes

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