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Record W4417495488 · doi:10.1016/j.ecns.2025.101881

Development of a virtual simulation to support bystanders in responding to racism in the classroom in health professions education

2025· article· en· W4417495488 on OpenAlex
Marian Luctkar‐Flude, Mujeedat Lekuti, Han Shu Pu, Alexandra Lawrynuik, Zainab Baig, Laura A. Killam, Cassandra Lobo, Rishika Gowda, Javeria Baig, Mark Labib, Sharuna Jegathasan, Wiley Chung

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.
fundA Canadian funder is recorded on the work.

Bibliographic record

VenueClinical Simulation in Nursing · 2025
Typearticle
Languageen
FieldSocial Sciences
TopicCultural Competency in Health Care
Canadian institutionsMcMaster UniversityCambrian CollegeQueen's University
FundersFaculty of Health Sciences, Queen's UniversityQueen's University
KeywordsDebriefingCovertPsychological interventionRacismProcess (computing)Health professionsBystander effectHealth care

Abstract

fetched live from OpenAlex

• Virtual simulations offer an engaging method to support students to address racism. • Inclusive design with students, faculty, and DEI experts ensures authenticity. • Open-access antiracism modules aim to foster inclusive learning spaces. Racism in health professions education undermines academic success and well-being of students who are Black, Indigenous, and People of Color. Bystanders often lack strategies to intervene effectively without causing further harm. We cocreated a virtual simulation module with diverse faculty and student input to equip bystanders with antiracism strategies, guided by the ARISE Bystander Model. We developed two virtual simulations: (a) identifying covert and overt racism, and (b) practicing bystander interventions in the classroom. The process integrated lived experiences, expert review, and sensitivity to equity-deserving perspectives. The module also includes preparatory materials, prebriefing, and debriefing resources to support reflection. This open-access module addresses a critical gap in education by providing an innovative, accessible resource for teaching health professionals how to navigate and intervene in racist incidents. Virtual simulation offers an interactive and immersive way to engage students, promoting empathy, education, and allyship. Its wide reach demonstrates potential for simulation-based learning to create inclusive environments. Challenges included coordination and limited Indigenous representation, highlighting areas for improvement in future projects.

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.

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)0.007
metaresearch head score (Gemma)0.004
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.647
Threshold uncertainty score0.577

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0070.004
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0010.004
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
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 head0.134
GPT teacher head0.565
Teacher spread0.431 · 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