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BackTable / VI / Podcast / Health Equity #6

Finding Your Place Within Structural Competency

with Kelly Knight, PhD

In this episode, our guest host Dr. Vishal Kumar interviews medical anthropologist and social scientist Dr. Kelly Knight of UCSF. They discuss the meaning of structural competency, methods for incorporating this concept into medical education, and how it can be applied to alleviate physician burnout.

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Finding Your Place Within Structural Competency with Kelly Knight, PhD on the BackTable VI Podcast)
Finding Your Place Within Structural Competency with Kelly Knight, PhD
00:00 / 01:04

BackTable, LLC (Producer). (2022, July 15). Ep. health-equity-06 – Finding Your Place Within Structural Competency [Audio podcast]. Retrieved from https://www.backtable.com

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Podcast Contributors

Kelly Knight, PhD discusses Finding Your Place Within Structural Competency on the BackTable health-equity-06 Podcast

Kelly Knight, PhD

Kelly Knight, PhD is a professor of humanities and social sciences at USFS in San Francisco.

Dr. Vishal Kumar discusses Finding Your Place Within Structural Competency on the BackTable health-equity-06 Podcast

Dr. Vishal Kumar

Dr. Vishal Kumar is an interventional radiologist with UCSF in California.

Synopsis

Dr. Knight starts by defining structural competency as the recognition of the underlying policies, systems, and hierarchies that produce social determinants of health. While these structures may sometimes be invisible, they have a large impact on health outcomes. Examination of these factors allows us to think about interventions that can make healthcare more equitable.

Next, we highlight effective ways to integrate structural competency into medical education. Dr. Knight shares information about national shared curricula that are designed with the flexibility for each institution to modify the content according to their community’s needs.

Finally, we examine redlining as an example of structural violence, signifying intentional disinvestment in marginalized communities. Dr. Knight believes that change starts with an initial acknowledgement and recognition of policies that make populations vulnerable to illness. She also encourages individual healthcare providers to take action by developing interpersonal communication skills, strategizing ways to make the clinical space more focused on healing, and working with elected individuals to create equity at a policy level. All of these efforts may allow for healthcare providers to reconnect with their original motivation to help patients and have a protective effect against burnout.

Resources

Structural Competency Working Group:
https://www.structcomp.org/

Teaching Structure: A Qualitative Evaluation of a Structural Competency Training for Resident Physicians:
https://pubmed.ncbi.nlm.nih.gov/27896692/

Mountains Beyond Mountains: The Quest of Dr. Paul Farmer:
https://www.amazon.com/Mountains-Beyond-Tracy-Kidder/dp/0812973011

The REPAIR Project:
https://repair.ucsf.edu/home

Do No Harm Coalition:
https://www.donoharmcoalition.org/

UCSF Health Equity Collaborative:
https://thecollaborative.ucsf.edu/training-health-equity-collaborative

Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.

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