Teaching equitable clinical practice is of critical importance, yet how best to do so remains unknown. Educators utilize implementation science frameworks to disseminate clinical evidence-based practices (EBP). The Health Equity Implementation Framework (HEIF) is one of these frameworks, and it delineates how health equity may be concomitantly assessed and addressed in planning the implementation of an EBP. The HEIF therefore lays a strong foundation to understand and explain barriers and facilitators to implementation through an equity lens, making it well-suited for use by medical educators. Three equity-focused frames of reference within the model include (1) the clinical encounter, (2) societal context, and (3) culturally relevant factors, herein referred to as domains. The HEIF provides a structure for prospective and retrospective assessment of how EBP are taught and ultimately incorporated into clinical practice by trainees, with specific attention to delivering equitable care. We present three examples of common topics in internal medicine, contextualized by the three equity domains of the HEIF. We additionally acknowledge the limitations of this framework as a research tool with complex features that may not be suitable for brief teaching in the clinical environment. We propose a 360-degree learner assessment to ensure implementation of this framework is successful. By encouraging trainees to explore the narrative experiences of their patients and examine their own implicit biases, the HEIF provides a structure to address gaps in knowledge about delivering equitable care.

中文翻译：

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利用健康公平实施框架，促进医学教育的公平关注。

教授公平的临床实践至关重要，但如何最好地做到这一点仍然未知。教育工作者利用实施科学框架来传播临床循证实践 (EBP)。健康公平实施框架 (HEIF) 是这些框架之一，它描述了在规划 EBP 实施时如何同时评估和解决健康公平问题。因此，HEIF 为通过公平视角理解和解释实施的障碍和促进因素奠定了坚实的基础，使其非常适合医学教育工作者使用。该模型中三个以公平为中心的参考框架包括（1）临床遭遇、（2）社会背景和（3）文化相关因素（本文称为领域）。HEIF 提供了一个结构，用于对 EBP 的教学方式以及学员最终将其纳入临床实践的方式进行前瞻性和回顾性评估，特别注重提供公平的护理。我们以 HEIF 的三个股权领域为背景，介绍了内科常见主题的三个示例。我们还承认该框架作为一种具有复杂功能的研究工具的局限性，可能不适合在临床环境中进行简短的教学。我们建议进行 360 度学习者评估，以确保该框架的成功实施。通过鼓励学员探索患者的叙述经历并检查他们自己的隐性偏见，HEIF 提供了一个结构来解决有关提供公平护理的知识差距。