The ability to recognize and address bias is an important communication skill not typically addressed during training. We describe the design of an educational curriculum that aims to identify and change behavior related to diversity, equity, and inclusion (DEI). “DEI at the Bedside” uses the existing infrastructure of bedside teaching and provides a tool to normalize DEI discussions and develop skills to address bias during a neurology inpatient rotation. As part of traditional clinical rounds, team members on an inpatient service shared experiences with DEI topics, including bias. The team developed potential responses should they encounter a similar situation in the future. We report the results of our needs assessment and curriculum development to evaluate the feasibility of incorporating a DEI educational curriculum in the neurology inpatient setting. Forty-two DEI experiences were recorded. Medical students were the most frequent discussants (44%). Direction of bias occurred between healthcare team members (33%), against patients (31%), and patients against healthcare team members (28%). Experiences ranged from microaggressions to explicit comments of racism, sexism, and homophobia. Based on needs assessment data, we developed a DEI educational curriculum for the inpatient neurology setting aimed to improve knowledge and skills related to DEI topics as well as to normalize conversation of DEI in the clinical setting. Additional study will demonstrate whether this initiative translates into measurable and sustained improvement in knowledge of how bias and disparity show up in the clinical setting and behavioral intent to discuss and address them.

中文翻译：

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医学教育中的多样性、公平性和包容性 (DEI)：床边的 DEI

识别和解决偏见的能力是一项重要的沟通技巧，通常在培训期间不会得到解决。我们描述了旨在识别和改变与多样性、公平和包容性 (DEI) 相关的行为的教育课程的设计。 “DEI at the Bedside”利用现有的床边教学基础设施，提供了一种工具来规范 DEI 讨论并培养解决神经内科住院患者轮换期间偏见的技能。作为传统临床查房的一部分，住院服务团队成员分享了 DEI 主题的经验，包括偏见。如果将来遇到类似情况，该团队制定了潜在的应对措施。我们报告需求评估和课程开发的结果，以评估将 DEI 教育课程纳入神经病学住院患者环境的可行性。记录了四十二次 DEI 经历。医学生是最常参与讨论的人 (44%)。偏向方向发生在医疗团队成员（33%）、针对患者（31%）以及患者针对医疗团队成员（28%）之间。经历的范围从微侵犯到对种族主义、性别歧视和恐同症的明确评论。根据需求评估数据，我们为住院神经病学环境开发了 DEI 教育课程，旨在提高与 DEI 主题相关的知识和技能，并使临床环境中 DEI 的对话正常化。进一步的研究将证明这一举措是否能够转化为对临床环境中偏见和差异如何出现以及讨论和解决这些问题的行为意图的可衡量和持续的改善。