Distinction Requirements

Pillar 1: Introspection and Education

Experience	Description	Credit
*Minimum Credits Required in Introspection: 20
Didactics, Workshops	Didactics and workshops will occur throughout the academic year in the form of morning reports, noon conferences, or evening distinction events as part of the RBAM curriculum to improve knowledge surrounding physician advocacy, health equity, social justice, and anti-racism in medicine. Evening distinction events will also be an opportunity to participate in small group discussions, reflections, and interactive workshops curated by established physicians and leaders in the New Haven community.	Morning Report: 1 credit Noon Conference: 1 credit Evening Lecture: 2 credits Total Credits Possible: 16 credits
Clinical Experiences	Participation in certain clinical experiences and electives may be counted for distinction credit if they provide insight on racism and bias in medicine or a better understanding of the New Haven community, such as participation in HIV training track, refugee clinic, Community Health Care Van, etc.	4 Credits Total Credits Possible: 16 credits
Walking Tours	The Ethnic Heritage Center (EHC) of New Haven has created walking tours that tell the “pre-1970 stories of the experiences, contributions and hardships faced in New Haven by five of the cultural and ethnic groups that have enriched our community.” The goal is to embark on the walking tour together to better understand the community in which we practice medicine and how said hardships may have contributed to health and health outcomes we see in our patients. There are 4 tours which we will do every calendar year in the warmer months, April-October. Dates TBD. For more information on walking tours, see visit the Walk New Haven website	3 credits per tour Total Credits Possible: 12 credits
Other (e.g. Book Club)	There is no dearth of introspective/ educational activities related to anti-racism, social justice, and health equity that residents can pursue, and residents could earn distinction credit for additional experiences not expressly offered by the distinction pathway. Participation in certain book club meetings (Ex: How to be an Anti-Racist) can earn distinction credit. Distinction leaders will make clear which books count towards credits.	2 credits Total Credits Possible: 10 credits
Conference Attendance	Yale RBAM Distinction Annual Event Please check back for further information.	3 credits Total Credits Possible: 3 credits

Pillar 2: Citizenship

Locale	Experience	Description	Credit
*Minimum Credits Required in Citizenship: 20
Hospital/Residency/ Medical School	Teaching opportunities	Teaching co-residents and/or medical students in the form of morning report, noon conference, or other established educational venues on a topic related to social justice, advocacy, racism/bias in medicine.	5 credits Total Credits Possible: 15 per year
	Anti-Racism Curriculum Development	The anti-racism curriculum created by this new distinction is just the beginning of our efforts in tackling race and bias in medicine. We envision expansion of the curriculum such that every internal medicine resident, even those who do not participate in the distinction, are equipped with basic knowledge and awareness of the role systemic bias and oppression plays in their practice of medicine. This could also be curriculum directed at the medical school or hospital system. There are several ongoing projects independent of the distinction that distinction members can help develop or participate in and earn credit toward the distinction. e.g.: Race and Morbidity/Mortality Grand Rounds e.g.: Advocacy/SDOH curriculum e.g.: Increasing voter registration among patients	5 credits Total Credits Possible: 15 per year
	Institutional inquiry	This credit focuses on the importance of critical inquiry on the hospital system, medical institution, and medical education as a racist and biased structure that requires constant evaluation and improvement towards becoming anti-racist. Participants would gain distinction credit for any efforts to motivate change within the hospital system.	10 credits Total Credits possible: 10 credits
Community/National	Written scholarship	Submission of an original op-ed piece (or other form of written scholarship) on race/ racism, bias, and/or healthcare disparities. This opportunity for distinction credit highlights the importance of writing as a form as advocacy work.	10 credits Total Credits Possible: 10 credits
Community/National	Community Partnership	We are actively working to find ways our residents can be involved in volunteer efforts and community organizing/engagement. Attendance at RBAM-sponsored community partnership events would earn a participant distinction credit, and we would encourage longitudinal involvement with the organization as residents are able.	5 credits Total Credits Possible: 15 credits

Pillar 3: Capstone

Experience	Description	Credit
Capstone	A capstone project can manifest in many ways be it community-based participatory research, quality improvement, narrative medicine, clinical research, physician advocacy, and/or community engagement. Access to high quality mentorship and guidance will be crucial to facilitating successful completion of desired capstone projects.	N/A. Required for distinction graduation.

Experience

Description

Credit

Capstone

A capstone project can manifest in many ways be it community-based participatory research, quality improvement, narrative medicine, clinical research, physician advocacy, and/or community engagement.

Access to high quality mentorship and guidance will be crucial to facilitating successful completion of desired capstone projects.

N/A. Required for distinction graduation.