In the United States, conversations about race and racism are often avoided during routine check-ups for kids. This is despite the fact that these topics can greatly affect a child's health and overall well-being. There's a lot of uncertainty about whether families want to have these conversations with their pediatrician. If they do, how should doctors be trained to handle them?

To figure this out, a study gathered insights from different groups. These included pediatric residents, physician parents, and community members. They were divided into focus groups based on their roles and racial backgrounds. The goal was to create a curriculum that teaches pediatric residents how to discuss race and racism with families during primary care visits.

One big finding was that everyone felt uneasy about these conversations. They worried about potential negative outcomes. However, they agreed that shared experiences between patients and providers could make these talks more comfortable. Black physician parents and community members stressed the importance of celebrating a child's racial identity. They also advised against bringing up racism unless necessary.

On the other hand, white physician parents and residents wanted clear guidelines and suggested phrases to help them feel more at ease. All groups agreed that pediatricians need to understand how racism affects children's health. This includes both broad and local impacts. Community members believed that involving the community in this learning process would be most effective. Pediatric trainees and white physician parents, however, thought that standardized training with role-playing would be more helpful.

The key takeaway is that talking about race and racism in a medical setting needs a careful, family-centered approach. Educators should consider creating structured, long-term curricula. These should focus on the health impacts of race, racism, bias, and discrimination. Both historical and current contexts should be included. Instead of just teaching doctors how to discuss racism, the focus should be on broader, community-based learning experiences.

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