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Integrated Holistic Student Affairs

A Personalized, Equitable, Student-Centered Approach to Student Affairs

Bibliographic Data

ID21614005
AuthorsC Alexander Grieco (C.A. Grieco is special assistant to the vice dean for education, The Ohio State University College of Medicine, Columbus, Ohio, corresponding author), Princess Currence (P. Currence is director of curriculum and education, Rush Medical College, Chicago, Illinois ; [email protected]), Daniel H Teraguchi (D.H. Teraguchi is associate dean for student affairs, University of California Riverside School of Medicine, Riverside, California ; [email protected]), Alicia D Monroe (0000-0002-5338-1973, Monroe College), Alicia Monroe (A. Monroe is provost and senior vice president for academic and faculty affairs, Baylor College of Medicine, Houston, Texas ; [email protected]), Ann-Gel S Palermo (A.-G.S. Palermo is senior associate dean for diversity, equity, and inclusion, Icahn School of Medicine at Mount Sinai, New York, New York ; [email protected]), Ann‐Gel S Palermo (Office of Diversity and Inclusion)
Year2022
Volume97
Issue10
Pages1441-1446
Publication date2022-10-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueAcademic Medicine (JOURNAL)
Journal identifiersISSN: 1040-2446 • E-ISSN: 1938-808X
PublisherOxford University Press (OUP) (PUBLISHER)
DOI10.1097/acm.0000000000004757
PMID35612916
OpenAlexW4281476133
LanguageEN
Citations received4
References cited32

Medical education has reached a critical juncture—the structural racism that has permeated the fabric of its systems and institutions for centuries can no longer be ignored. The destructive, disproportionate impact of the COVID-19 pandemic and unabated violence targeting individuals who are Black, Indigenous, and People of Color (BIPOC) exact an incalculable toll on BIPOC students and students from other groups that are historically underrepresented in medicine (UIM). Failing to recognize and act on the well-documented differential experience of BIPOC medical students impedes medical educators’ ability to cultivate learning environments where all learners have an equitable opportunity to thrive. Holistic review admission processes, now widely accepted, have challenged admissions committees to consider the “whole applicant” to diversify matriculating classes. While gaining admission is critical, it is merely the first step for BIPOC students, who may face marginalization within what the authors have termed a “sink-or-swim” culture in medical education. For the tremendous potential afforded by holistic review to be realized, the medical education community must extend the holistic approach throughout the medical education continuum, beginning with student affairs practices and support. The authors propose the use of Integrated Holistic Student Affairs (IHSA), a systems-based model that fosters the reexamining and reengineering of existing student affairs structures, policies, and processes to promote a personalized, equitable student-centered approach. The IHSA Model consists of 4 strategic actions—establish vertical and horizontal collaboration, conduct systems thinking analysis, target leverage points for change, and operationalize the change process—and 4 areas of priority for collaboration with student diversity affairs staff and faculty. The IHSA Model provides student affairs staff and faculty with a framework for shifting from reactive, deficit-oriented practices to proactive, empowering, equitable practices, with the goal of allowing BIPOC and all other UIM students to thrive during their journey from matriculation to graduation

Higher education · Medical education · Pedagogy · Political science · Student affairs · Student engagement · Veterans Affairs · Counseling Practices and Supervision · Higher Education Research Studies · Innovations in Medical Education · Medicine · Psychology · Internal Medicine

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Unique citing works4
Citations per year2
Citation span2024 - 2025 (2)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 4

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