Sparking a Movement, Not a Moment: Framework and Outcomes From a Pediatrics Department-Wide Coalition to Advance Anti-Racism

Published:October 07, 2022DOI:



      The Stanford Pediatrics Advancing Anti-Racism Coalition (SPAARC) was created to promote a culture of anti-racism through immediate action, development of nimble systems, and longitudinal commitment toward equity. Evaluate gaps in the Stanford Department of Pediatrics (DoP) efforts to advance anti-racism and form a coalition of faculty, staff, and trainees to prioritize, design, and implement targeted activities with immediate and long-term measurable outcomes.


      A needs assessment was conducted across all DoP members in July to August 2020 to identify gaps in anti-racism efforts. Listening sessions were recorded and transcribed to extrapolate key themes and 2 rounds of consensus surveys were done to identify and prioritize actions. Actions teams were created and co-led by faculty-staff dyads with trainee representation. A final activity survey was conducted in January 2021 to determine the specific activities (ie, interventions) each team would design and implement.


      Ten small group listening sessions (70 participants) and 3 surveys (1005 responses) led to the creation of 7 action teams with associated activities 1) training, 2) community engagement and research, 3) communication, 4) faculty and staff recruitment and advancement, 5) leadership representation, 6) human resources, and 7) staff engagement. Four hundred forty-three (41%) DoP members were directly involved in SPAARC through participation in the needs assessment, action teams, and/or implementation of activities.


      SPAARC can serve as an adaptable framework for how a DoP can create a coalition to identify gaps in anti-racism efforts and create and implement targeted activities with associated outcomes.


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        • Jindal M
        • Heard-Garris N
        • Empey A
        • et al.
        Getting “our house” in order: re-building academic pediatrics by dismantling the anti-black racist foundation.
        Acad Pediatr. 2020; 20: 1044-1050
        • Blankenburg R
        • Poitevien P
        • Gonzalez del Rey J
        • et al.
        Dismantling Racism: Association of Pediatric Program Directors’ Commitment to Action.
        Acad Pediatr. 2020; 20: 1051-1053
        • American Academy of Pediatrics Board of Directors
        Truth, reconciliation, and transformation: continuing on the path to equity.
        Pediatrics. 2020; 146e2020019794
        • Smith DG.
        Building institutional capacity for diversity and inclusion in academic medicine.
        Acad Med. 2012; 87: 1511-1515
        • Mmeje O
        • Price EAN
        • Johnson TRB
        • et al.
        Galvanizing for the future: a bottom-up departmental approach to diversity, equity, and inclusion.
        Am J Obstet Gynecol. 2020; 223: 715.e1-715.e7
        • South EC
        • Butler PD
        • Merchant RM
        Toward an equitable society: building a culture of antiracism in health care.
        J Clin Invest. 2020; 130: 5039-5041
        • Calhoun A
        • Genao I
        • Martin A
        • et al.
        Moving beyond implicit bias in antiracist academic medicine initiatives.
        Acad Med. 2022; 97: 790-792
        • Rodríguez JE
        • Campbell KM
        • Pololi LH.
        Addressing disparities in academic medicine: what of the minority tax?.
        BMC Med Educ. 2015; 15: 6
        • Osseo-Asare A
        • Balasuriya L
        • Huot SJ
        • et al.
        Minority resident physicians’ views on the role of race/ethnicity in their training experiences in the workplace.
        JAMA Netw Open. 2018; 1e182723
      1. Underrepresented in medicine definition. AAMC. Available at: Accessed December 1, 2021.

      2. Stanford Medicine Community calls for action against racial injustice, inequities. Stanford Medicine News Center. Available at: Accessed November 1, 2021.

      3. Alberta Civil Liberties Research Centre (attributed to NAC International Perspectives: Women and Global Solidarity). Anti-racism. Available at: Accessed July 10, 2022.

        • Ramirez MR
        • Bruce JS
        • Ball AJ
        • et al.
        Pediatric departmental advocacy: our experience addressing the social challenges of coronavirus disease 2019 and racism.
        J Pediatr. 2021; 231: 7-9.e3
      4. On racism: a new standard for publishing on racial health inequities Health Affairs Forefront. Available at: Accessed July 10, 2022.

        • Xierali IM
        • Nivet MA
        • Syed ZA
        • et al.
        Recent trends in faculty promotion in U.S. medical schools: implications for recruitment, retention, and diversity and inclusion.
        Acad Med. 2021; 96: 1441-1448
        • Pololi LH
        • Evans AT
        • Gibbs BK
        • et al.
        The experience of minority faculty who are underrepresented in medicine, at 26 representative U.S. medical schools.
        Acad Med. 2013; 88: 1308-1314
        • Raphael JL.
        The role of sponsorship in achieving workforce diversity in academic pediatrics.
        Pediatrics. 2019; 144e20191532
        • Aysola J
        • Barg FK
        • Martinez AB
        • et al.
        Perceptions of factors associated with inclusive work and learning environments in health care organizations: a qualitative narrative analysis.
        JAMA Netw Open. 2018; 1e181003
        • Karvonen KL
        • Menjívar-López JS
        • Brissett D
        • et al.
        A Resident-Led initiative to advance diversity, equity, inclusion, and antiracism in a pediatrics residency program.
        Acad Pediatr. 2022; 22: 360-364