For a study, it was determined that inequitable results in sexual and reproductive health disproportionately affect marginalized populations. Despite research relating structural drivers to these discrepancies, clinical learners had little exposure to these subjects in their education. Researchers created a program to teach clinical students the systemic determinants of sexual and reproductive health. Kern’s six-step curriculum development process was used. Researchers defined structural competency as the underlying framework for clinical training through literature analysis and investigated community priorities for clinical training. They analyzed learner requirements for structural equality training, developed goals, and objectives, and selected video modules as the major instructional technique. They created information in collaboration with community researchers and reproductive rights campaigners. They prepared pillar films with reflection questions, tools, and a visual dictionary of essential terminology for phase 1 of the program. All resources are accessible via an online educational platform that provided an open-access, evidence-based curriculum. They promoted their curriculum through a social media campaign and showed their films at a number of national conferences. With positive early evaluation findings, they also introduced videos with clinical learners.

The program added to the instruments supporting the structural equality training in obstetrics and gynecology via the rigorous development founded on community engagement.