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The Priority of Intersectionality in Academic Medicine
Kristen L Eckstrand1, Jennifer Eliason, Tiffani St Cloud
1K.L. Eckstrand is a psychiatry resident, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, and founding chair, Association of American Medical Colleges Advisory Committee on Sexual Orientation, Gender Identity, and Sex Development, Washington, DC. J. Eliason is lead research analyst, Diversity Policy and Programs, Association of American Medical Colleges, Washington, DC. T. St.Cloud is director of educational initiatives, Diversity Policy and Programs, Association of American Medical Colleges, Washington, DC. J. Potter is associate professor of medicine, Harvard Medical School, and director of women's health research, Fenway Institute, Boston, Massachusetts.
Intersectionality in academic medicine addresses how multiple identities impact health equity. Six recommendations are proposed to foster inclusive education and patient care for all stakeholders.
Area of Science:
- Health Equity
- Academic Medicine
- Social Determinants of Health
Background:
- Societal inequities disproportionately affect underrepresented and marginalized communities.
- Current efforts in academic medicine often focus on single populations, overlooking intersectional complexities.
- Intersectionality recognizes the multidimensional nature of identity, including historical, structural, and cultural factors.
Purpose of the Study:
- To advance the application of intersectionality within academic medicine.
- To provide actionable recommendations for creating inclusive educational and patient care environments.
- To address the impact of multiple identity experiences on patients, trainees, and providers.
Main Methods:
- This commentary outlines six key recommendations for advancing intersectionality.
- Recommendations include embracing responsibility, examining power dynamics, and celebrating innovation.
- Emphasis is placed on stakeholder engagement, meaningful metrics, and sustained commitment.
Main Results:
- The proposed recommendations offer a framework for systemic change in academic medicine.
- Addressing intersectionality is critical for improving health care education and delivery.
- Fostering inclusivity requires recognizing and responding to diverse individual needs.
Conclusions:
- Academic medicine must adopt intersectional approaches to achieve true health equity.
- Implementing the outlined recommendations can lead to meaningful and sustainable changes.
- A commitment to understanding and addressing multidimensional identities is essential for all stakeholders in healthcare.
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