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Hispanic Identity and Its Inclusion in the Race Discrimination Discourse in the United States
Cristina R Fernández1, Debora Silva2, Pedro Mancias3
1C.R. Fernández is assistant professor, Department of Pediatrics, Columbia University Irving Medical Center, New York, New York; ORCID: https://orcid.org/0000-0003-1557-0041 .
Antiracism efforts in medicine must include Hispanic perspectives to address health disparities. Expanding inclusion is vital for Hispanic physicians and patient equity.
Area of Science:
- Medical Education
- Health Equity
- Antiracism Studies
Background:
- Current antiracism discourse in medicine predominantly uses a Black/African American and White framework.
- Hispanics are the largest minority group in the U.S. but are often excluded from this discourse.
- Hispanic identity is complex, encompassing ethnic and racial self-identification, further complicating their inclusion.
Purpose of the Study:
- To highlight the critical need for including Hispanic perspectives in medical antiracism and health equity initiatives.
- To address the underrepresentation and discrimination faced by Hispanic physicians and trainees.
- To propose actionable steps for medical institutions to enhance Hispanic inclusion.
Main Methods:
- The study analyzes the current state of antiracism discourse in medical training and patient care.
- It examines the demographic and identity complexities of the Hispanic population in the U.S.
- The authors propose recommendations for medical schools and governing bodies.
Main Results:
- The exclusion of Hispanic perspectives perpetuates health inequities and contributes to a shortage of Hispanic medical professionals.
- Discrimination against Hispanic physicians, trainees, and patients remains a significant issue.
- A lack of tailored curricula and inclusive environments hinders progress.
Conclusions:
- Integrating Hispanic experiences into antiracism curricula is essential for achieving true health equity.
- Medical schools, academic centers, and licensing bodies must actively increase Hispanic representation and engagement.
- Fostering an inclusive environment is crucial for advancing an antiracist agenda in healthcare.
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