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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Should Clinicians Be Activists?

Kristen N Pallok1, David A Ansell2

  • 1Resident physician in internal medicine at the Medical College of Wisconsin Affiliated Hospitals in Milwaukee, Wisconsin.

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Summary

Physicians must address complex health needs for all patients, regardless of insurance status. Developing social medicine skills, including activism, is crucial for ethical patient care and community well-being.

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Area of Science:

  • Social Medicine
  • Medical Ethics
  • Health Equity

Background:

  • Physicians face ethical obligations to provide care for undocumented, underinsured, and uninsured patients.
  • These obligations extend to complex and costly interventions like organ transplantation.
  • Current medical training may not adequately prepare professionals for these challenges.

Purpose of the Study:

  • To explore the ethical imperative for physicians to serve vulnerable patient populations.
  • To define and advocate for a social medicine skill set as core competencies.
  • To examine the specific role and scope of activism within this skill set.

Main Methods:

  • Case commentary analysis.
  • Discussion of ethical principles in patient care.
  • Exploration of social medicine frameworks.

Main Results:

  • A social medicine skill set encompassing structural competency, allyship, accompaniment, and activism is essential.
  • These skills are necessary to effectively serve diverse patient and community needs.
  • Activism is identified as a critical, yet often overlooked, component of comprehensive care.

Conclusions:

  • Health professionals should integrate social medicine competencies into their practice.
  • Activism should be recognized and cultivated as a core professional skill.
  • Addressing health disparities requires a commitment to social justice and patient advocacy.