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Intersectionality in Medical Education: A Meta-Narrative Review.

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Intersectionality theory offers a vital lens for advancing equity in medical education. However, its application in this field requires deeper understanding beyond mere diversity metrics to truly address power dynamics and social change.

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Area of Science:

  • Medical Education
  • Social Sciences
  • Health Equity

Background:

  • Academic medicine increasingly focuses on equity, diversity, and inclusion (EDI).
  • A theoretical framework to guide equity advancements is often lacking.
  • Intersectionality, a framework analyzing dynamic social categories and power structures, has potential but limited application in medical education literature.

Purpose of the Study:

  • To explore the conceptualization and application of intersectionality within medical education.
  • To synthesize existing literature on intersectionality theory in the context of medical education.

Main Methods:

  • A meta-narrative review was conducted.
  • Literature search across three electronic databases.
  • Analysis of 14 selected articles on intersectionality in medical education.

Main Results:

  • Existing literature highlights identity categorization and the link between identity, power, and social change.
  • Contrasting narratives exist regarding the practical application of intersectionality in medical education.
  • Tensions arise between theoretical understanding and practical implementation of intersectionality.

Conclusions:

  • A limited body of literature risks a superficial understanding of intersectionality in medical education.
  • Intersectionality should not be equated solely with diversity.
  • Emphasizing reflexivity, transformational identity, and power analysis is crucial for accurate application.