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Discussing and Teaching About Race and Health Inequities
Arun Kannappan1, Elizabeth Batchelor2, Hugo Carmona3
1Division of Pulmonary Sciences and Critical Care Medicine, University of Colorado School of Medicine.
Chest
|December 9, 2023
Summary
Health inequities in medicine disproportionately affect racial minorities. This paper advocates for a shift towards race-conscious medicine, emphasizing social determinants and systemic factors over flawed biological race concepts.
Area of Science:
- Medical Education
- Health Equity
- Pulmonary Medicine
Background:
- Health inequities and disparities are pervasive in medical institutions, often linked to race.
- Historically, race has been wrongly used for biological inferences in medicine, ignoring social determinants of health.
- There is a professional shift towards health equity and race-conscious medicine, moving away from race-based medical narratives.
Purpose of the Study:
- To address the need for clinician educators to teach and engage learners on health inequities.
- To focus discussions on health equity using race corrections in spirometry as a case study.
- To provide strategies for implementing health equity concepts in medical education and clinical settings.
Main Methods:
- Reviewing basic definitions and concepts of health equity.
- Applying three strategies for engaging in equity conversations: learning/reflecting, recognizing/naming inequities, and role-modeling equity-conscious language.
- Summarizing methods for integrating health equity into medical education and clinical environments.
Main Results:
- Identified race corrections in spirometry as a key area for reconciliation in pulmonary medicine.
- Outlined practical strategies for educators and clinicians to discuss and address health inequities.
- Provided a framework for implementing health equity principles throughout medical training.
Conclusions:
- Medical education must actively incorporate health equity and race-conscious principles.
- Addressing systemic racism and social determinants is crucial for reducing health disparities.
- Clinician educators play a vital role in fostering an equitable healthcare environment.
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