重新想象医学教育向反种族主义的实践
Russyan Mark Mabeza1, Rupinder K Legha2
1Department of Surgery, University of California, San Francisco, San Francisco, California, USA.
Health equity
|September 21, 2023
概括
医疗教育必须面对其种族主义历史,以实现健康公平. 这篇文章提出了基于批判性种族理论和非殖民化的激进框架,以改变医学培训和实践.
科学领域:
- 医疗教育 医学教育
- 健康 公平 卫生 公平
- 反种族主义的反种族主义.
背景情况:
- 医学有种族主义的历史,延续了健康不平等.
- 目前的医学教育,基于生物医学框架,缺乏关于种族主义和白人至上主义的批判性话语.
- 现有的关于差异,社会决定因素和偏见的课程未能解决医疗保健中的系统性种族主义问题.
研究的目的:
- 为重新想象美国的医学教育提出激进的框架.
- 建立一个反种族主义的医学培训基金会.
- 装备未来的医生,积极拆除医疗保健中的种族主义.
主要方法:
- 利用关键的种族理论,废除和非殖民化作为基本原则.
- 分析医学中种族主义的历史性和系统性.
- 介绍了一个反种族主义医学教育体系的愿景.
主要成果:
- 目前的医学教育不足以为从业者准备应对种族主义.
- 现有的健康差异解决方法无法解决系统性种族主义问题.
- 要实现真正的健康公平,需要一种变革性的方法.
结论:
- 通过批判性种族理论,废除和非殖民化重新想象医学教育是必不可少的.
- 反种族主义医学教育必须突出医学中的种族主义遗产.
- 医疗学员和医生必须被定位为反种族转型的代理人.
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