从他人到归属:一个DEI历史讲述和战略制定框架
April Edwell1, Jennifer Edwell2
1Department of Pediatrics, University of California San Francisco, San Francisco, California, USA april.edwell@ucsf.edu.
Medical humanities
|August 9, 2024
概括
美国医疗劳动力仍然存在种族隔离,只有5.0%的医生是黑人. 培养一种归属文化对于解决历史上的排斥和促进医学多样性至关重要.
科学领域:
- 医疗史 病史 病史
- 专业社会学专业的社会学.
- 卫生公平性健康公平性
背景情况:
- 美国医疗行业有着悠久的种族隔离和种族排斥历史.
- 目前,美国只有5.0%的医生是黑人,这凸显了持续存在的差异.
研究的目的:
- 分析美国医学界种族差异的历史起源.
- 提出"其他"和"归属"作为多样性和公平倡议的框架.
- 倡导培养一种专业的归属文化,抵消历史上的排斥.
主要方法:
- 历史分析战前的来源,以检查医学在创造种族等级制度中的作用.
- 分析美国医学会和州医学会的文本,以了解'美国医生'身份的形成.
- 应用"其他"和"归属"作为多样性和公平性的分析框架.
主要成果:
- 在历史上,医学在创造和促进种族类别和层次结构方面发挥了作用.
- "美国医生"的专业身份是通过排斥性做法构建的.
- 历史上的'othering'策略导致黑人继续被排除在医学之外.
结论:
- 解决黑人医生的代表性不足需要了解医学中的历史种族主义.
- 培养一种专业的归属文化,包括共享文化,平等权利和包容性结构,是必不可少的.
- 归属感超越了容忍,积极纳入和支持医疗系统中的多样化个体.
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