在临床学习环境中批判性地看待种族主义
概括
多样性,公平性和包容性 (DEI) 对学术医学中的健康公平性至关重要. 新的框架揭示了如何拆除种族主义和理解白人可以改善所有学习者和教师的临床学习环境.
科学领域:
- 医学教育 医学教育
- 健康 公平 卫生 公平
- 健康的社会决定因素
背景情况:
- 学术医学认识到多样性,公平和包容 (DEI) 对健康公平的重要性.
- 然而,临床学习环境 (CLE) 往往无法公平地支持多样化的学习者和教师.
- 现有的消除医学种族主义的努力的影响有限.
研究的目的:
- 为了进一步了解如何在学术医学中拆除种族主义系统.
- 提出框架,增加系统变革的动机.
- 探索白人对学术医学中少数群体和多数群体的影响.
主要方法:
- 使用利益收 (IC) 和临界白度研究 (CWS) 框架.
- 分析白人作为一种社会结构如何影响权力动态和特权.
- 检查白人对白人影响和获得医疗教育的机会.
主要成果:
- 白色对白人的健康产生负面影响.
- 白人阻碍了低收入和中等收入的第一代白人学生进入医学院.
- 以患者为中心的护理和基于能力的医学教育等实践与DEI原则保持一致.
结论:
- 种族主义和维护白人身份伤害所有个人,而不仅仅是少数群体.
- 在CLE中,DEI原则是最佳实践的基础.
- 实施DEI原则可以改善学术医学中所有学习者和教师的成果.
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