Michalec Barret, Martimianakis Maria Athina Tina, Tilburt Jon C, Hafferty Frederic W
Associate professor of sociology and the associate dean of interprofessional education at the University of Delaware in Newark, Delaware, and an adjunct research assistant professor in the Department of Family & Community Medicine at Thomas Jefferson University.
Director of medical education scholarship and an assistant professor in the Department of Paediatrics at the University of Toronto, and a scientist and the strategic lead, international, at the University of Toronto's Wilson Centre.
AMA J Ethics. 2017 Mar 1;19(3):238-244. doi: 10.1001/journalofethics.2017.19.3.ecas1-1703.
In this case we meet Amanda, a medical student of Native and Latin American ethnicity who receives financial aid. Her friends are surprised by her interest in an elite residency program. They suggest, rather, that with her language skills, ethnic background, and interest in social justice, she has a responsibility to work with underserved patient populations. In our commentary, we consider issues raised by the case and explore Amanda's friends' underlying expectations and assumptions that perpetuate the very inequities that the resolution of the case purports to address. We also identify the role of privilege and address the "burden of expectation" that appears to be associated with underrepresented minority (URM) medical students and normative assumptions about their career paths.
在这个案例中，我们见到了阿曼达，一名有原住民和拉丁裔血统的医学生，她接受经济援助。她的朋友们对她对精英住院医师项目的兴趣感到惊讶。相反，他们认为，凭借她的语言技能、种族背景以及对社会正义的兴趣，她有责任为服务不足的患者群体工作。在我们的评论中，我们思考了该案例引发的问题，并探究了阿曼达朋友们潜在的期望和假设，这些期望和假设使该案例旨在解决的不平等现象长期存在。我们还确定了特权的作用，并探讨了似乎与少数族裔（URM）医学生相关的“期望负担”以及对他们职业道路的规范性假设。
