Hastings Cent Rep. 2020 Jan;50(1):29-31. doi: 10.1002/hast.1082.
Laura Specker Sullivan's article "Trust, Risk, and Race in American Medicine" is a philosophically grounded and highly practical call for medical professionals to take on the task of comprehending the sources of patients' mistrust. This is not only a clinical competence but also a moral obligation, in particular, when mistrust is warranted-as with African American patients who rely on medical institutions that have breached and continue to breach the trust of their communities. While Specker Sullivan focuses on how clinicians can signal comprehension once it has already been attained, I wish to step back and examine the nature of the efforts to gain knowledge. The effort to comprehend requires, at a minimum, the following actions: educating oneself about medical racism, examining one's implicit biases, and engaging, with empathic curiosity, with the patient or family members in the clinical encounter at hand.
劳拉·斯佩克·沙利文（Laura Specker Sullivan）的文章《美国医学中的信任、风险与种族》从哲学和实践角度呼吁医学专业人员承担起理解患者不信任根源的任务。这不仅是一种临床能力，也是一种道德义务，特别是在患者的不信任是有根据的时候，比如在那些依赖医疗机构的非裔美国患者身上，这些医疗机构已经破坏了他们社区的信任，而且还在继续破坏这种信任。虽然斯佩克·沙利文（Specker Sullivan）专注于临床医生如何在已经理解的情况下表示理解，但我希望退后一步，审视一下获取知识的努力的本质。理解的努力至少需要以下行动：教育自己了解医疗种族主义，检查自己的隐性偏见，并以共情的好奇心，在当前的临床接触中与患者或家属接触。
