Continuing Professional Development, Temerty Faculty of Medicine, University of Toronto, 500 University Avenue, 6th Floor, Toronto, ON, M5G 1V7, Canada.
Department of Leadership, Higher and Adult Education, Ontario Institute for Studies in Education, University of Toronto, Toronto, Canada.
Adv Health Sci Educ Theory Pract. 2020 Dec;25(5):1107-1126. doi: 10.1007/s10459-020-10006-x. Epub 2020 Nov 2.
Health professions education (HPE) is built on a structural foundation of modernity based on Eurocentric epistemologies. This foundation privileges certain forms of evidence and ways of knowing and is implicated in how dominant models of HPE curricula and healthcare practice position concepts of knowledge, equity, and social justice. This invited perspectives paper frames this contemporary HPE as the "Master's House", utilizing a term referenced from the writings of Audre Lorde. It examines the theoretical underpinnings of the "Master's House" through the frame of Quijano's concept of the Colonial Matrix of Power (employing examples of coloniality, race, and sex/gender). It concludes by exploring possibilities for how these Eurocentric structures may be dismantled, with reflection and discussion on the implications and opportunities of this work in praxis.
健康职业教育(HPE)建立在基于欧洲中心主义认识论的现代性结构基础上。这个基础优先考虑某些形式的证据和认知方式,并涉及到主导的 HPE 课程模式和医疗保健实践如何定位知识、公平和社会正义的概念。这篇特邀观点文章将这种当代 HPE 框架为“主人之屋”,使用了 Audre Lorde 的著作中提到的一个术语。它通过 Quijano 的权力殖民矩阵概念(运用殖民性、种族和性别/性别例子)来考察“主人之屋”的理论基础。最后,它探讨了这些欧洲中心结构可能被拆除的可能性,反思和讨论了这一工作在实践中的意义和机会。