J Med Libr Assoc. 2021 Jul 1;109(3):472-477. doi: 10.5195/jmla.2021.1171.
Health science education needs images that represent both the diversity of patients served and the diversity of its students and clinicians. To begin to address this need, a nurse educator and librarian collaborated to launch the Oregon Health & Science University (OHSU) Educational Use Photo Diversity Repository. This online resource provides educators of health professional students with access to photos of pathophysiological conditions in skin of various colors so their students can increase their awareness of issues related to health and diversity and prepare themselves for more effective clinical work with their future patients.
The OHSU Educational Use Photo Diversity Repository became a university-wide project, leveraging the thoughts of an image advisory board, clinicians, faculty members, administrators, and students. Key considerations were given to the workflows used to submit photos as well as the controlled vocabulary for submitting images. The repository was started with photos already in existence, with future plans to have images taken specifically for the repository.
This repository is playing an important role as OHSU and the health sciences in general reflect on the role of systemic racism in health care and clinical education. Negotiating issues of consent, patient health information, and privacy around using different technologies to take photos is a complex and ongoing process. The repository provides opportunities for closely examining these processes and creating improvements that result in more equitable education.
健康科学教育需要能够同时体现服务对象多样性以及学生和临床医生多样性的图像。为了满足这一需求,一位护理教育工作者和图书管理员合作,推出了俄勒冈健康与科学大学(OHSU)教育用照片多样性资源库。这个在线资源为健康专业学生的教育工作者提供了获取各种肤色人群的病理生理学状况照片的途径,以便他们的学生能够提高对与健康和多样性相关问题的认识,并为将来与患者进行更有效的临床工作做好准备。
OHSU 教育用照片多样性资源库成为了一个全校范围的项目,利用了图像咨询委员会、临床医生、教师、行政人员和学生的想法。提交照片的工作流程以及提交图像的受控词汇都得到了重点考虑。该资源库从现有的照片开始,未来计划专门为该资源库拍摄图像。
随着 OHSU 乃至整个健康科学领域反思系统性种族主义在医疗保健和临床教育中的作用,这个资源库正在发挥重要作用。围绕使用不同技术拍摄照片的同意、患者健康信息和隐私等问题进行协商是一个复杂且持续的过程。该资源库为仔细审查这些流程并进行改进提供了机会,从而实现更公平的教育。