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藏于众目之下:将有关种族和社会(不)公正的坦诚讨论纳入医学教育之中如何激发变革。

Hiding in plain sight: How incorporating honest discussion of racial and social (in)justice into medical education can inspire change.

机构信息

Department of Radiology, NewYork-Presbyterian/Weill Cornell Medicine, New York, NY, USA.

Department of Radiology, NewYork-Presbyterian/Weill Cornell Medicine, New York, NY, USA.

出版信息

Clin Imaging. 2022 Sep;89:37-42. doi: 10.1016/j.clinimag.2022.04.018. Epub 2022 May 7.

DOI:10.1016/j.clinimag.2022.04.018
PMID:35696946
Abstract

The carnage wrought by systemic racism through social, judicial, and health injustices compels us to work towards a system that is fair and just for patients and colleagues. The evidence that change is necessary in medicine is hiding in plain sight in literature, oral histories, medical records, and news media. Notwithstanding this evidence, changing a system 400 years in the making will require a major paradigm shift. One of the many ways our department sought to catalyze such a shift was through media consumption, reflection, and discussion. Reading and studying literature and humanities in medicine can awaken our consciousness by making medicine an embodied practice that considers the totality of patients' lives in ways that a disembodied, purely scientific approach cannot. Thus, we started a Racial and Social Justice Book Club to normalize discussions about racial and social (in)justice and examine everything through an anti-racist lens. Herein, we describe our experiences in the inaugural year of the Book Club, a space to lend credence and dignity to the voices, experiences, and stories of folks who have long been marginalized by power structures in America, including medicine.

摘要

系统性种族主义通过社会、司法和卫生方面的不公正行为造成的大屠杀,迫使我们努力建设一个对患者和同事公平公正的医疗体系。有证据表明,医学领域需要进行变革,这些证据就隐藏在文献、口述历史、病历和新闻媒体中。尽管有这些证据,但要改变一个已经存在 400 年的体系,需要进行重大的范式转变。我们系试图通过媒体消费、反思和讨论来推动这种转变的方法之一。阅读和研究医学中的文学和人文学科可以通过使医学成为一种体现实践,以一种非具体化的、纯粹的科学方法无法做到的方式,考虑到患者生活的全部,从而唤醒我们的意识。因此,我们成立了一个种族和社会正义读书俱乐部,以规范关于种族和社会(不)正义的讨论,并通过反种族主义视角来审视一切。在这里,我们描述了读书俱乐部成立第一年的经验,这是一个为长期以来在美国权力结构中被边缘化的人们——包括医学领域——的声音、经历和故事提供可信度和尊严的空间。

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