Office of Medical Education Research and Development, Michigan State University College of Human Medicine, 964 Wilson Road, Fee Hall A214, East Lansing, MI, 48824, USA.
Michigan State University College of Education, East Lansing, USA.
Adv Health Sci Educ Theory Pract. 2023 Aug;28(3):741-758. doi: 10.1007/s10459-022-10183-x. Epub 2022 Nov 17.
This study presents descriptions of epistemic injustice in the experiences of women medical students and provides accounts about how these students worked to redress these injustices. Epistemic injustice is both the immediate discrediting of an individual's knowledge based on their social identity and the act of persistently ignoring possibilities for other ways of knowing. Using critical narrative interviews and personal reflections over an eight-month period, 22 women students during their first year of medical school described instances when their knowledge and experience was discredited and ignored, then the ways they enacted agency to redress these injustices. Participants described three distinct ways they worked to redress injustices: reclaiming why they belong in medicine, speaking up and calling out the curriculum, and uplifting one another. This study has implications for recognizing medical students as whole individuals with lived histories and experiences and advocates for recognizing medical students' perspectives as valuable sources of knowledge.
本研究描述了女性医学生在经历中所遭受的认知不公正，并提供了这些学生如何努力纠正这些不公正的情况。认知不公正既是基于社会身份立即否定个人知识的行为，也是持续忽视其他认知可能性的行为。通过在八个月的时间里进行批判性叙事访谈和个人反思，22 名在医学院第一年的女性学生描述了他们的知识和经验被否定和忽视的情况，以及他们采取行动纠正这些不公正的方式。参与者描述了他们纠正不公正的三种不同方式：重新获得他们在医学领域的归属感，直言不讳地指出课程的问题，并相互支持。本研究对于认识到医学生是具有历史和经验的完整个体具有重要意义，并主张承认医学生的观点是有价值的知识来源。
