George Washington School of Medicine & Health Sciences, George Washington University, Washington, District of Columbia, USA.
Medical College of Georgia, Augusta University, Augusta, Georgia, USA.
Med Educ. 2023 Oct;57(10):903-909. doi: 10.1111/medu.15124. Epub 2023 May 18.
The theory of whiteness in medical education has largely been ignored, yet its power continues to influence learners within our medical curricula and our patients and trainees within our health systems. Its influence is even more powerful given the fact that society maintains a 'possessive investment' in its presence. In combination, these (in)visible forces create environments that favour White individuals at the exclusion of all others, and as health professions educators and researchers, we have the responsibility to uncover how and why these influences continue to pervade medical education.
To better understand how whiteness and the possessive investment in its presence create (in)visible hierarchies, we define and explore the origin of whiteness by examining whiteness studies and how we have come to have a possessive investment in its presence. Next, we provide ways in which whiteness can be studied in medical education so that it can be disruptive.
We encourage health profession educators and researchers to collectively 'make strange' our current hierarchical system by not just recognising the privileges afforded to those who are White but also recognising how these privileges are invested in and maintained. As a community, we must develop and resist established power structures to transform the current hierarchy into a more equitable system that supports everyone, not just those who are White.
医学教育中的“白人理论”在很大程度上被忽视了,但它的力量继续影响着我们医学课程中的学习者,以及我们医疗体系中的患者和学员。鉴于社会对其存在持有“占有性投资”,其影响力更为强大。这些(无形)力量共同作用,创造了有利于白人个体而排斥其他所有人的环境。作为健康职业教育者和研究人员,我们有责任揭示这些影响继续渗透医学教育的方式和原因。
为了更好地理解白人身份和对其存在的占有性投资如何造成(无形)的等级制度,我们通过考察白人研究以及我们如何对其存在产生占有性投资,来定义和探索白人身份的起源。接下来,我们提供了在医学教育中研究白人身份的方法,以便能够对其进行颠覆。
我们鼓励健康职业教育者和研究人员通过不仅认识到赋予白人的特权,而且认识到这些特权是如何投资和维持的,共同使我们当前的等级制度变得“陌生”。作为一个共同体,我们必须发展和抵制既定的权力结构,将当前的等级制度转变为一个更公平的系统,不仅支持白人,而且支持所有人。