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预科讲座中种族和民族多样性的机构评估

An Institutional Evaluation of Race and Ethnic Diversity in Pre-clerkship Lectures.

作者信息

Russell Rebekah, Fleming-Hall Erica, Wilson-Delfosse Amy, Ashby Karen

机构信息

Case Western Reserve University School of Medicine, Cleveland, USA.

University Hospitals Cleveland, Cleveland, OH USA.

出版信息

Med Sci Educ. 2023 Apr 24;33(3):645-651. doi: 10.1007/s40670-023-01789-w. eCollection 2023 Jun.

DOI:10.1007/s40670-023-01789-w
PMID:37501795
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10368599/
Abstract

The goal of this project was to assess the current state of racial and ethnic presentation in medical pedagogy using the pre-clerkship curriculum at Case Western Reserve University School of Medicine (CWRU SOM). We systematically reviewed 20,630 slides across the basic sciences curriculum from 2020 to 2022 for references to race, ethnicity, or photos of people of color. Results showed that race and ethnicity are overwhelmingly used as biological constructs and references lack appropriate historical context. In addition, this project constructed learning objectives that provide suggestions to shift medical discourse on race and ethnicity from contemplation to a state of solution.

摘要

本项目的目标是利用凯斯西储大学医学院(CWRU SOM)的临床前课程,评估医学教学中种族和族裔呈现的现状。我们系统地回顾了2020年至2022年基础科学课程中的20630张幻灯片,以查找有关种族、族裔或有色人种照片的内容。结果表明,种族和族裔绝大多数被用作生物学概念,且相关内容缺乏适当的历史背景。此外,本项目制定了学习目标,为将医学领域关于种族和族裔的讨论从思考状态转变为解决状态提供建议。

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本文引用的文献

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Evaluating the Impact and Rationale of Race-Specific Estimations of Kidney Function: Estimations from U.S. NHANES, 2015-2018.评估种族特异性肾功能估计值的影响及理论依据:来自2015 - 2018年美国国家健康与营养检查调查(NHANES)的估计值
EClinicalMedicine. 2021 Nov 19;42:101197. doi: 10.1016/j.eclinm.2021.101197. eCollection 2021 Dec.
2
New Creatinine- and Cystatin C-Based Equations to Estimate GFR without Race.新型基于肌酐和胱抑素 C 的估算肾小球滤过率方程,无需考虑种族因素。
N Engl J Med. 2021 Nov 4;385(19):1737-1749. doi: 10.1056/NEJMoa2102953. Epub 2021 Sep 23.
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Race and the Estimation of GFR: Getting It Right.种族与肾小球滤过率的估算:正确处理
Am J Kidney Dis. 2021 Jul;78(1):3-4. doi: 10.1053/j.ajkd.2021.03.009. Epub 2021 Apr 9.
4
Sounding the Alarm: Six Strategies for Medical Students to Champion Anti-Racism Advocacy.敲响警钟:医学生支持反种族主义倡导的六种策略。
J Healthc Leadersh. 2021 Jan 18;13:1-6. doi: 10.2147/JHL.S285328. eCollection 2021.
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Students' perceptions on race in medical education and healthcare.学生对医学教育和医疗保健中的种族问题的看法。
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When Race Matters on the Wards: Talking About Racial Health Disparities and Racism in the Clinical Setting.当种族问题在病房凸显:探讨临床环境中的种族健康差异与种族主义
MedEdPORTAL. 2016 Dec 28;12:10523. doi: 10.15766/mep_2374-8265.10523.
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Comparing ethnicity-based and expanded carrier screening methods at a single fertility center reveals significant differences in carrier rates and carrier couple rates.比较单一生育中心基于种族和扩展携带者筛查方法,揭示了携带者率和携带者夫妇率的显著差异。
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Sex and ethnic/racial-specific risk factors for gallbladder disease.胆囊疾病的性别及特定种族/民族风险因素。
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Race Matters? Examining and Rethinking Race Portrayal in Preclinical Medical Education.种族重要吗?审视和重新思考临床前医学教育中的种族描绘。
Acad Med. 2016 Jul;91(7):916-20. doi: 10.1097/ACM.0000000000001232.