University of British Columbia, Vancouver, Canada.
McMaster University, Hamilton, Canada.
Perspect Med Educ. 2023 Oct 16;12(1):411-417. doi: 10.5334/pme.1076. eCollection 2023.
Racism, physician biases against Indigenous, Black, and racialized people, and the resultant poor health outcomes have been the subject of many institutional position statements and calls to action. Across Canada, undergraduate medical education programs have recognized the importance of addressing racism, but material changes to curriculum and learning environments to incorporate anti-racist lenses have yet to be actualized. To bridge a gap seen within the curriculum, the authors of this manuscript led the co-development, organization, and implementation of a student-led anti-racism initiative at the University of Calgary's Cumming School of Medicine. The initiative consisted of a class-wide anti-racism training session and a strategic review of student governance policies, including elections and decision-making processes through an anti-racist lens to advance equity within student learning environments. Anti-racism praxis was embedded within the co-creation of the anti-racism training by incorporating cultural safety and ethical engagement principles along with paid consultations with racialized students and faculty to identify pertinent topics and inform training priorities. Through this initiative, the authors offer an approach for the larger medical community to consider in their own local efforts to advance anti-racism advocacy and curricular change. This initiative highlighted the unique role of students in disrupting the status quo and modeling an anti-racist lens in their actions and self-governance.
种族主义、医生对原住民、黑人和少数族裔的偏见，以及由此导致的健康状况不佳，一直是许多机构立场声明和行动呼吁的主题。在加拿大各地，本科医学教育项目已经认识到解决种族主义问题的重要性，但尚未在课程和学习环境中进行实质性的改变，以纳入反种族主义视角。为了弥合课程中存在的差距，本文作者在卡尔加里大学卡明医学院领导了一项学生主导的反种族主义倡议的共同制定、组织和实施。该倡议包括一次面向全班的反种族主义培训课程，以及对学生治理政策的战略审查，包括通过反种族主义视角对选举和决策过程进行审查，以促进学生学习环境中的公平。反种族主义实践是通过将文化安全和道德参与原则融入反种族主义培训的共同创作中而实现的，同时还与少数族裔学生和教师进行了付费咨询，以确定相关主题并为培训重点提供信息。通过这一倡议，作者为更广泛的医学界提供了一种方法，供其在自己的地方努力推进反种族主义宣传和课程改革时参考。该倡议强调了学生在打破现状方面的独特作用，并在他们的行动和自我治理中树立了反种族主义视角的榜样。
