Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA.
Ariadne Labs, Brigham and Women's Hospital and Harvard T. H Chan School of Public Health, Boston, MA, USA.
J Gen Intern Med. 2024 Nov;39(15):3064-3072. doi: 10.1007/s11606-024-08915-3. Epub 2024 Jul 23.
Race dialogues, conversations about race and racism among individuals holding different racial identities, have been proposed as one component of addressing racism in medicine and improving the experience of racially minoritized patients. Drawing on work from several fields, we aimed to assess the scope of the literature on race dialogues and to describe potential benefits, best practices, and challenges of conducting such dialogues. Ultimately, our goal was to explore the potential role of race dialogues in medical education and clinical practice.
Our scoping review included articles published prior to June 2, 2022, in the biomedicine, psychology, nursing and allied health, and education literatures. Ultimately, 54 articles were included in analysis, all of which pertained to conversations about race occurring between adults possessing different racial identities. We engaged in an interactive group process to identify key takeaways from each article and synthesize cross-cutting themes.
Emergent themes reflected the processes of preparing, leading, and following up race dialogues. Preparing required significant personal introspection, logistical organization, and intentional framing of the conversation. Leading safe and successful race dialogues necessitated trauma-informed practices, addressing microaggressions as they arose, welcoming participation and emotions, and centering the experience of individuals with minoritized identities. Longitudinal experiences and efforts to evaluate the quality of race dialogues were crucial to ensuring meaningful impact.
Supporting race dialogues within medicine has the potential to promote a more inclusive and justice-oriented workforce, strengthen relationships amongst colleagues, and improve care for patients with racially minoritized identities. Potential levers for supporting race dialogues include high-quality racial justice curricula at every level of medical education and valuation of racial consciousness in admissions and hiring processes. All efforts to support race dialogues must center and uplift those with racially minoritized identities.
种族对话，即不同种族身份的个体之间关于种族和种族主义的对话，被提议作为解决医学领域种族主义问题和改善少数族裔患者体验的一个组成部分。借鉴多个领域的工作，我们旨在评估关于种族对话的文献范围，并描述进行此类对话的潜在益处、最佳实践和挑战。最终，我们的目标是探讨种族对话在医学教育和临床实践中的潜在作用。
我们的范围综述包括 2022 年 6 月 2 日之前在生物医学、心理学、护理和相关健康以及教育文献中发表的文章。最终，有 54 篇文章被纳入分析，所有文章都涉及不同种族身份的成年人之间关于种族的对话。我们进行了互动式小组讨论，以确定从每篇文章中得出的关键要点，并综合跨领域主题。
出现的主题反映了准备、领导和跟进种族对话的过程。准备工作需要进行大量的个人内省、后勤组织和对对话的有意框架。领导安全和成功的种族对话需要创伤知情实践，在出现微侵犯时加以解决，欢迎参与和表达情感，并以少数族裔身份的个体的体验为中心。长期的经验和努力评估种族对话的质量对于确保有意义的影响至关重要。
在医学领域支持种族对话有可能促进更具包容性和正义导向的劳动力，加强同事之间的关系，并改善对少数族裔患者的护理。支持种族对话的潜在手段包括在医学教育的各个层面提供高质量的种族正义课程，以及在招生和招聘过程中重视种族意识。所有支持种族对话的努力都必须以少数族裔身份的个体为中心并提升他们的地位。
