The Clarion Call of the COVID-19 Pandemic: How Medical Education Can Mitigate Racial and Ethnic Disparities

被引:17
|
作者
Prince, Andrew D. P. [1 ]
Green, Alexander R. [2 ]
Brown, David J. [3 ,4 ]
Thompson, Dana M. [5 ,6 ]
Neblett, Enrique W., Jr. [7 ]
Nathan, Cherie-Ann [8 ,9 ]
Carethers, John M. [10 ]
Gee, Rebekah E. [11 ,12 ]
Gruppen, Larry D. [13 ,14 ]
Mangrulkar, Rajesh S. [15 ,16 ,17 ,18 ]
Brenner, Michael J. [3 ,19 ]
机构
[1] Univ Michigan, Sch Med, 1500 E Med Ctr Dr, Ann Arbor, MI 48109 USA
[2] Harvard Med Sch, Med, Massachusetts Gen Hosp, Div Gen Internal Med, Boston, MA 02115 USA
[3] Univ Michigan, Otolaryngol Head & Neck Surg, Ann Arbor, MI 48109 USA
[4] Univ Michigan, Off Hlth Equ & Inclus, Ann Arbor, MI 48109 USA
[5] Northwestern Univ, Otolaryngol Head & Neck Surg, Ann & Robert H Lurie Childrens Hosp Chicago, Feinberg Sch Med, Chicago, IL 60611 USA
[6] Northwestern Univ, Pediat Otolaryngol, Ann & Robert H Lurie Childrens Hosp Chicago, Feinberg Sch Med, Chicago, IL 60611 USA
[7] Univ Michigan, Sch Publ Hlth, Hlth Behav & Hlth Educ, Ann Arbor, MI 48109 USA
[8] Louisiana State Univ Hlth Shreveport, Otolaryngol Head & Neck Surg, Shreveport, LA USA
[9] Feist Weiller Canc Ctr, Head & Neck Surg Oncol, Shreveport, LA USA
[10] Univ Michigan, Dept Internal Med, Ann Arbor, MI 48109 USA
[11] Louisiana State Univ, Louisiana State Univ Hlth Care Serv Div, Sch Med, New Orleans, LA USA
[12] Louisiana State Univ, Dept Obstet & Gynecol, Sch Med, New Orleans, LA USA
[13] Univ Michigan, Sch Med, Learning Hlth Sci, Ann Arbor, MI 48109 USA
[14] Univ Michigan, Sch Med, Master Hlth Profess Educ Program, Ann Arbor, MI 48109 USA
[15] Univ Michigan, Sch Med, Dept Internal Med, Med Student Educ, Ann Arbor, MI 48109 USA
[16] Univ Michigan, Sch Med, Dept Learning Hlth Sci, Med Student Educ, Ann Arbor, MI 48109 USA
[17] Univ Michigan, Sch Med, Dept Internal Med, Med Educ, Ann Arbor, MI 48109 USA
[18] Univ Michigan, Sch Med, Dept Learning Hlth Sci, Med Educ, Ann Arbor, MI 48109 USA
[19] Univ Michigan, Branch Sci Med Sch Curriculum, Ann Arbor, MI 48109 USA
基金
美国国家卫生研究院;
关键词
CULTURAL COMPETENCE; RACIAL/ETHNIC DISPARITIES; HEALTH; PREPAREDNESS; FRAMEWORK; STUDENTS; OUTCOMES; CARE;
D O I
10.1097/ACM.0000000000004139
中图分类号
G40 [教育学];
学科分类号
040101 ; 120403 ;
摘要
Public health crises palpably demonstrate how social determinants of health have led to disparate health outcomes. The staggering mortality rates among African Americans, Native Americans, and Latinx Americans during the COVID-19 pandemic have revealed how recalcitrant structural inequities can exacerbate disparities and render not just individuals but whole communities acutely vulnerable. While medical curricula that educate students about disparities are vital in rousing awareness, it is experience that is most likely to instill passion for change. The authors first consider the roots of health care disparities in relation to the current pandemic. Then, they examine the importance of salient learning experiences that may inspire a commitment to championing social justice. Experiences in diverse communities can imbue medical students with a desire for lifelong learning and advocacy. The authors introduce a 3-pillar framework that consists of trust building, structural competency, and cultural humility. They discuss how these pillars should underpin educational efforts to improve social determinants of health. Effecting systemic change requires passion and resolve; therefore, perseverance in such efforts is predicated on learners caring about the structural inequities in housing, education, economic stability, and neighborhoods-all of which influence the health of individuals and communities.
引用
收藏
页码:1518 / 1523
页数:6
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