Abstract

Beyond Implicit Bias: A Medical Student Course on Race and Racism in Medicine

Charlotte Austin, Ann Crawford-Roberts, Murad Khan, Giselle Lynch, Carolina Miranda, Lily Ostrer, Ann-Gel S. Palermo, DPH and Sharon Washington, MPH, Ed.D.
Icahn School of Medicine at Mount Sinai, New York, NY

APHA 2016 Annual Meeting & Expo (Oct. 29 - Nov. 2, 2016)

Background: Racism in medicine contributes to racial health disparities in the United States. Knowledge of race and its effects on patients and research participants is essential to competent medical practice, yet medical education lacks formal instruction on the history and dynamics of race and racism. The increasing attention surrounding implicit bias, as a method to reduce health disparities fails to recognize the systematic exclusion of people of color from equitable care. Efforts to address racism should privilege the knowledge held by communities of color; failure to do so perpetuates the systemic effects of racism. Methods: Six to ten weekly seminar sessions are grounded in literature, critical race theory, experiential learning, structured dialogue and the personal experiences of participants. In centering the experiences of people of color, the course offers a space for healing and for discussion on how to serve patients impacted by racism. By honoring the knowledge held by those participants most affected by racism, the course sheds the history of racism that plagues conventional educational approaches. Results: Participants and course leaders developed structured course notes, actionable recommendations for our institution, projects on medical curriculum reform for medical schools at large, and a rubric of metrics with which to evaluate racism and anti-racism in medical schools. Discussion/Conclusion: Medical schools must consider how to best prepare students to identify racial bias and the persistence of racism in the foundations of medical practice; the described pilot intervention employs a unique pedagogical approach.

Advocacy for health and health education Diversity and culture Other professions or practice related to public health Provision of health care to the public Public health or related education Social and behavioral sciences