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- To dismantle structural racism, academic medicine must: (1) confront medicine’s racist past, which has embedded racial inequities in the U.S. health care system; (2) develop and require health care professionals to possess core competencies in the health impacts of structural racism; (3) recognize race as a sociocultural and political construct, and commit to debiologizing its use; (4) invest in benefits and resources for health care workers in lower-paid roles, in which racial and ethnic...
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Oct 6, 2020 · Racism impacts all aspects of academic medicine, from inequitable medical school admissions policies to inadequate care of patients of color. A new framework outlines concrete steps the AAMC will take to address structural racism across all fronts.
- Gabrielle Redford
- Institutional and Structural Racism in Us Health Care
- Roles of Academic Health Centers in Structural Racism
- Measuring Institutional Racism
- Implementation
Racism is the root cause of inequity in health care in the United States.1, 2, 3, 4, 5 Clark et al define racism as “beliefs, attitudes, institutional arrangements, and acts that tend to denigrate individuals or groups because of phenotypic characteristics or ethnic group affiliation.”3 The health services literature focuses on racism embedded in a...
As noted by Bailey et al, structural racism “refers to the totality of ways in which societies foster racial discrimination through mutually reinforcing systems of housing, education, employment, earnings, benefits, credit, media, health care, and criminal justice.”4 These systems are saturated with White supremacy,1 which promotes White superiorit...
Measuring institutional racism allows health care organizations to right historical wrongs by adopting antiracist agendas and action plans for providing equitable care (eg, resources according to need) that can mitigate health inequity.11 Early strategies aimed at understanding health consequences of institutional racism focused on self-report scal...
Scores on measures of these 3 levels (ie, individual, intra-organizational, extra-organizational) would yield a composite score of institutional racism that could be used to inform antiracist strategic planning and decision makingover time. We suggest incorporating qualitative components at each level (eg, randomized patient interviews at the indiv...
- Paris B. Adkins-Jackson, Rupinder K. Legha, Kyle A. Jones
- 2021
Dec 12, 2022 · Academic medical centers (AMCs) are often part of larger institutions with enormous capacity for transdisciplinary teaching and learning: historians can contextualize modern medicine with a deep grounding in its past; social scientists can help us better bridge cultures and address social determinants of health; lawyers and economists can also ...
- 10.3122/jabfm.2022.220050R2
- 2022/12/12
Aug 24, 2021 · Specific actions taken between July 2020 and July 2021 toward becoming an antiracist academic medical center include (1) eliminating race-based glomerular filtration rate (eGFR) reporting; (2) requiring full-day antiracism training for VUMC executive leaders, including department chairs, and members of the VUMC Board of Directors; (3 ...
- Consuelo H. Wilkins, Mamie Williams, Karampreet Kaur, Michael R. DeBaun
- 10.1097/ACM.0000000000004374
- 2021
- Acad Med. 2021 Nov; 96(11): 1507-1512.
This de facto segregation in academic health centers limits community organizations’ and leaders’ capacity to dismantle racism and undermines health equity. This commentary on a case considers this problem, argues why academic health centers are ethically obliged to respond, and offers strategies to do so.
Oct 3, 2022 · Detecting and combating racism in real time. University of California, Los Angeles (UCLA) Health is one of several academic medical centers implementing tools that not only identify inequities in their policies and practices but also assess their effectiveness at addressing them.
Jun 10, 2020 · Capitalizing on the urgency generated by the Black Lives Matter movement, residents and faculty at an academic health care institution take steps to recognize racism within the hospital...
