Medical Students use momentum of antiracism movement to advocate for change.
Ian Simpson-Shelton, MD, speaks at the University of California San Diego Anti-Racism Coalition Day of Action on June 8, 2020. Credit: Tyler Kirchberg
AntiRacism Journal Club
Welcome to the Antiracism Journal Club, where brief articles/podcasts/videos are shared for reflection.
Article #1. COVID-19 Pandemic, Unemployment, and Civil Unrest
Article #2. Diagnosing and Treating Systemic Racism
Article #3. TedTalk by Dr. Camara Jones, MD, PhD, engaging storyteller, national thought leader, and expert on the effects of racism and social inequalities on personal health. Dr. Jones serves on the faculty at Emory, and previously served on the faculty at Harvard and Morehouse. She is a valued lecturer at the NIH National Institute on Minority Health and Health Disparities.
"The Gardener's Tale" is a simple, elegant, and powerful example of privilege and systemic (institutionalized), personally mediated, and internalized racism.
Article #4. Dr. Jones defines institutional=structural racism as "differential access to the goods, services, and opportunities of society by race. Institutionalized racism is normative, sometimes legalized, and often manifests as inherited disadvantage. It is structural, having been codified in our institutions of custom, practice, and law, so there need not be an identifiable perpetrator."
Please reflect on the impact of persistent Structural Racism in Indigenous communities, where plumbing poverty (40% of Navajo households lack running water) is ubiquitous.
Article #5. David R. Williams is the Florence Sprague Norman and Laura Smart Norman Professor of Public Health and chair of the Department of Social and Behavioral Sciences at the Harvard T.H. Chan School of Public Health.
Article #6. Podcast with our own Founding Dean of UCSD Public Health School, Dr. Cheryl Anderson on "How Redlining Contributed to Health Disparities"
Article #7. Recognizing and Reacting to Microagressions in Medicine and Surgery. This article addresses microassaults, microinvalidations, environmental microagressions, and how to respond to microagressions.
Article #8. Justice in June app, offers daily antiracism training in 10, 25, or 45 minute increments (similar to mindfulness training).
Article # 9. AHA, Editors, and Cardiologists Ask: How did 'Racist' paper make it to print?
Article #10. Majority Taxes Black physicians pay "minority taxes" performing extra duties to help organizations achieve diversity. Perhaps White physicians should pay "majority taxes" by...
Article #11. Please take the time to hear the concerns of Black, Latinx, Native American student leaders. Please listen with a compassionate and empathetic ear/heart to these poignant stories, which we might not otherwise have the privilege to hear.
Article #12. This article by Dr. Kevin Gutierrez forced me to question the utility of disseminating antiracist articles/videos on Friday afternoons, particularly during a difficult week when yet another unarmed Black man, Jacob Blake, was shot in the back by police in front of his three young sons, while a 17 year old shot and killed two protestors opposing Blake's shooting and pervasive police brutality. Our Black students are undone, feeling defeated, frustrated, and hopeless.
Article #13. One of our Orientation Week sessions for our newest cohort of 134 medical students included an introduction to our new Health Equity Thread, Cultural Humility, and Structural Competence.
We would have liked to show them diverse neighborhoods of San Diego in person, but resorted to a virtual tour instead. Barrio Logan was a residential neighborhood until zoning laws allowed industry, naval shipyards and a labyrinth of freeways to weave through and above its quiet streets and ports.
Article #16. Citing the ongoing pandemics of COVID-19 and racism on the health of the nation, the AAMC (Association of American Medical Colleges) released a framework on Oct. 6 that is designed to guide and inspire the academic medicine community to begin addressing decades of structural racism within medicine. Article #17. COVID-19 case-fatality rates (case-to-death ratios) in San Diego, Los Angeles, and California are highest among Asian-Americans, but these observations have not informed funding/intervention priorities. This article discusses structural racism in Asian-American communities. Article #18. Dr. Kimberly Manning (Emory University) gave a very engaging Medicine Grand Rounds Lecture last week on "I May be Biased: What Can I Do About It?. Her strategies to recognize and manage our own biases, especially in a clinical setting, offer practical and feasible solutions. (Thank you to Drs. DJ Gaines and Simerjot Jassal for inviting Dr. Manning.)
Other Resources Justice in June App: https://justiceinjune.org This app provides 10/25/45 minute antiracism trainings per day. Our MS2s have reviewed the content and provided an incredible, thoughtful and meticulous review of the content in the app. Please view the summary of the Justice in June app HERE.