Responsibility for Structural Racism in Medicine: Reflections and Recommendations from One Institution.
Responsibility for Structural Racism in Medicine: Reflections and Recommendations from One Institution.
复制标题
DOI：
10.1353/nib.2021.0073
复制
发表时间：
2021
影响因子：
--
通讯作者：
Zisk, Nancy
中科院分区：
文献类型：
--
作者：
Sullivan, Laura Specker;Pelzer, Dante;Rice, Alexandra;Peterson, Yuri Karl;Sade, Robert M;Townsend, Danyelle M;Vaughan, Leigh;Nichols, Michelle;Zisk, Nancy
在这篇文章中，我们借鉴了郑杨最近的伦理争论来解释我们将责任的社会联系模式应用于医学结构性种族主义的经验。我们建议，承担结构性种族主义的责任必须从承认、研究和学习本地化的特定种族主义实例开始。这种做法提高了个人和机构对种族主义和不公正的认识，为采取有效行动创造了一个知识基础。我们将我们为结构性种族主义承担责任的经历描述为一小群学者，他们致力于更多地了解我们机构的历史和我们自己在改变其未来轨迹方面的机构。我们的学习和反思是在2019-2020学年的多个会议上进行的，当时作者参加了医学伦理论坛奖学金。南卡罗来纳医科大学(MUSC)医学伦理论坛联谊会(The Forum)由一群跨学科的教职员工、学生和执业卫生专业人员组成。该组织的确切成员每年都会发生变化，一些成员会持续多年。每个学年，论坛都聚焦于当前感兴趣的一个具体的生物伦理问题。我们2019-2020学年的重点是21世纪医疗保健中的种族和民族。这篇论文是我们长达一年的讨论的结果，基于对相关文献的研究，每月的讨论，以及个人陈述和与这一领域的全国知名学者的讨论。
In this article, we draw upon recent ethical arguments by Zheng and Young to explain our experience applying the social connection model of responsibility to structural racism in medicine. We propose that taking responsibility for structural racism must begin with acknowledging, studying, and learning from localized, particular instances of racism. Such practices raise personal and institutional consciousness about racism and injustice, creating a knowledge base from which effective action is possible. We describe our experiences engaging with responsibility for structural racism as a small group of scholars dedicated to learning more about our institution’s history and our own agency in altering its future trajectory. Our learning and introspection were developed over multiple sessions in the 2019–2020 academic year when the authors participated in a Medical Ethics Forum Fellowship. The Medical Ethics Forum Fellowship (the Forum) of the Medical University of South Carolina (MUSC) is composed of a diverse group of interdisciplinary faculty members, students, and practicing health professionals. The precise membership of the group changes every year, with a number of members continuing for multiple years. Each academic year the Forum focuses on a specific bioethical issue of current interest. Our focus for the academic year 2019–2020 was race and ethnicity in 21st century health care. This paper is the result of our year-long deliberations based on study of the relevant literature, monthly discussions, as well as personal presentations and discussions with nationally known scholars in this field.