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Reimagining Medical Education: The Future of Health Equity and Social Justice
- 1st Edition - September 18, 2024
- Authors: Eduardo Bonilla-Silva, Emily A. Haozous, Gerald Kayingo, William McDade, Lisa Meeks, Ana Núñez, Toyese Oyeyemi, Janet Southerland, Javeed Sukhera
- Language: English
- Paperback ISBN:9 7 8 - 0 - 4 4 3 - 2 8 6 7 1 - 1
- eBook ISBN:9 7 8 - 0 - 4 4 3 - 2 8 6 7 2 - 8
Inequities in health care and medical education have a long and complex history involving racism, sexism, ableism, exclusivity, and other forms of social injustice. Reimagining Me… Read more
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Request a sales quoteInequities in health care and medical education have a long and complex history involving racism, sexism, ableism, exclusivity, and other forms of social injustice. Reimagining Medical Education: The Future of Health Equity and Social Justice, externally commissioned by the American Medical Association and part of the AMA MedEd Innovation Series, explores and addresses these ongoing issues. Using both theoretical and practical approaches, medical educators share a vision of medical education through a social justice lens. The resulting volume focuses on equity throughout medical education: improving the diversity of the student, faculty, and health workforce and ameliorating inequitable outcomes among minoritized and marginalized patient populations. This unique, change-oriented text . . .
- Shares knowledge and insight from a diverse team of authors who outline what an equitable future for medical education and health care can be.
- Provides a thought-provoking account of the negative impact of centuries of asymmetry of power.
- Offers an aspirational vision of a just system for recruiting, training, and empowering the next generation of care providers and how to impact change at the individual, institutional, and population levels.
- Covers both medical school (UME) and residency program (GME) implementation strategies.
- Contains practical, visionary guidance for faculty, staff, students, administrators, and leaders in medical education.
- An eBook version is included with purchase. The eBook allows you to access all of the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud.
DEI offices in health care institutions (both educational and clinical), Medical and health care administrators, educationalists throughout health care, curriculum directors, medical/health professions educators
- Cover image
- Title page
- Table of Contents
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- Copyright
- Contributors
- Preface
- Acknowledgments
- Part I: Understanding and Conceptualizing Transformative Ideas
- 1. Medicine and Medical Education OtherwiseSpeculative Futures of the Healing Professions
- Abstract
- Outline
- SUMMARY
- IT COULD HAVE BEEN OTHERWISE
- TAKE-HOME POINTS
- QUESTIONS FOR FURTHER THOUGHT
- References
- 2. A Precision Medical Education Approach to Achieving Justice, Equity, Diversity, and Inclusion
- Abstract
- Outline
- SUMMARY
- INTRODUCTION
- BUILDING INCLUSIVE PRECISION MEDICAL EDUCATION SYSTEMS
- IMPLEMENTATION OF PRECISION MEDICAL EDUCATION ACROSS THE MEDICAL EDUCATION CONTINUUM
- POTENTIAL IMPACT OF PRECISION MEDICAL EDUCATION ON POPULATION-SCALE HEALTH INEQUITIES
- CONCLUSION
- References
- Part II: From Surface to Structures
- 3. Creating a More Equitable Medical School ExperienceFostering Well-Being and Inclusivity in Medical Education Through Varied Curricular Timelines
- Abstract
- Outline
- SUMMARY
- INTRODUCTION
- UNDERSTANDING THE FOUNDATION OF OUR CURRENT MEDICAL EDUCATION SYSTEM
- THE CHANGING CURRICULUM
- EMBRACING 5-YEAR CURRICULAR TIMELINES
- DEVELOPING AND MAINTAINING DEDICATED HOLISTIC, HIGH-TOUCH STUDENT SUPPORTS
- REIMAGINING ASSESSMENT AND EVALUATION
- HISTORY AND PITFALLS OF STANDARDIZED TESTING
- SHIFT TOWARD COMPLETELY COMPETENCY-BASED EDUCATION
- MULTIPLE MEANS OF ASSESSMENT
- TAKE-HOME POINTS
- CONCLUSION
- References
- 4. From Empathy to Epistemic JusticeReconceptualizing Disability in Medical Education Using the 4R Model
- Abstract
- Outline
- SUMMARY
- INTRODUCTION
- REFLECTING ON HISTORICAL AND PERSONAL ASSUMPTIONS: TRANSDISCIPLINARY APPROACHES TO CULTIVATING AWARENESS
- REFRAMING CATEGORIES OF EXCLUSION: STRATEGIES FOR EMBRACING LIVED EXPERIENCE
- REVOICING THE LIVED EXPERIENCE: TRANSFORMING LEARNERS INTO ADVOCATES FOR EPISTEMIC JUSTICE
- Revisiting Lingering Assumptions: Toward an Ongoing Effort of Personal and Educational Transformation
- CONCLUSION
- VIGNETTE: CRIP POETRY AND MODES OF REVOICING: “POEMS WITH DISABILITIES,” JIM FERRIS
- References
- Part III: Case Studies: Curriculum and Pedagogy
- 5. Healing-Centered Pedagogy Understanding and Addressing Minoritized and Marginalized Trauma, Stress, and Healing in Medical Education
- Abstract
- Outline
- SUMMARY
- UNDERSTANDING THE RELATIONSHIP BETWEEN OPPRESSION, DISCRIMINATION, TRAUMA, AND STRESS
- DISCRIMINATION TRAUMA AND STRESS IN A MEDICAL EDUCATION CONTEXT
- EFFECTS OF ABLEISM AND INTERNALIZED ABLEISM
- TOWARD HEALING-CENTERED PEDAGOGY
- CONCLUSION
- TAKE-HOME POINTS
- References
- 6. Dismantling Ableism in Interprofessional Medical Education to Promote Health Equity for People With Disabilities
- Abstract
- Outline
- SUMMARY
- POSITION STATEMENT FROM THE AUTHORS
- INTRO VIGNETTE
- BACKGROUND
- PERSPECTIVES ABOUT DISABILITY AND HEALTH PROFESSIONALS' EDUCATION FROM AN INTERPROFESSIONAL COLLECTIVE
- INTERPROFESSIONAL EDUCATION FRAMEWORK FOR COMBATING ABLEISM IN HEALTH PROFESSIONS EDUCATION
- CRITICAL DISABILITY STUDIES AND DISABILITY JUSTICE
- THE PATH TO DISMANTLING ABLEISM AND REIMAGINING EDUCATION
- CONCLUDING VIGNETTE
- CONCLUSION
- References
- 7. The “Add-A-Slide” ApproachA Practical Solution for Integrating LGBTQ+ Health Topics into Undergraduate Medical Education
- Abstract
- Outline
- SUMMARY
- INTRODUCTION
- FORMING THE ACTION GROUP
- CURRICULAR INTEGRATION
- ITERATIVE EVALUATION OF THE CURRICULUM
- DISCUSSION
- CONCLUSION
- TAKE-HOME POINTS
- QUESTIONS FOR FURTHER THOUGHT
- References
- 8. Engaging Pediatric Providers in Racial Equity EducationProcess, Reflections, and Next Steps
- Abstract
- Outline
- SUMMARY
- INTRODUCTION
- GROUP LEADER CONSIDERATIONS
- BEGINNING TRAINING
- SAFETY CONSIDERATIONS
- ASSIGNMENT SELECTION CONSIDERATIONS
- CONSIDERATIONS FOR PARTNERED AND SMALL-GROUP DISCUSSIONS
- AFTER THE INITIAL GROUP DISCUSSION
- VIGNETTE 1
- VIGNETTE 2
- ADDITIONAL CONSIDERATIONS
- CONCLUSION
- References
- 9. Training the 21st-Century PhysicianHealth Equity, Cutting-Edge Technology and Pedagogy, and a Global Perspective
- Abstract
- Outline
- SUMMARY
- VIGNETTE 1: A 20TH-CENTURY PATIENT ENCOUNTER
- INTRODUCTION: CHALLENGES FACING MEDICAL EDUCATION
- SECTION 1. MEDICINE AND STRUCTURAL VIOLENCE
- SECTION 2. TRANSFORMATIVE TECHNOLOGIES
- SECTION 3. TECHNOLOGIES AND THE CLINICAL EVALUATION
- SECTION 4. AN INTERCONNECTED WORLD
- SECTION 5. EDUCATIONAL NEEDS OF TRAINEES
- VIGNETTE 2: A 21ST-CENTURY PATIENT ENCOUNTER
- CONCLUSION
- ACKNOWLEDGMENTS
- DISCLOSURES
- References
- 10. Building a Diverse and Equitable Future The Role of Geographic Information Systems, Spatial Analysis, and Social Justice in Medical Education
- Abstract
- Outline
- SUMMARY
- INTRODUCTION
- WHAT IS MEDICAL OR HEALTH GEOGRAPHY LITERACY?
- PROMOTING HEALTH EQUITY THROUGH MEDICAL GEOGRAPHY
- SOCIAL JUSTICE AND MEDICAL EDUCATION
- GEOGRAPHIC INFORMATION SYSTEMS AND SPATIAL ANALYSIS FOR HEALTH EQUITY IN MEDICAL EDUCATION
- OVERCOMING CHALLENGES AND FUTURE DIRECTIONS
- TAKE-HOME POINTS
- ANNOTATED BIBLIOGRAPHY
- References
- Part IV: Case Studies: Admission, Selection, Pathways, and Pipelines
- 11. The Mission-Based Program ModelA Programmatic Framework to Drive Diversity and Health Equity in Medical Education
- Abstract
- Outline
- SUMMARY
- INTRODUCTION
- BACKGROUND
- THE CORE CURRICULAR PILLARS OF A MISSION-BASED PROGRAM
- OUTREACH AND RECRUITMENT
- COMMUNITY BUILDING
- ADMINISTRATION AND FUNDING
- DIVERSIFYING THE PHYSICIAN WORKFORCE
- ENVISIONING THE FUTURE
- SUMMARY
- References
- 12. Re-imagining Clinical InterviewingBridging the Gap Between Theory and Practice for Equitable Care
- Abstract
- Outline
- SUMMARY
- INTRODUCTION: UNDERSTANDING THE CARE GAP
- PROFESSIONALIZATION AND POWER DIFFERENTIALS IN HEALTH CARE
- THE CURRENT STATE OF CLINICAL INTERVIEWING TRAINING
- CURRENT TRAINING IN EQUITABLE/ANTIRACIST CLINICAL CARE
- WHERE DO WE GO FROM HERE?
- BRIDGING ACROSS THE COMMUNICATION GAP
- MAPPING CLINICAL ENCOUNTERS
- CONCLUSION
- DISCLOSURE
- References
- Part V: Case Studies: Community Partnerships
- 13. Community-Directed Graduate Medical Education as a Pathway to Improved Health Equity and Social Justice
- Abstract
- Outline
- SUMMARY
- SECTION 1: THE ORIGINS AND CONSEQUENCES OF HOSPITAL-BASED GRADUATE MEDICAL EDUCATION
- SECTION 2: PARTNERING COMMUNITIES AND GRADUATE MEDICAL EDUCATION PROGRAMS
- SECTION 3: GRADUATE MEDICAL EDUCATION AND SOCIAL ACCOUNTABILITY
- CONCLUSION
- TAKE-HOME POINTS
- QUESTIONS FOR FURTHER THOUGHT
- References
- Annotated Bibliography
- 14. Social Responsibility as the North Star to Transform Medical Education
- Abstract
- Outline
- SUMMARY
- INTRODUCTION
- THE IMPERATIVE FOR CHANGE
- DRIVING CHANGE THROUGH EDUCATION
- MAKING CHANGE AND TRANSFERRING TO YOUR CONTEXT
- BUILDING INSTITUTIONAL SUPPORT AND MAKING CHANGE
- CONCLUSION
- TAKE-HOME POINTS
- References
- Part VI: Case Studies: Leadership, Culture, and Climate Change
- 15. Leveraging the Underrepresented in Medicine Minority Faculty ExperienceA Platform for Addressing Health Equity and Racial Justice in Medical Education
- Abstract
- Outline
- SUMMARY
- INTRODUCTION
- BACKGROUND
- CHALLENGES TO UNDERREPRESENTED IN MEDICINE FACULTY IN ACADEMIA
- UNDUE BURDENS ON UNDERREPRESENTED IN MEDICINE FACULTY
- IMPROVING THE UNDERREPRESENTED IN MEDICINE FACULTY PRESENCE AND EXPERIENCE IN ACADEMIA
- FRAMEWORK FOR INSTITUTIONAL SUPPORT AND CAREER SUCCESS
- STRATEGIES FOR INTEGRATING HEALTH EQUITY AND RACIAL JUSTICE FOR UNDERREPRESENTED IN MEDICINE FACULTY IN MEDICAL EDUCATION
- LEVERAGING HEALTH EQUITY AND RACIAL JUSTICE EDUCATION IN THE CLINICAL ENVIRONMENT
- FUTURE DIRECTIONS: ADVANCING HEALTH EQUITY AND RACIAL JUSTICE IN MEDICAL EDUCATION
- References
- 16. Dismantling the Complex Systems of Power and Privilege in Medical Education Through Change Management
- Abstract
- Outline
- SUMMARY
- INTRODUCTION
- POWER AND PRIVILEGE
- HISTORICAL PERSPECTIVES AND CURRENT STATE IN MEDICINE
- HOW TO MANAGE THE TRANSITION TO CHANGE—KOTTER AND BRIDGES
- CONCLUSION
- References
- 17. Reimagining Health Care Professional Education to Embrace Socioeconomically Diverse Learners
- Abstract
- Outline
- SUMMARY
- SECTION 1: BACKGROUND
- SECTION 2: A COMMON LANGUAGE
- SECTION 3: ADMISSION TO MEDICAL PROGRAMS
- SECTION 4: CURRICULUM DESIGN IN HEALTH PROFESSIONS EDUCATION
- SECTION 5: AN OPPORTUNITY FOR MEDICAL EDUCATION RESEARCH
- TAKE-HOME POINTS
- References
- Glossary
- Index
- Language: English
- Edition: 1
- Published: September 18, 2024
- Imprint: Elsevier
- Paperback ISBN: 9780443286711
- eBook ISBN: 9780443286728
EB
Eduardo Bonilla-Silva
Affiliations and expertise
James B. Duke Distinguished Professor of Sociology, Duke Trinity College of Arts and Sciences, Durham, NC, USAEH
Emily A. Haozous
Affiliations and expertise
Research Scientist, Pacific Institute for Research and Evaluation, Albuquerque, NM, USAGK
Gerald Kayingo
Assistant Dean of Research, Executive Director, Physician Assistant Leadership and Learning Academy, University of Maryland, Baltimore, Maryland
Affiliations and expertise
Assistant Dean of Research, Executive Director, Physician Assistant Leadership and Learning Academy, University of Maryland, Baltimore, MarylandWM
William McDade
Affiliations and expertise
Chief Diversity and Inclusion Officer, Accreditation Council for Graduate Medical Education, Chicago, IL, USALM
Lisa Meeks
Affiliations and expertise
Associate Professor of Family Medicine and Learning, Health Sciences, Meeks Research Group, University of Michigan, Ann Arbor, MI, USAAN
Ana Núñez
Affiliations and expertise
Vice Dean, Diversity, Equity and Inclusion, Professor of Medicine, Division of General Internal Medicine, University of Minnesota Medical School, Minneapolis, MN, USATO
Toyese Oyeyemi
Affiliations and expertise
Executive Director, Social Mission Alliance, Washington, DC, USAJS
Janet Southerland
Affiliations and expertise
Vice Chancellor Academic Affairs and Chief Academic Officer, LSU Health Sciences Center, New Orleans, New Orleans, LA, USAJS
Javeed Sukhera
Affiliations and expertise
Chief of Psychiatry, Hartford Hospital, Hartford, CT, USA