In promoting health justice, our team at Systemic Disease believes it is vital to recognize the connection between bias and adverse health outcomes. We utilized a discussion model provided by In-Training’s Beyond Illness Roundtable toolkit to guide a discussion on such interactions that exist across all interprofessional relationships and those that may cloud, strain and negatively impact individuals from teaching, learning and, above all, healing.
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With the future of the Affordable Care Act uncertain under President Trump, many Americans are left worrying how they will manage without health care. The Americans who must shoulder this burden are disproportionately people of color. It should come as no surprise to those familiar with the history of health care in this country that once again our system, purportedly built to protect and promote health, is systematically ignoring the right to health care for communities of color.
When I was six, a set of strawberry hair ties foiled my endeavor for independence. My mother had a way of twisting the plastic ornaments at the end of her operation so they sat together like two friends on a bus, neat and obedient at the crown of my head. Despite my assertions, (“I can do it myself!”) I could never align their orbits.
On Thursday, many of you will gather round a dinner table with your loved ones and give gratitude for your friends, family and good fortune. Many of you will think of the meal associated with the inception of this holiday, be filled with warm fuzzy feelings and gloss over the real history surrounding the relationship between those who supposedly attended the first “Thanksgiving” dinner. After eating a second helping of Grandma’s famous pie, few will be concerned about the side of historical oppression or racist colonization offered with this dinner because well, that isn’t so palatable.
As a fourth-year medical student, I enjoy introducing myself to patients as the “extra eyes and ears of the team, so feel free to tell me anything you forgot or would like to address, even if you think it’s irrelevant or burdensome. I will be your advocate.” As I establish rapport with them, the walls come down, and they often provide important information that helps my team provide the best care for them.
“Here is what I would like you to know,” writes Ta-Nehisi Coates to his son in his New York Times bestselling book Between the World and Me. “In America, it is tradition to destroy the black body — it is heritage.” Drawing on recent events, Coates shines a bright light on the very tangible obstacles African-Americans face in our country. Unfortunately, this is a reality that has largely been swept under the rug by the rest of America, including its health care providers.It is time that healthcare providers, and in particular primary care providers, confront this reality.
Last week marked my first week as a doctor. Like thousands of my colleagues, I began intern year with a combination of enthusiasm and dread. On my first day of clinic, I woke well before dawn, full of nervous energy. I collected my precious intern paraphernalia — my stethoscope, my Pocket Medicine guide, and my crisp long white coat. I filled the pockets of my new uniform, smoothed the hems, and, as a finishing touch, began applying the pins I wore throughout medical school to the collar.
We lead babies couldn’t decipher it. It was pattern matching — something the cognitively impaired couldn’t do very well. Figure out the rules and pick the best option. If I let myself, it did feel futile.
My recent psychiatry clerkship inspired me to examine racial relations during third-year rotations. This reflection originated from a physician submitting a particularly disturbing evaluation of me. She wrote: “[The student does not] recognize and address personal limitations or behaviors that might affect their effectiveness as a physician … [The student is] defensive, rigid, intense and intrusive; unable to see nuances in human behavior that is necessary for analyses of the human psyche; lower emotional quotient than peers.” Her response left me with an open-jawed, stuporous gaze. I could not believe that she had made this kind of assessment after interacting with me in only two patient encounters for less than half a day!
“I could never be a primary care doctor,” my friend and fellow medical student says as she pops a french fry into her mouth. There are five or six of us sitting around a hospital cafeteria table, grabbing a quick lunch between our morning and afternoon lectures. “I mean, seeing fat people with diabetes and heart disease all day. It would just be so frustrating, because they did it to themselves, you know?”
As medical students, we recognize that bias in medicine is doubly damaging: it burdens our peers and it harms our patients. In the opening narratives we see both of these at play: in Micaela’s self-doubt and frustration, and in the intern’s judgment of their older, Latina patient. Such clinician bias has been increasingly shown to contribute to widespread health inequities.