Tag: social justice

Joniqua Ceasar Joniqua Ceasar (4 Posts)

Contributing Writer

Baylor College of Medicine


Joniqua Ceasar is a member of Baylor College of Medicine's Class of 2018. She is passionate about social justice within medicine and plans to engage in a career of public health. When she isn't memorizing facts from First Aid, you can find her working on a D.I.Y craft project, tweeting via @rxforjustice, or trying to hop on a plane to a Spanish-speaking country.




Doctors Against DAPL

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.

Pursuing Medicine: Reflection of a Senior Medical Student

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.

It’s Time We Talk About Police Safety With Our Patients

“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.

I Am a Brand New Intern, and This Is How I Show Solidarity with Black Lives Matter, by Katharine Lawrence, MD

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.

Racial Discrimination as an African-American Medical Student

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!

Doctors Don’t Like Fat People

“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?”

Student Protests Reveal a Systemic Disease

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.

Corruption

Shortly before returning to the United States for the holidays from Malawi, a truck full of police and military men pulled up next to my car as I was driving and demanded my driver’s license. They claimed I was “dangerously parked” while stopped in a long queue of traffic to let my friends hop out across from a bus station and would, therefore, be fined K10,000 (approximately $18).

Obesity Pep Talk

She just sat there and listened — what else could she do? Did he really think it was the first time she had heard this? Was the rehearsed monologue supposed to elicit some sort of epiphany? One of our pre-clinical instructors told us a story about how she went to the doctor’s office to get a refill, only to receive a 20-minute lecture about her weight by a resident. She walked out of the office both irritated and empty-handed, her refill not completed: “I know I need to lose weight!” But, at that juncture, and in that manner, she felt it simply was not the appropriate discussion.

The Neglected Importance of Relative Inequality in Fighting For Better Health

As future physicians, understanding the consequences of absolute resource levels impact health is critical. A physician who advises a better diet to somebody without the ability to act on that advice is of little more use than the physician who prescribes an imaginary medication. However, institutes of medical education do a disservice to their students by keeping the conversation so narrow. Medical schools must begin to more fully teach how relative inequality impacts health.

Seeing Past the Unicorns In Medicine, by Valencia Walker, MD

As an “underrepresented minority” in medicine, my personal experiences of mistreatment while navigating the challenges of pursuing this career are mostly invisible to the rest of society, but I know that they are far from mythical or unique. In fact, my experiences harmonize perfectly with the tales of so many African-American physicians before me and even in the accounts of the students I currently mentor. Everyone asks, “Aren’t things different now for African-Americans?” Yes. But, are they better? Sadly, not exactly.

Valencia Walker, MD Valencia Walker, MD (1 Posts)

Physician Guest Writer

David Geffen School of Medicine UCLA


Dr. Valencia Walker is an Assistant Clinical Professor at the David Geffen School of Medicine UCLA. She is a practicing neonatologist with research interests focused on optimizing maternal-child health for local and international communities. As the Associate Medical Director of the UCLA Santa Monica NICU and Medical Director for UCLA Ronald Reagan Medical Center Newborn Nursery, Dr. Walker works as the physician champion for several projects designed to improve outcomes for the mother-infant dyad. Dr. Walker also travels to countries such as India, Guatemala, Tanzania and Haiti for medical mission trips. She has been dedicated to providing care for sick children and working in collaboration with local health officers to improve medical infrastructures as well as address the social, economic and health inequities within these countries.

Dr. Walker sits on a national committee for the Association of American Medical Colleges that is charged with crafting the design and implementation of policy statements that shape the country’s narrative surrounding barriers to better health outcomes in the United States. At the state level, she is Chairperson of the Ethnic Medical Organizations Section of the California Medical Association (CMA) and previously served on the CMA’s Science and Public Health Reference Committee which advises and guides the policies supported by the CMA for the welfare of patients and providers. Additionally, Dr. Walker is the current president for the Association of Black Women Physicians (ABWP). The mission of ABWP is to advocate for achieving health equity across traditionally underserved communities and eliminating the health disparities that exist.