It is not uncommon for transgender and gender-nonbinary individuals (TGNB) to be misgendered by healthcare providers or in the healthcare setting. This negatively affects their health and their relationship with their providers. Leaders in the field of transgender and non-binary healthcare recommend asking about a person’s pronouns and integrating pronoun introductions into the clinical setting.
You don’t have to sit in silence and painfully nod along with an attending’s racist, misogynistic lectures because you’re their medical student. You don’t need to pick the skin off your cuticles to stop yourself from replying. You don’t need to learn how to hide your grimaces behind your mask because you know you’ll have to listen to them attack your identity for the next several weeks.
So, what is planetary health? It refers to a burgeoning field focused on understanding the health impacts of human-caused disruptions of Earth’s natural systems, including climate change and environmental pollution. This also encompasses the immediate and downstream health threats from such disruptions, which have impacts on communities at the local level — Philadelphia is no exception.
As many urban academic medical centers have become the world’s leaders in research and patient care, their bordering neighborhoods have suffered through decades of disinvestment and economic blight. Medical students often receive their first years of training in hospitals that serve these disadvantaged populations. While the current focus on social determinants of health represents a rising cornerstone of medical education, what else do medical students need to know about inner city poverty?
Yes, unfortunately, I have become one of the sixty thousand and rising daily cases in the nation.
Yet I am one of the lucky ones.
Medicine is a discipline that claims to be based on empirical and scientific truth about human nature. Instead, its knowledge and practice are often steeped in biases like racism. For example, medicine was used in the nineteenth century to justify slavery due to the “biologically inherent superiority” of White races.
As a White male, there are certain things that I will never understand. I was raised in an upper-middle-class family in a safe neighborhood — one with adequate resources, education and funding. I have never had to live in fear in my community, worry about my safety on my street, or been threatened or condemned because of how I look. My reality is inexplicably shaped by the privilege and opportunities that I have been given. I realize that to me, racism appears nonexistent because I have not seen it.
I knew I moved through these spaces easily for many reasons, but being White is a big one that needs to be said out loud. And when you look and feel more comfortable in a space, it is easier to perform “well,” or to sound confident. This is directly related to what academic medicine characterizes as “objective” evaluations of students, and there is data to support this.
Is medical education doing enough to address future physicians’ abilities to understand the perspectives of their patients? As a medical student, my growing disillusionment begins with medical school and the lack of opportunities afforded to us during our education to discuss matters such as racial inequality.
Yet another Black man murdered. / I am not Black, I am not White, but I am American. / We were established on the idea of a collective “we” — we, the people, despite creed or color.
A mourning sun cries as she tucks away / the night to uncover red and blues / lumps of fabric and skin on gritty sand below.
I am calling for international solidarity and aid for Yemenis who are currently living in the worst conditions imaginable without clean water, food or shelter. Today in Yemen, there is war, an economic crisis, cholera outbreaks, the Chikungunya virus and COVID-19, all in the same country.