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      <title>Embedded Racism: Medical Education, Diagnostic Tests, COVID-19, &amp; BLM by Mary Kardos</title>
      <link>https://padlet.com/makardos7/govt392</link>
      <description>Mary Kardos - GOVT 392 </description>
      <language>en-us</language>
      <pubDate>2020-11-18 02:59:01 UTC</pubDate>
      <lastBuildDate>2023-03-01 19:48:37 UTC</lastBuildDate>
      <webMaster>hello@padlet.com</webMaster>
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         <title>Introduction</title>
         <author>makardos7</author>
         <link>https://padlet.com/makardos7/govt392/wish/934838028</link>
         <description><![CDATA[<div>At some point, we all need to visit a doctor. For many people, going to the doctor may be a stressful or scary experience, but for others, they may actually fear for their lives in certain medical situations, simply because they are Black. In her book <em>Medical Apartheid, </em>author Harriet Washington outlines 'black iatrophobia,' which she defines as "<strong>the fear of medicine present in the black community as a result of a long history of involuntary, unethical and non-therapeutic treatment by medical professionals and institutions." </strong>This does not just stem from an unsubstantiated fear- the US government, among other individuals, have done countless <a href="https://www.cdc.gov/tuskegee/timeline.htm">dangerous experiments </a>formerly on slaves and, even more recently, on Black citizens. These experiments include forced sterilization, un-anesthetized surgical procedures, and dangerous treatments. <strong><em>So, what happens when the medical institutions, who are supposed to help you, were built against you?</em></strong><br><br>This exhibition explores the specifics of how racism and discrimination are baked into America's medical system and the treatment of Black patients. The webpage explores three topics in-depth: racism in medical education and the training of future healthcare professionals, racism in diagnostic tests and algorithms, and medical racism in current events such as the COVID-19 pandemic and Black Lives Matter. <br><br><strong><em>Racism in Medical Education and Medical Training<br></em></strong>This section demonstrates the importance of examining the medical curriculum and of promoting fair and equitable training for all healthcare professionals. According to the Association of American Medical Colleges (AAMC), <a href="https://www.aamc.org/data-reports/workforce/interactive-data/figure-18-percentage-all-active-physicians-race/ethnicity-2018">in 2019</a>, only 5% of active physicians identified Black. With it being so difficult for Black patients to find Black doctors, who may be able to better understand their trepidations, it is even more imperative to train all doctors to treat patients equitably and without propagating racist stereotypes. It is also important to explore options of diversifying the medical field. <br><br><strong><em>Racism in Diagnostic Tests and Algorithms <br></em></strong>No matter how well we train our doctors, there is evidence that the actual medicine and 'mathematical' formulas used to diagnose or determine treatment plans for patients are skewed against Black patients. This section outlines the various ways this manifests in medical practices, as well as steps that are being taken against these practices. <br><br><strong><em>Current Events: COVID-19 Pandemic &amp; Black Lives Matter <br></em></strong>The COVID-19 Pandemic is the gravest medical emergency of our lifetimes and systemic racism and discrimination are proving to be integral in <a href="https://www.cdc.gov/coronavirus/2019-ncov/community/health-equity/race-ethnicity.html">Black individuals' higher risk</a> of contracting and dying of SARS-CoV-2. Additionally, the resurgence of the Black Lives Matter movement in June 2020 has reignited the importance of medical professionals and medical institutions diving deeper into their contributions to racism and inequity. <strong><em><br><br>Conclusion<br></em></strong>The extensive effects of systemic racism greatly complicate the discourse surrounding the second-class care Black patients receive in healthcare, yet there are specific and tangible changes that can be made to improve patient care and patient health. Black patients do not deserve to be unfairly and incorrectly treated. Medical Racism is a malignancy embedded deep into the medical body, and we must do everything in our power to diminish it. </div>]]></description>
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         <pubDate>2020-11-18 03:00:58 UTC</pubDate>
         <guid>https://padlet.com/makardos7/govt392/wish/934838028</guid>
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         <title>&quot;Black doctors want to vet vaccine process, worried about mistrust from years of medical racism&quot;</title>
         <author>makardos7</author>
         <link>https://padlet.com/makardos7/govt392/wish/938815826</link>
         <description><![CDATA[<div><strong>Article written by Meryl Kornfield published by </strong><strong><em>The Washington Post</em></strong><strong> on September 26, 2020<br></strong><br>With the race to test and distribute a COVID-19 vaccine, Black doctors have expressed fear and trepidation concerning the process. Combined with the political influences that have become intertwined with the vaccine, medical racism lends itself to a sense of mistrust in medicine. A panel of Black doctors will vet the process to help assuage fears in minority communities.  </div>]]></description>
         <enclosure url="https://www.washingtonpost.com/nation/2020/09/26/black-vaccine-mistrust/?utm_source=twitter&amp;utm_medium=social&amp;utm_campaign=wp_main" />
         <pubDate>2020-11-18 20:44:21 UTC</pubDate>
         <guid>https://padlet.com/makardos7/govt392/wish/938815826</guid>
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         <title>&quot;Diagnosing and Treating Systemic Racism&quot; - NEJM Response to the 2020 Black Lives Matter Protests </title>
         <author>makardos7</author>
         <link>https://padlet.com/makardos7/govt392/wish/938832915</link>
         <description><![CDATA[<div><strong>From the </strong><strong><em>New England Journal of Medicine</em></strong><em> </em><strong>published November 18, 2020 <br><br></strong>This incredibly moving response is important coming from the NEJM, which is the world's leading medical journal. The authors acknowledge and speak on the role of systemic racism, slavery, social justice, COVID-19, and police brutality affect the medical profession and treatment of Black patients. <br><br></div><blockquote>For physicians, the words “I can’t breathe” are a primal cry for help. As many physicians have left their comfort zones to care for patients with Covid-19–associated respiratory failure, the role of the medical profession in addressing this life defining need has rarely been clearer. But as George Floyd’s repeated cry of “I can’t breathe” while he was being murdered by a Minneapolis police officer has resounded through the country, the physician’s role has seemed less clear. Police brutality against black people, and the systemic racism of which it is but one lethal manifestation is a festering public health crisis. Can the medical profession use the tools in its armamentarium to address this deep-rooted disease?</blockquote>]]></description>
         <enclosure url="https://padlet-uploads.storage.googleapis.com/785310355/1130d547d4009e99b11f0ddcd914c483/NEJM_editorial.pdf" />
         <pubDate>2020-11-18 20:49:06 UTC</pubDate>
         <guid>https://padlet.com/makardos7/govt392/wish/938832915</guid>
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         <title>&quot;Dermatology Has a Problem with Skin Color&quot; </title>
         <author>makardos7</author>
         <link>https://padlet.com/makardos7/govt392/wish/938835020</link>
         <description><![CDATA[<div><strong>written by Roni Caryn Rabin, published by </strong><strong><em>The New York Times</em></strong><strong> on August 30, 2020<br><br></strong>This fascinating article deeply articulates the problems in the dermatology field with diagnosing skin conditions on Black patients. Because many students do not learn how skin conditions present on skin darker than white, many cannot diagnose or recognize these conditions. Dermatology is incredibly important, as it can often serve as the first signs of a larger, more serious problem inside the body. <br><br></div><blockquote>"Black patients are generally less likely than whites to see a dermatologist and less likely to undergo screening for skin cancer. Even when they do see a dermatologist, studies have shown, Black patients <a href="https://jamanetwork.com/journals/jamadermatology/article-abstract/2759773">are less likely to get certain treatments</a> than white people with the same conditions, like oral antibiotics for acne."</blockquote>]]></description>
         <enclosure url="https://www.nytimes.com/2020/08/30/health/skin-diseases-black-hispanic.html?smtyp=cur&amp;smid=tw-nytimes" />
         <pubDate>2020-11-18 20:49:43 UTC</pubDate>
         <guid>https://padlet.com/makardos7/govt392/wish/938835020</guid>
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         <title>&quot;Absence of images of skin of color in publications of COVID‐19 skin manifestations&quot;</title>
         <author>makardos7</author>
         <link>https://padlet.com/makardos7/govt392/wish/938839492</link>
         <description><![CDATA[<div><strong>From the </strong><strong><em>British Journal of Dermatology</em></strong><em> </em><strong>in 2020<br><br></strong>This recently published article demonstrates a continuation of the issues highlighted in the NYT dermatology article but with specific concern to COVID. The analysis of photographic representations of skin manifestations highlights yet another ingrained contributor to medical and systemic racism. </div>]]></description>
         <enclosure url="https://padlet-uploads.storage.googleapis.com/785310355/cbb04788f7f8fff698dd2f9942ca2ce0/BritishJournalofDerm.pdf" />
         <pubDate>2020-11-18 20:50:59 UTC</pubDate>
         <guid>https://padlet.com/makardos7/govt392/wish/938839492</guid>
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         <title>&quot;The US medical system is still haunted by slavery&quot;</title>
         <author>makardos7</author>
         <link>https://padlet.com/makardos7/govt392/wish/938849795</link>
         <description><![CDATA[<div><strong>From </strong><strong><em>Vox</em></strong><strong>, published December 7, 2017<br><br></strong>This video provides necessary context and background information on medical racism, racist experiments, and the role that slavery played in the creation of stereotypes and the ability for white physicians to leverage control over Black patients. From this source, one can easily trace the remnants and strongholds of racism in practically all fields of contemporary medicine. </div>]]></description>
         <enclosure url="https://youtu.be/IfYRzxeMdGs" />
         <pubDate>2020-11-18 20:53:48 UTC</pubDate>
         <guid>https://padlet.com/makardos7/govt392/wish/938849795</guid>
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         <title>Pearson&#39;s Apology for Encouraging Racist thinking in Nursing Textbooks </title>
         <author>makardos7</author>
         <link>https://padlet.com/makardos7/govt392/wish/938877565</link>
         <description><![CDATA[<div><strong>Apology video for racism found in nursing textbooks posted by </strong><strong><em>Pearson</em></strong><strong> on October 19, 2017<br><br></strong>In 2017, textbook company Pearson 'became' aware of their published nursing textbooks which included incredibly racist assumptions and stereotypes about minority patients. These assumptions dangerously contribute to the teaching and training of future healthcare workers. They insinuate that they should treat patients differently because of their race/ethnicity, unsubstantiated concepts that <a href="https://www.washingtonpost.com/news/to-your-health/wp/2016/04/04/do-blacks-feel-less-pain-than-whites-their-doctors-may-think-so/">studies</a> have shown many physicians falsely believe. One section of the book was titled "Cultural Differences in Response to Pain" and categorizes it as follows: </div><ul><li>"<strong>Arabs/Muslims</strong>: may not request pain medicine but instead thank Allah for pain if it is the result of a healing medical procedure”</li><li>"<strong>Blacks</strong>: believe suffering and pain are inevitable.”</li><li>“<strong>Asians</strong>: Chinese patients may not want to ask for medication because they do not want to take the nurse away from a more important task"</li></ul>]]></description>
         <enclosure url="https://youtu.be/PnXjq6XdLw8" />
         <pubDate>2020-11-18 21:02:12 UTC</pubDate>
         <guid>https://padlet.com/makardos7/govt392/wish/938877565</guid>
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         <title>&quot;Racial bias skews algorithms widely used to guide care from heart surgery to birth, study finds&quot;</title>
         <author>makardos7</author>
         <link>https://padlet.com/makardos7/govt392/wish/938897160</link>
         <description><![CDATA[<div><strong>Article written by Sharon Begley, published by </strong><strong><em>Stat</em></strong><strong> on June 17, 2020<br><br></strong>Multiple studies have found numerous algorithms, tests, and values that are skewed against Black patients and prevent them from receiving equal treatment to White patients, many based on largely unsubstantiated and racist stereotypes or assumptions. These include the Heart Failure Risk Score, a risk factor used by cardiothoracic surgeons used to determine the risk of surgery, kidney failure, kidney donation, a tool that estimates risk for breast cancer, and an algorithm for giving birth.</div>]]></description>
         <enclosure url="https://www.statnews.com/2020/06/17/racial-bias-skews-algorithms-widely-used-to-guide-patient-care/" />
         <pubDate>2020-11-18 21:07:56 UTC</pubDate>
         <guid>https://padlet.com/makardos7/govt392/wish/938897160</guid>
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         <title>&quot;UW Medicine to exclude race from calculation of eGFR (measure of kidney function)&quot;</title>
         <author>makardos7</author>
         <link>https://padlet.com/makardos7/govt392/wish/938898282</link>
         <description><![CDATA[<div><strong>published May 29, 2020</strong><br><br>University of Washington Medicine is one of the first institutions to announce it will no longer use the "race factor" when looking at kidney function, an algorithm that often prevents Black patients from getting necessary dialysis and from being put on the transplant list early enough. This decision stems from a 2018 conversation where UW School of Medicine students began raising questions about the strength of the evidence underlying the differing values for Black patients.</div>]]></description>
         <enclosure url="https://medicine.uw.edu/news/uw-medicine-exclude-race-calculation-egfr-measure-kidney-function" />
         <pubDate>2020-11-18 21:08:17 UTC</pubDate>
         <guid>https://padlet.com/makardos7/govt392/wish/938898282</guid>
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         <title>Undoing Racism and Bias in Medical Education</title>
         <author>makardos7</author>
         <link>https://padlet.com/makardos7/govt392/wish/938908675</link>
         <description><![CDATA[<div><strong>video from</strong> <strong><em>Icahn School of Medicine</em></strong><strong> (Mount Sinai, in New York City) <br><br></strong> This video, created by medical students, "relays how leadership and medical students are collaboratively combating racism and bias in medical education." This doctors-in-training of color identified racism in their medical school curriculum and met with their administration to make a change. Since that meeting, students and faculty have attempted to work together to identify racism and help better train physicians for the future. </div>]]></description>
         <enclosure url="https://youtu.be/6D7Az-x_QpY" />
         <pubDate>2020-11-18 21:11:21 UTC</pubDate>
         <guid>https://padlet.com/makardos7/govt392/wish/938908675</guid>
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         <title>&quot;To Be Young, A Doctor And Black: Overcoming Racial Barriers In Medical Training&quot; </title>
         <author>makardos7</author>
         <link>https://padlet.com/makardos7/govt392/wish/952497136</link>
         <description><![CDATA[<div><strong>Segment on </strong><strong><em>NPR</em></strong><strong>, published July 1, 2020<br><br></strong>Dr. Hairston, among other physicians, outlines her experience as a Black physician, navigating racism in the medical school curriculum, and overcoming the racism she experiences as a minority in the medical field. <br><br></div><blockquote>"If you're ignoring this part of their experience, if you're not understanding the impact of being Black on them in this country and on their mental health, you're doing a disservice to them, and I don't know how you can treat them effectively." </blockquote>]]></description>
         <enclosure url="https://www.npr.org/player/embed/880373604/885729776" />
         <pubDate>2020-11-23 14:37:54 UTC</pubDate>
         <guid>https://padlet.com/makardos7/govt392/wish/952497136</guid>
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         <title>UNO&#39;s Dedication to Achieving Racial Equity in Organ Transplantation</title>
         <author>makardos7</author>
         <link>https://padlet.com/makardos7/govt392/wish/952599260</link>
         <description><![CDATA[<div><strong>June 15, 2020 <br></strong><br>Following the murder of George Floyd and the Black Lives Matter protests, the United Network for Organ Sharing (UNOS) put out a statement dedicated to racial equity. While action means more than words, an acknowledgment of their role in medical racism is a good first step. <br><br></div><blockquote>"However, we must acknowledge as a transplant community that racial disparities continue to exist in transplantation, as evidenced in several recent publications...the reasons for these disparities are medically and socially complex, and we must continually strive to reduce these inequities." </blockquote>]]></description>
         <enclosure url="https://unos.org/news/racial-equity-in-transplantation/" />
         <pubDate>2020-11-23 15:00:37 UTC</pubDate>
         <guid>https://padlet.com/makardos7/govt392/wish/952599260</guid>
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         <title>&quot;Physician Silence is Violence&quot; - Doctors and the Black Lives Matters Movement </title>
         <author>makardos7</author>
         <link>https://padlet.com/makardos7/govt392/wish/952610992</link>
         <description><![CDATA[<div><strong>from </strong><strong><em>Axios</em></strong><strong> article published on June 10, 2020<br><br></strong>Many healthcare professionals participated in the BLM Protests. Recognition is an important first step, yet it is imperative to examine and make changes to the medical field from the point of education into practice.</div>]]></description>
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         <pubDate>2020-11-23 15:03:18 UTC</pubDate>
         <guid>https://padlet.com/makardos7/govt392/wish/952610992</guid>
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