看见长长的阴影:学术医学的核心是种族压迫吗?

IF 1.3 4区 哲学 Q3 ETHICS
Thomas S Huddle
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引用次数: 0

摘要

在医学文献中,有关学术医学存在系统性种族主义的说法越来越常见。这些建议往往依赖于广义的系统性种族主义概念,而这些概念极具争议性。作者认为系统性种族主义是一个经验性概念,并对最近提出的学术医学在对待医学实习生方面存在系统性种族主义的观点进行了反驳:安德森等人的(《学术医学》,98(8S),S28-S36,2023 年)"漫长的阴影:医学教育中种族主义的历史视角"。与 "长长的阴影 "一文的作者相反,作者认为,医学教育中的种族表现差异如果没有经过仔细的实证证实,就不能有效地归因于种族主义;他还认为,不能仅仅因为少数族裔受训者在医学教育中处于不成比例的不利地位,就认为医学教育中的评估标准是种族主义的。此外,盎格鲁-欧洲西方的医学史和社会史并非如《漫长的阴影》一书的作者所言,最好被视为一个漫长的种族压迫故事,最终导致今天美国学术医学界普遍存在的种族主义。种族主义是我们历史和现在的一个令人遗憾的污点,但它并不是基督教、欧洲文明、西方医学或当代学术医学机构的历史本质。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
On Seeing Long Shadows: Is Academic Medicine at its Core a Practice of Racial Oppression?

Suggestions that academic medicine is systemically racist are increasingly common in the medical literature. Such suggestions often rely upon expansive notions of systemic racism that are deeply controversial. The author argues for an empirical concept of systemic racism and offers a counter argument to a recent suggestion that academic medicine is systemically racist in its treatment of medical trainees: Anderson et al.'s (Academic Medicine, 98(8S), S28-S36, 2023) "The Long Shadow: a Historical Perspective on Racism in Medical Education." Contra the authors of "The Long Shadow," the author argues that racial performance disparities in medical education cannot be validly attributed to racism without careful empirical confirmation; he further argues that standards of assessment in medical education cannot be properly deemed racist merely because minority trainees are disproportionately disadvantaged by them. Furthermore, the history of medicine and society in the Anglo-European West is not, as argued by the authors of "The Long Shadow," best viewed as one long tale of racial oppression culminating in the present day pervasive racism of academic medicine in the United States. Racism is a deplorable stain on our history and our present but it is not the historical essence of Christianity, European civilization, Western medicine, or contemporary academic medical institutions.

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来源期刊
Hec Forum
Hec Forum ETHICS-
CiteScore
3.70
自引率
13.30%
发文量
34
期刊介绍: HEC Forum is an international, peer-reviewed publication featuring original contributions of interest to practicing physicians, nurses, social workers, risk managers, attorneys, ethicists, and other HEC committee members. Contributions are welcomed from any pertinent source, but the text should be written to be appreciated by HEC members and lay readers. HEC Forum publishes essays, research papers, and features the following sections:Essays on Substantive Bioethical/Health Law Issues Analyses of Procedural or Operational Committee Issues Document Exchange Special Articles International Perspectives Mt./St. Anonymous: Cases and Institutional Policies Point/Counterpoint Argumentation Case Reviews, Analyses, and Resolutions Chairperson''s Section `Tough Spot'' Critical Annotations Health Law Alert Network News Letters to the Editors
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