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引用次数: 0
摘要
CMA Impact Inc.或其授权方已经开始对其不方便的过去进行清算,从推翻医学英雄到越来越多的人意识到医生如何治疗被殖民和奴役的人口。2018年,“现代妇科之父”j·马里恩·西姆斯(J. Marion Sims)的雕像被从纽约市中央公园移走,原因是身穿“血迹斑斑”的医院长袍的抗议者反对美化一位在被奴役的黑人妇女身上做实验的医生(图1)2020年,一名土著妇女乔伊斯·埃查泉(Joyce Echaquan)录制的视频发布,引发了街头抗议。她在魁北克一家医院因护士反复发出种族歧视言论而死亡。匹兹堡大学的医学生正在改写他们的希波克拉底誓言,以加入对社会正义的承诺。北美几个城市的医学期刊、专业医学协会和公共卫生当局宣布结构性种族主义是一场公共卫生危机。这些不是孤立的片段,而是一个故事的组成部分——医学中种族和殖民主义的过去、现在和未来。像西姆斯这样复杂的历史被编辑成一个英雄的叙述,试图“保留好的,留下坏的”,但将医学从其问题的过去中解脱出来并不能克服种族主义。相反,种族主义转入地下,在医疗机构中以无形的方式继续存在,导致误诊、病人护理不良、功能障碍、虐待和公众反弹。我们能做些什么呢?历史揭示了种族主义在卫生政策、医学研究、诊断、培训、临床空间、患者体验、专业精神和机构中的原因和方式。西姆斯之所以重要,正是因为他被认为是一名成功的医生,受到同事们的赞扬,被医疗机构奉为偶像。真实且未经修改的历史版《模拟人生》展示了“好”医生是如何做坏事的,它揭示了个体医生、文化、制度、知识、社会和权力相互交织以延续种族主义的具体方式。医学可以利用历史来帮助实现结构能力,这是一种跨学科的医学教育方法,将对结构不平等和社会决定因素的理解应用于临床护理
期刊介绍:
The Journal of the American Society for Horticultural Science publishes papers on the results of original research on horticultural plants and their products or directly related research areas. Its prime function is to communicate mission-oriented, fundamental research to other researchers.
The journal includes detailed reports of original research results on various aspects of horticultural science and directly related subjects such as:
- Biotechnology
- Developmental Physiology
- Environmental Stress Physiology
- Genetics and Breeding
- Photosynthesis, Sources-Sink Physiology
- Postharvest Biology
- Seed Physiology
- Postharvest Biology
- Seed Physiology
- Soil-Plant-Water Relationships
- Statistics