Asunto(s)
Isquemia/fisiopatología , Fenilefrina/administración & dosificación , Priapismo/fisiopatología , Vasoconstrictores/administración & dosificación , Adulto , Biopsia con Aguja Fina , Servicio de Urgencia en Hospital , Humanos , Isquemia/complicaciones , Isquemia/terapia , Masculino , Pene/irrigación sanguínea , Priapismo/etiología , Priapismo/terapia , Recurrencia , Resultado del TratamientoAsunto(s)
Aneurisma Falso/diagnóstico por imagen , Aneurisma Roto/diagnóstico por imagen , Arteria Femoral/diagnóstico por imagen , Ingle/patología , Aneurisma Falso/cirugía , Aneurisma Roto/cirugía , Angiografía por Tomografía Computarizada , Servicio de Urgencia en Hospital , Femenino , Arteria Femoral/cirugía , Ingle/diagnóstico por imagen , Ingle/cirugía , Humanos , Persona de Mediana Edad , Sistemas de Atención de Punto , Resultado del Tratamiento , Ultrasonografía Doppler en Color , Procedimientos Quirúrgicos VascularesRESUMEN
Critical examination of "health disparities" is gaining consideration in medical schools across the United States, often as elective curricula that supplement required education. However, there is disconnect between discussions of race and disparities in these curricula and in core science courses. Specifically, required preclinical science lecturers often operationalize race as a biological concept, framing racialized disparities as inherent in bodies. A three- and five-month sampling of lecture slides at the authors' medical school demonstrated that race was almost always presented as a biological risk factor.This presentation of race as an essential component of epidemiology, risk, diagnosis, and treatment without social context is problematic, as a broad body of literature supports that race is not a robust biological category. The authors opine that current preclinical medical curricula inaccurately employ race as a definitive medical category without context, which may perpetuate misunderstanding of race as a bioscientific datum, increase bias among student-doctors, and ultimately contribute to worse patient outcomes.At the authors' institution, students approached the medical school administration with a letter addressing the current use of race, urging reform. The administration was receptive to proposals for further analysis of race in medical education and created a taskforce to examine curricular reform. Curricular changes were made as part of the construction of a longitudinal race-in-medicine curriculum. The authors seek to use their initiatives and this article to spark critical discussion on how to use teaching of race to work against racial inequality in health care.