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On behalf of the SNMA Publications Committee, it is our upmost pleasure to present to you the Fall 2017 JSNMA Issue: Addressing Racial Bias in Medicine. We are truly humbled by this opportunity to feature the courageous voices of our SNMA members who undertook this controversial yet delicate topic.Their diligence and creativity, combined with that of our team, have taken our vision for this issue to unexpected heights. From opinion pieces to research articles, it provides powerful insights regarding the influence of racism throughout the many dimensions of medicine.
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NOVEMBER2017
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Editor in chief
sergeine T. lezeau
EDITORs
carol harden
francess odibo
DESIGN / PRODUCTION
abner a. murray
CONTRIBUTING WRITERS
Boya Abudu
Taiwo Ajumobi
Misha Armstrong
Tim Baerg
Brenda Brown-Igboegwu
Brianna Caraet
Alyssa Gerth
Tiffani Houston
Naeemah Munir
Adib Rushdan
Milan Sheth
Arham Siddiqui
Danielle Ward
PRINTING
The Journal of the Student National Medical Association is published quarterly BY the SNMA, 5113 Georgia Avenue, NW, Washington,
DC 20011-5113.
For advertising and sub-scription information, please visit our website,
www.snma.org, or send an email to [email protected].
REPRINTI NG
To reprint articles appearing in this issue, reference the article using the following text: “This article was re-printed from the fall 2017 issue of the Journal of the Student National Medical Association, first published fall 2017 by [AUTHOR].
COPYRIGHT
This issue of the JSNMA is copyrighted by the Student National Medical Association. All rights reserved. © 2017
MEET THE TEAM
The Journal of the Student National Medical Association is published by the SNMA’s Publications Committee. A special thanks to our 2017-2018 Editorial Team!
sergeine t. lezeauis serving in her first year with SNMA as a Chairperson for the National Publications Committee. She received her Bachelor’s degree in Anthropology from the University of Florida before completing the Biology Honors Research Program at Florida Atlantic University. She is now a second-year medical student at Edward Via College of Osteopathic Medicine in Alabama, where she also serves as Vice President for the Hispanic Community Medical Outreach organization.
Abner A. MURRAYis a MD/PhD Candidate at Case Western Reserve University School of Medicine in Cleveland, Ohio. He rejoins the National Publications Committee as a Chair after serving for three years as a Co-Chair of the National Diversity Research Committee. He previously served on the SNMA’s Publications Committee as a col-laborator during his tenure as the National Publication Chair for the Latino Medical Student Association (LMSA).
carol hardengraduated from Alabama State University with a Bachelor of Science in Biology and a minor in Chemistry. She furthered her education by obtaining a Master of Science from the University of Alabama at Birmingham. Carol is currently a second-year medical student at Edward via College of Osteopathic Medicine (VCOM)-Auburn Campus. She serves as the SNMA Chapter Secretary at VCOM and is a VCOM Ambassador.
Francess Odibo is a public health student at the University of California, Berkeley. She is a 2017-2018 National Fu-ture Leadership Project fellow for SNMA, and is also a Youth Activism Fellow for Truth Initiative. She currently serves on the Student Health Advisory Committee where she represents the Black student body on the advisory board to Universi-ty Health Services. Her current research focuses on analyzing the experiences of URM students in premedical pipeline pro-grams within the UC system.
Journal of the Student National Medical Association
4
p.54
3Meet The Team
4Table of Contents
7Letter from the Editor-In-Chief
By: Sergeine Lezeau
8A 1000 Words
10Upcoming Events & Deadlines
12The importance of cultural competency in achieving clinical excellence in Medicine
By: Danielle M. Ward
14Racial bias in the context of medical education
By: Milan Sheth, MA
15Twenty-Four Times
By: Tiffani Houston, PhD
16Axiology and racial bias in medicine: Adiscussion of utilitarianism and moral desert
By: Arham Siddiqui
20An e-mail conversation between a medical student and an ethics lawyer
By: Taiwo T. Ajumobi
23Around the Membership
24How a formalized, medical student-led mentorship program aims to encourage underrepresented
minority undergraduate students to pursue medicine
By: Tim Baerg et al.
30Multidisciplinary initiatives to tackle racial bias: Reflections from UcSan Diego, School of Medicine
By: Naeemah Munir et al.
36Racial disparities in pediatric humeral condyle fractures in the emergency department
By: Brianna Caraet
Table of Contents
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p.30
p.16
p.58
founders' month of service
By: Adib Rushdan
54the role ofprogrammingin combatting racial bias
By: Adib Rushdan
56Cultural Competence &Medical Education: The teaching of associations that negatively impact patients
By: Misha Armstrong
58Experimentation on the blackfeminine rose
Anonymous
60Upcoming Opportunities
44Everyone deserves healthy staples
By: Brenda Brown-Igboegwu
46Revisiting hypertension in black Americans: The role of implicit bias in perpetuating adverse health outcomes
By: Boya Abudu
48The rash on your skin looks different on mine
By: Alyssa Gerth, AT
52The community service committee launchesthe#snmaservesinitiativeduring its2017
p.48
NOVEMBER2017
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Letter from the Editor
Dear Reader,
On behalf of the SNMA Publications Committee, it is my upmost pleasure to present to you the Fall 2017 JSNMA Issue: Addressing Racial Bias in Medicine.This is the first of our quarterly publications since my appointment as Editor-in-Chief, and I am truly humbled by this opportunity to feature the courageous voices of our SNMA members who undertook this controversial yet delicate topic. Their diligence and creativity, combined with that of my team, have taken my vision for this issue to unexpected heights. From opinion pieces to research articles, it provides powerful insights regarding the influence of racism throughout the many dimensions of medicine.
Racial discrimination has been plaguing the experimental, educational, political, and health care aspects of medicine for centuries. Despite the field’s revolutionary strides in these areas, racism is still deeply rooted across its spectrum from pre-health advising to clinical encounters. Although a degree of progress has been achieved, as with the national push for enhancing cultural competence amongst physicians, such resolutions are often unsustainable or simply not enforced. I must agree withone of the contributing authors, Misha Armstrong,that it seems as if cultural competence has become more of a trend than a reality.
Another important point I would like to emphasize was stated bycontributing author Boya Abudu:“The impact of racial bias undermines patient care while broadening existing health disparities.”Given the diversity of the patient population in the United States and the statistics for minority health disparities, there is a dire need to alleviate the racial biases encroaching upon health care in terms of how it is provided, taught, and a less feasible career opportunity for underrepresented minorities.
Health disparities and cultural competence are just a few of the many issues highlighted throughout Addressing Racial Bias in Medicine. As you continue on through this unique collection, you will discover 14 individual voices exploring this spectrum-wide phenomenon from different angles, all while complementing the concerns of the fellow contributing authors in solidarity. It is an excellent example of how there can be unity in spite of diversity.
When asked, "How does the JSNMA differ from other journals?",I proudly comment on the diversity of our writers, the variety of works accepted from poetry to research articles, the relevance of our themes to current events, and the opportunity to unreservedly express oneself at the scholarly level.
Whether an author is sharing a personal experience or presenting research findings, it is my hope that you will read this collection with an open mind and feel inspired to: speak up respectfully if you witness racial bias, learn to address your own implicit biases, and always persevere if faced with this injustice.
We are all in this fight together to reduce the racial bias that too commonly impedes the health outcomes of minority patients and the success of aspiring minority physicians. In support of this effort, the JSNMA will continue serving as a platform for our members' voices to be heard.
The voice of the SNMA is a powerful one, and I encourage YOUto become a part of its voice by submitting to the JSNMA or joining the National Publications Committee!
Sincerely,
Sincerely,
Sergeine Lezeau, OMS II
"Our lives begin to end the day we become silent about things that matter."
-- Martin Luther King, Jr
SEND ME YOUR THOUGHTS ABOUT THIS ISSUE OR SHARE WITH ME YOUR EXPERIENCE INVOLVING RACIAL BIAS & MEDICINE!!
[email protected] subject: Letter to the Editor
Acknowledgements: Dr. Comfort Elumogo, Cynthia Bell, Dr. Gary Hill, & John Hain for the cover's artwork
LETTER FROM THE EDITOR-IN-CHIEF