The DOI matches its Crossref record; 39 of the 40 references it cites were found in a registry or an index.
Race Matters? Examining and Rethinking Race Portrayal in Preclinical Medical Education
Abstract
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.
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“Race is frequently presented as a biological risk factor for disease in preclinical lectures at U.S. medical schools18–20”
From Challenging Race-Based Medicine Through Historical Education About the Social Construction of Race (2023) · cites this paper as [18]
Citations
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Cited by
Sorted by citations
From race-based to race-conscious medicine: how anti-racist uprisings call us to act
Cerdeña, J. P., Plaisime, M. V., & Tsai, J. W. (2020) · The Lancet · doi:10.1016/s0140-6736(20)32076-6 · Cited by 437
Self-citationThe Science and Value of Diversity: Closing the Gaps in Our Understanding of Inclusion and Diversity
Swartz, T. H., Palermo, A. S., Masur, S. K., & Aberg, J. A. (2019) · The Journal of Infectious Diseases · doi:10.1093/infdis/jiz174 · Cited by 326
Misrepresenting Race — The Role of Medical Schools in Propagating Physician Bias
Amutah, C., Greenidge, K., Mante, A., Munyikwa, M. R., Surya, S. L., Higginbotham, E. J., Jones, D. S., Lavizzo‐Mourey, R. J., Roberts, D. E., Tsai, J. W., et al. (2021) · New England Journal of Medicine · doi:10.1056/nejmms2025768 · Cited by 324
Self-citationRepresentations of race and skin tone in medical textbook imagery
Louie, P., & Wilkes, R. (2018) · Social Science & Medicine · doi:10.1016/j.socscimed.2018.02.023 · Cited by 289
Mental health care among blacks in America: Confronting racism and constructing solutions
Alang, S. (2019) · Health Services Research · doi:10.1111/1475-6773.13115 · Cited by 268
Metadata
- Authors
- Tsai, J., Ucik, L., Baldwin, N., Hasslinger, C., & George, P.
- Affiliations
- Brown University (US)
- Corresponding author
- Tsai, Jennifer
- Venue
- Academic Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2016-07
- Volume
- 91
- Issue
- 7
- Pages
- 916-920
- ISSN
- 1040-2446 (ISSN-L)
- OpenAlex
- W2363892374
- Cited by
- 194
- References
- 40
- Citations by year
- 2026: 13 · 2025: 19 · 2024: 20 · 2023: 19 · 2022: 29 · 2021: 42 · 2020: 19 · 2019: 14 · 2018: 7 · 2017: 10 · 2016: 1
- FWCI
- 8.61
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Academic Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Anthropology › Race, Genetics, and Society
- Social Sciences › Gender Studies › Diversity and Career in Medicine
- Social Sciences › Education › Innovations in Medical Education
- Keywords
- race and medicine, preclinical education, health disparities, biological race, social construction of race, lecture slides, medical curriculum reform, racial inequality in health care
- MeSH terms
- Curriculum, Education, Medical, Undergraduate, Humans, United States, Health Status Disparities, Healthcare Disparities, Racism
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