Person-Centered Care Starts with Community-Centered Medical Education: Medical Education Must Answer the Call for Diversity

James David Katz, Emily Rose, Katlin Poladian, Karina D. Torralba

Abstract


Civil unrest is a call for realignment of values in all aspects of society, including medical education. Systematic difference in the treatment of groups of individuals concerning educational curricula has previously been highlighted in South Africa during student-led campaigns to decolonialize and diversify medical curricula1. Institutional resistance that results in a failure to account for the politics of identity or for pluralistic thinking,1 implies that the academic ‘fence of unambiguous knowledge’ not only creates an ivory tower but it may simultaneously insulate itself from community input and access. Confronting the tension between communal meaning (which sanctions a culturally relevant curriculum) and privileged meaning (which derives from a monolithic mindset) demands that educators recognize that the scientific method is only one ‘way of knowing.’ In this manuscript we ask: Who possesses authoritative medical meaning-making? And, Who confers authoritativeness to academia?

Keywords


health equity

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References


Ngunyulu RN, Sepeng N, Moeta M, Gambu S, Mulaudzi FM, Peu MD. The perspectives of nursing students regarding the incorporation of African traditional indigenous knowledge in the curriculum. Afr J Prim Health Care Fam Med 2020;12:e1-e8.

Carlson ER, McGowan E. A Foundational Framework for Andragogy in Oral and Maxillofacial Surgery I: General Considerations. J Oral Maxillofac Surg 2019;77:891-3.

Braveman PA. Swimming Against the Tide: Challenges in Pursuing Health Equity Today. Acad Med 2019;94:170-1.

Matwick AL, Woodgate RL. Social Justice: A Concept Analysis. Public Health Nurs 2017;34:176-84.

Karches KE, Sulmasy DP. Justice, Courage, and Truthfulness: Virtues That Medical Trainees Can and Must Learn. Fam Med 2016;48:511-6.

French H, Arias-Shah A, Gisondo C, Gray MM. Perspectives: The Flipped Classroom in Graduate Medical Education. Neoreviews 2020;21:e150-e6.

Osborne ML, Fields SA. Training physicians for the future US Health Care System. Future Hosp J 2014;1:56-61.

Meyer EG, Chen HC, Uijtdehaage S, Durning SJ, Maggio LA. Scoping Review of Entrustable Professional Activities in Undergraduate Medical Education. Acad Med 2019;94:1040-9.

Linganna RE, Goldhammer JE. OMG! Andragogy for Millennials. J Cardiothorac Vasc Anesth 2020;34:1250-1.

Shenkman E, Hurt M, Hogan W, et al. OneFlorida Clinical Research Consortium: Linking a Clinical and Translational Science Institute With a Community-Based Distributive Medical Education Model. Acad Med 2018;93:451-5.

Bailey RJ, Baingana RK, Couper ID, et al. Evaluating community-based medical education programmes in Africa: A workshop report. Afr J Health Prof Educ 2015;7:140-4.

Pedersen R. Empathy development in medical education--a critical review. Med Teach 2010;32:593-600.

VanLangen KM, Meny L, Bright D, Seiferlein M. Faculty Perceptions of Entrustable Professional Activities to Determine Pharmacy Student Readiness for Advanced Practice Experiences. Am J Pharm Educ 2019;83:7501.

Reeve C, Woolley T, Ross SJ, et al. The impact of socially-accountable health professional education: A systematic review of the literature. Med Teach 2017;39:67-73.

Ellaway RH. Postmodernism and Medical Education. Acad Med 2020;95:856-9.

Garofalo M, Aggarwal R. Obstetrics and Gynecology Modified Delphi Survey for Entrustable Professional Activities: Quantification of Importance, Benchmark Levels, and Roles in Simulation-based Training and Assessment. Cureus 2018;10:e3051.

Burrows GL, Calleja P, Cooke M. What are the support needs of nurses providing emergency care in rural settings as reported in the literature? A scoping review. Rural Remote Health 2019;19:4805.

Strasser R, Worley P, Cristobal F, et al. Putting communities in the driver's seat: the realities of community-engaged medical education. Acad Med 2015;90:1466-70.

Siega-Sur JL, Woolley T, Ross SJ, Reeve C, Neusy AJ. The impact of socially-accountable, community-engaged medical education on graduates in the Central Philippines: Implications for the global rural medical workforce. Med Teach 2017;39:1084-91.

Radonjic A, Yarkhani E. Balancing health disparities through socially accountable medical education. Educ Health (Abingdon) 2019;32:133-4.

Ventres W, Dharamsi S. Socially Accountable Medical Education-The REVOLUTIONS Framework. Acad Med 2015;90:1728.

Strasser R, Hogenbirk J, Jacklin K, et al. Community engagement: A central feature of NOSM's socially accountable distributed medical education. Can Med Educ J 2018;9:e33-e43.

Katz JD, Mamyrova G, Guzhva O, Furmark L. Random forests classification analysis for the assessment of diagnostic skill. Am J Med Qual 2010;25:149-53.

Pratt B. Constructing citizen engagement in health research priority-setting to attend to dynamics of power and difference. Dev World Bioeth 2019;19:45-60.

Salhi BA, Brown PJ. Teaching Health as a Human Right in the Undergraduate Context: Challenges and Opportunities. Health Hum Rights 2019;21:191-202.

Katz JD, Haile-Mariam TW, Roth K, Moskovitz P, Niemtzoff M, Fried A. Teaching suffering: the testimonial-commentary method. Psychol Health Med 2012;17:629-35.

Weingartner LA, Sawning S, Shaw MA, Klein JB. Compassion cultivation training promotes medical student wellness and enhanced clinical care. BMC Med Educ 2019;19:139.

Bromley E, Jones L, Rosenthal MS, et al. The National Clinician Scholars Program: Teaching Transformational Leadership and Promoting Health Justice Through Community-Engaged Research Ethics. AMA J Ethics2015:1127-35.

Shore N, Ford A, Wat E, et al. Community-Based Review of Research Across Diverse Community Contexts: Key Characteristics, Critical Issues, and Future Directions. Am J Public Health 2015;105:1294-301.

Betsch C, Bohm R. Cultural Diversity Calls for Culture-Sensitive Health Communication. Med Decis Making 2016;36:795-7.

Moore AC, Anderson AA, Long M, McKernan LT, Volckens J. The power of the crowd: Prospects and pitfalls for citizen science in occupational health. J Occup Environ Hyg 2019;16:191-8.

McBride BB, Brewer CA, Bricker M, Machura M. Training the Next Generation of Renaissance Scientists: The GK-12 Ecologists, Educators, and Schools Program at The University of Montana. BioScience 2011;61:466-76.

McBurney CA, Vina ER. Racial and ethnic disparities in rheumatoid arthritis. Curr Rheumatol Rep 2012;14:463-71.

Hebert-Beirne J, Hernandez SG, Felner J, et al. Using Community-Driven, Participatory Qualitative Inquiry to Discern Nuanced Community Health Needs and Assets of Chicago's La Villita, a Mexican Immigrant Neighborhood. J Community Health 2018;43:775-86.


 

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Department of Family and Social Medicine
Albert Einstein College of Medicine/Montefiore Medical Center
Bronx, New York, 10461

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