Browsing by Subject "Racism"

Now showing 1 - 6 of 6
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    Equity teaching rounds
    (2023-04-14) Capers, Quinn, IV; Ahmad, Zahid; Oyarvide, Vicente Morales; Chowdhury, Shweta
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    Race and ethics in the design of biomedical technologies: the pulse oximeter as a case in point (The Daniel W. Foster, M.D., Visiting Lectureship in Medical Ethics)
    (2021-11-09) Berne, Rosalyn W.
    There were clear indications from studies done in 2005 and 2007 that pulse oximeters overestimate arterial oxygen saturation during hypoxia in dark-skinned individuals. And yet, years later, the device remains essentially unaltered. This disregard has been particularly significant during the coronavirus pandemic. Patients diagnosed with COVID-19 who present with silent hypoxemia, but are not sick enough to warrant hospital admission, have been guided to monitor their arterial oxygenation by pulse oximetry at home, and present for care when they show evidence of hypoxemia. Others in the general public have used the device simply for personal assurance. Whether or not these uses are appropriate is debatable. Nevertheless, that a racial bias is embedded in this technology is indisputable. The pulse oximeter serves as a timely case in point of how race can become a matter of ethics in the design of biomedical devices.
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    Recognizing racially motivated diagnosis and treatment
    (2014-10-14) Hoberman, John M.
    The racially motivated thinking and behaviors of American physicians receive inadequate attention in the medical literature and medical curricula. Doctors have always absorbed the racial stereotypes and folkloricbeliefs about racial differences that permeate the general population. Racial folklore about black people infiltrated all of the medical sub-disciplines during the twentieth century, and some of these inaccurate ideas remain influential today. These medico-racial stereotypes have produced racially differential diagnoses and treatments that can harm black patients. American medicine has demonstrated a disturbing unwillingness to acknowledge and address racially motivated medical thinking along with the race relations problems that continue to affect doctor-patient relationships. The "cultural competency" instruction offered at many medical schools has proven to be inadequate to reform racial attitudes in American medicine. Medical school curricula should, therefor, include a substantial curriculum on race relations in medicine as well as the origins and consequences of medical racism.
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    Reflections on race and racism in bioethics: Is there a way forward? (The Daniel W. Foster, M.D., Visiting Lectureship in Medical Ethics)
    (2017-10-12) King, Patricia A.
    [Note: The slide presentation is not available from this event.] The concept of race emerged in the United States to explain observable differences among human beings. Physicians, scientists and others used this concept to support beliefs about inherent biological differences between Americans, who trace their ancestry to African slaves, and whites and the "inherent superiority" of whites over blacks. These beliefs provided support for slavery and segregation, continue to reinforce negative stereotypes, and foster implicit bias about blacks and black health down to the present. Nonetheless, the field of bioethics has tended in its deliberations about issues in health care, health science and health policy to ignore the implications of persistent racism embedded in the norms, practices and institutional structures of these fields. What are possible explanations for this failure? Is there a way forward?