SAEM Pulse September-October 2020

Page 40

Are We Really Prepared to Be Anti-Racists?

RACISM AS A PUBLIC HEALTH CRISIS

By Maame Yaa A. B. Yiadom, MD, MPH, MSCI, Italo M. Brown, MD, and Christopher L. Bennett, MD, MA on behalf of the SAEM Equity and Inclusion Committee

40

On June 10, 2020, various emergency medicine groups participated in the Science, Technology, Engineering and Mathematics (STEM) Shut Down (#ShutDownAcademia). Academic meetings, conferences, and calls were canceled as a pause in our consciousness intended to advance our understanding and educate ourselves on 1.) the persistence of racism, 2.) sources of inequality, and 3.) remedies for ineffective government and organizational responses. From our reflection we find being a “nonracist” is a response that is good, but not good enough. A challenge in our current society is that there are too few “anti-racist.” This applies to many of the other “isms” (sexism, antisemitism, homophobism, xenophobism, etc.) that we struggle with in our diverse country. The reality is that being an anti-racist is tough, and at times risky. It means speaking up when we see people treated differently, in ways that are unfair and negatively affect their life

“Medicine is a conservative community where we tend to be risk averse, yet our world and local communities will not improve until those of us with influence lead by example.” opportunities and outcomes. It calls us to say something when people are excluded because it is uncomfortable to include them. It compels us to step back and listen to the details from all sides of any conflict knowing there is bias in how conflict is framed and reported. It encourages us to be uneasy until we address situations where people are disciplined unjustly

with evidence that bends the truth, exaggerates significance, or uses fabricated information. We see egregious examples of racism in the news which are easy to call out as there are elements of clear ill-will and expressions of dehumanizing fear. At the heart of these issues is conscious and unconscious biases that present themselves in less blatant


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Articles inside

Briefs and Bullet Points

12min
pages 66-69

Virtual Interviewing Tips and Tricks

6min
pages 64-65

Academic Announcements

4min
pages 70-71

Personal Perspectives on Diversity, Equality, and Inclusion

7min
pages 62-63

Strategies for Addressing and Mitigating the Lack of Diversity in Emergency Medicine

3min
pages 60-61

Exploring Academics: How Medical Students and Residents Can Get Involved in Academic EM

8min
pages 56-59

Are We Really Prepared to Be Anti-Racists?

38min
pages 40-55

COVID-19 Reveals an Unsurprising Harsh Reality: Health Care is Not Immune to Racial Injustice

6min
pages 38-39

Developing a Diverse EM Faculty by Thinking Strategically About the Pipeline That Leads From Student to Clinician

4min
pages 24-25

Reducing Bias with Agitated Patients in the Emergency Department

5min
pages 30-31

How Social Identity Impacts Clinical Leadership in Emergency Medicine

9min
pages 32-33

COVID-19 Through the Eyes of Your Latino Patients

3min
pages 28-29

Working Toward Equity in Flyover Country: A Tulsa ED Physician’s Perspective

3min
pages 26-27

50 Terms to Engage in Racial Equity and Justice

8min
pages 34-37

The COVID-19 Pandemic is Worsening Health Disparities. Emergency Physicians Can Help

4min
pages 20-21

Racism in Academic EM: Finding a Way Forward by Embracing Policies That Benefit Black Physician Recruitment and Retention

4min
pages 14-15

Health and Social Justice in a Changing Climate

5min
pages 16-18

Spotlight

10min
pages 4-7

AWAEM and Anti-Racism: A Conversation Starter

3min
page 19

Humanizing Patients and Physicians Through Storytelling

4min
pages 12-13

COVID-19’s Disproportionate Impact on the “Latinx” Community

4min
pages 22-23

President’s Comments

2min
page 3
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