What is the Racism Review Board Is a group led by minority students of color most drastically affected by racism whose main objective is to continuously create a more racially conscious medical school curriculum ID: 808539
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Slide1
Racism Review Board
Chukwuma Onyebuenyi
Slide2What is the Racism Review Board?
Is a group led by minority students of color (most drastically affected by racism) whose main objective is to continuously create a more racially conscious medical school curriculum.
A curriculum that better incorporates new and contemporary research on how racism and medicine interact where the curriculum currently at the institution falls short.
A curriculum that better addresses the current flaws imbued in the current curriculum.
Slide3Why is it important to address racism in Medicine?
1839 - Races skull size and shape.
1847 - John “fed” Brown
April 4 2016 UVA study on white medical students.
https
://
news.virginia.edu
/content/study-links-disparities-pain-management-racial-bias
1851 - Dr. Samuel Cartwright and pseudoscience
Drapetomania
Dysthesia
Aethiopica
Herbetude
Cachexia Africana
Different cure for black and white
people
Slide4Why?
Mid 1800s - Dr. James Marion Sims - Black infants and woman
1700,1800, 1900s - Intentional moving of Medical schools to inner cities.
1900s - “Mississippi Appendectomy” forced sterilization of Black women.
1910 - Flexner report and HBCUs
1916 - Eugenics and Madison Grant.
Slide5Why?
1932-1972
- Tuskegee Syphilis study
1945 - Ebb Cade
1950s and 70s - Black prisoners in
Holmesburg
prison
1960s-1970s - Black boys, violence, and curative lobotomies
1987-1991 - EZ measles virus and LA
In the 1990s -
Fenfluramine
is the cure for inner city violence
.
Slide6Racism and Medicine
The disparities of today are a direct result of Medicine’s history.
Medical Apartheid Excerpt
“African Americans share the most deplorable health profiles in the nation by far, one the resembles Third World Countries”
“Twice as many African American babies as babies of other ethnic groups die before their first birthday”
1.5x more African American adults dies in comparison to European American adults.
Black individuals have dramatically higher rates or nearly every cancer, AIDS, of heart disease, of diabetes, liver disease, and infectious disease.
Slide7Racial Demographics in Medicine
Slide8Historically
Slide9Slide10Slide11Presently
Slide12At UNC Specifically…
.
Slide132 out of 20 board directors are non white
Slide143 non white block directors/PD/PCC course Directors out of 37
None of which are B
lack.
https
://
www.med.unc.edu/md/curriculum/tec-curriculum-information/foundation-phase/foundation-phase-semester-1
https://
www.med.unc.edu/md/curriculum/tec-curriculum-information/foundation-phase/foundation-phase-semester-2
https://
www.med.unc.edu/md/curriculum/tec-curriculum-information/foundation-phase/foundation-phase-semester-3
Slide15What’s available
now to address racism?
Limitations?
SNMA
Dismantling Racism Coalition
PD
Slide16What is the Racism Review Board?
The Racism Review Board is a Curriculum Oriented Group
This group
is
split between:
Curriculum
Review
Curriculum Architect
Racism Review Book Group
Slide17Logistics
The group I propose should work either as a separate student run organization, a student run organization under SNMA, or as a student organization under the Office of Special Programs.
Each of these approaches impact recruiting.
If a solo student org, previous org leaders will decide by an interview process who the new members on the board would be.
If under SNMA,
previous org leaders
can decide
the predecessors on the
board or SNMA members can vote in who will be represented on the board.
If under OSP any of the previous electoral ideas could be adopted or OSP can also play a direct role in choosing which students will be represented on the board by an interview process.
Slide18Drawbacks of each approach
Solo student run organization.
Pro Reason: We are independent and fully get to capitalize on our status as consumers. There would be no institutional pressure outside of our educational standings as students versus being under an employee or national organization’s chapter.
Con Reasons:
Putting it as a solo student org runs the risk of it not being picked up by
students. “Who’s Chukwuma to create such an initiative?” Prestige, Time commitment versus CV, Students of color are already marginalized in this space so it runs the risk of alienating students who are already alienated. Also will range in dedication of students from year to year. In years of no interest, group will be extremely ineffective or possibly extinct because there is no people power or institutional
backing
to keep it alive.
Slide19Drawbacks of each approach
Student run organization under SNMA
Pro Reason: SNMA already has an organization comprised of most of the black medical students on campus. This allows more easy feedback from black students to the group and more consolidation of voices as it pertains to addressing the issues that would be addressed by the board. Institutionalized through a predominantly black organization. Possible
funding availability
.
Con Reasons:
Putting it under SNMA at UNC goes against the years long ongoing policy of multiculturalism that SNMA embodies shying away from specifically representing race.
A quote that can be frequently heard by leaders of the groups is “This
is not the black group it is for
everyone”. This prevents the students within this group from being more direct and specific on how racism in particular impacts this space for fear of alienating their more multicultural branding.
Slide20Drawbacks of each approach
Student run organization under OSP
Pro Reasons: Prestige since the group is institutionalized. Looks better on a CV for students interested. More professional backing and guidance when issues arise. Building of professional connections as it pertains to career development in these interests. Possible funding availability.
Con Reasons:
Putting it under OSP puts the office directly responsible or in the line of fire for every idea that comes out of the group. Since OSP is made up of UNC SOM employees there is a power dynamic that does endanger people in the office as it pertains to the students
work. This may prevent students within this group from being more direct and specific on how racism in particular impacts this space.
Slide21Conclusion
This group is heavily needed on campus.
There is not a specific impetus for the curriculum to evolve and incorporate modern research and academic data as it pertains to racism in medicine.
At UNC with board directors, TEC and PD curriculum directors, professors, and ”racism specific student groups” being overwhelmingly white in these spaces, a specific group of students of color empowered in this space pushing the needle on how racism is addressed is critically needed. Otherwise patients for the foreseeable future will be continuously affected by the same health disparities.