Health Disparity and Health Professional Education: A New Approach

被引:0
作者
Ewen S. [1 ,2 ]
Barrett J. [1 ]
Howell-Meurs S. [1 ]
机构
[1] The University of Melbourne, Melbourne
[2] Melbourne Poche Centre for Indigenous Health, The University of Melbourne
[3] Level 2, 161 Barry Street, Carlton, 3010, VIC
关键词
Health disparity; Indigenous health; Intersectionality; Medical curriculum;
D O I
10.1007/s40670-016-0230-2
中图分类号
学科分类号
摘要
In this paper, a new theoretical framework for curricula is proposed as a means of advancing the potential for health professional graduates to contribute optimally in the contemporary world of complex health care. A new theoretical approach to curriculum is needed to provide for a comprehensive and integrated view of the diversity in people and populations. These subject areas require rigor and strength equivalent to the strong and well-established foundations of the biosciences and clinical practice. A rigorous and coherent approach would replace what is often an ad hoc response to diverse and marginalized people and populations in existing curricula. The current approach has not had sufficient impact on health disparities. This paper presents the case for adopting an ‘intersectional’ framework for health professional curricula to move the voices and experiences of marginalized groups from the periphery to the center of the curriculum conversations. The pillars of that framework are described and illustrated with examples, and the implications and expected benefits of adopting such a framework are discussed. To illustrate the limitations of the current approach to curriculum development and the need for and likely benefits of the proposed framework, the paper draws on the situation of Australian Indigenous peoples. © 2016, International Association of Medical Science Educators.
引用
收藏
页码:247 / 253
页数:6
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共 51 条
[1]  
Crenshaw K., Demarginalizing the intersection of race and sex: a black feminist critique of antidiscrimination doctrine, feminist theory, and antiracist politics, Univ Chic Leg Forum, 14, pp. 538-554, (1989)
[2]  
Gustafson D.L., Reitmanova S., How are we ‘doing’ cultural diversity? A look across English Canadian undergraduate medical school programmes, Med Teach, 32, 10, pp. 816-823, (2010)
[3]  
Seeleman C., Suurmond J., Stronks K., Cultural competence: a conceptual framework for teaching and learning, Med Educ, 43, 3, pp. 229-237, (2009)
[4]  
Besdine R.W., Shield R.R., McNicoll L., Campbell S.E., Wetle T., Integrating and evaluating geriatrics in medical school: a novel approach for the challenge, Gerontol Geriatr Educ, 32, 4, pp. 295-308, (2011)
[5]  
Shield R.R., Farrell T.W., Nanda A., Campbell S.E., Wetle T., Integrating geriatrics into medical school: student journaling as an innovative strategy for evaluating curriculum, The Gerontologist, 52, 1, pp. 98-110, (2012)
[6]  
McGregor A.J., Choo E., Gender-specific medicine: yesterday’s neglect, Tomorrow’s Oppor Acad Emerg Med, 19, 7, pp. 861-865, (2012)
[7]  
Risberg G., Johansson E.E., Hamberg K., A theoretical model for analysing gender bias in medicine, Int J Equity Health, 8, (2009)
[8]  
Verdonk P., Benschop Y., de Haes H., Mans L., Lagro-Janssen T., ‘Should you turn this into a complete gender matter?’ Gender mainstreaming in medical education, Gend Educ, 21, 6, pp. 703-719, (2009)
[9]  
Yut-Lin W., Gender competencies in the medical curriculum: addressing gender bias in medicine, Asia-Pac J Public Health, 21, 4, pp. 359-376, (2009)
[10]  
Derenne J., Roberts L., Psychiatry’s role in teaching medical students, psychiatric residents, and colleague physicians about human sexuality, Acad Psychiatry, 34, 5, pp. 321-324, (2010)