PMID- 34432719
OWN - NLM
STAT- MEDLINE
DCOM- 20211105
LR  - 20230717
IS  - 1938-808X (Electronic)
IS  - 1040-2446 (Print)
IS  - 1040-2446 (Linking)
VI  - 96
IP  - 11
DP  - 2021 Nov 1
TI  - Academic Medicine's Journey Toward Racial Equity Must Be Grounded in History: 
      Recommendations for Becoming an Antiracist Academic Medical Center.
PG  - 1507-1512
LID - 10.1097/ACM.0000000000004374 [doi]
AB  - The harsh realities of racial inequities related to COVID-19 and civil unrest 
      following police killings of unarmed Black men and women in the United States in 
      2020 heightened awareness of racial injustices around the world. Racism is deeply 
      embedded in academic medicine, yet the nobility of medicine and nursing has 
      helped health care professionals distance themselves from racism. Vanderbilt 
      University Medical Center (VUMC), like many U.S. academic medical centers, 
      affirmed its commitment to racial equity in summer 2020. A Racial Equity Task 
      Force was charged with identifying barriers to achieving racial equity at the 
      medical center and medical school and recommending key actions to rectify 
      long-standing racial inequities. The task force, composed of students, staff, and 
      faculty, produced more than 60 recommendations, and its work brought to light 
      critical areas that need to be addressed in academic medicine broadly. To 
      dismantle structural racism, academic medicine must: (1) confront medicine's 
      racist past, which has embedded racial inequities in the U.S. health care system; 
      (2) develop and require health care professionals to possess core competencies in 
      the health impacts of structural racism; (3) recognize race as a sociocultural 
      and political construct, and commit to debiologizing its use; (4) invest in 
      benefits and resources for health care workers in lower-paid roles, in which 
      racial and ethnic minorities are often overrepresented; and (5) commit to 
      antiracism at all levels, including changing institutional policies, starting at 
      the executive leadership level with a vision, metrics, and accountability.
CI  - Copyright (c) 2021 The Author(s). Published by Wolters Kluwer Health, Inc. on 
      behalf of the Association of American Medical Colleges.
FAU - Wilkins, Consuelo H
AU  - Wilkins CH
AD  - C.H. Wilkins is senior vice president and senior associate dean for health equity 
      and inclusive excellence, Office of Health Equity, and professor of medicine, 
      Division of Geriatric Medicine, Vanderbilt University Medical Center, Nashville, 
      Tennessee.
FAU - Williams, Mamie
AU  - Williams M
AD  - M. Williams is senior director of nurse diversity, equity, and inclusion, Nursing 
      Administration, Vanderbilt University Medical Center, Nashville, Tennessee.
FAU - Kaur, Karampreet
AU  - Kaur K
AD  - K. Kaur is a first-year resident, Department of Obstetrics and Gynecology, 
      Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania. At the 
      time of writing, the author was a fourth-year medical student, Vanderbilt 
      University School of Medicine, Nashville, Tennessee.
FAU - DeBaun, Michael R
AU  - DeBaun MR
AD  - M.R. DeBaun is professor of pediatrics and medicine, J.C. Peterson Endowed Chair 
      in Pediatrics, Department of Pediatrics, and director, Vanderbilt-Meharry Sickle 
      Cell Disease Center of Excellence, Vanderbilt University Medical Center, 
      Nashville, Tennessee.
LA  - eng
PT  - Editorial
PL  - United States
TA  - Acad Med
JT  - Academic medicine : journal of the Association of American Medical Colleges
JID - 8904605
SB  - IM
MH  - Academic Medical Centers/*ethics/organization & administration
MH  - Black or African American/ethnology
MH  - COVID-19/diagnosis/epidemiology/*ethnology/virology
MH  - Delivery of Health Care/ethics
MH  - Female
MH  - Health Personnel/ethics
MH  - Humans
MH  - Male
MH  - Minority Groups/*statistics & numerical data
MH  - Racism/*ethnology
MH  - SARS-CoV-2/genetics
MH  - Schools, Medical/ethics/*statistics & numerical data
MH  - United States/epidemiology
PMC - PMC8542070
COIS- Other disclosures: None reported.
EDAT- 2021/08/26 06:00
MHDA- 2021/11/06 06:00
PMCR- 2021/10/24
CRDT- 2021/08/25 17:21
PHST- 2021/08/26 06:00 [pubmed]
PHST- 2021/11/06 06:00 [medline]
PHST- 2021/08/25 17:21 [entrez]
PHST- 2021/10/24 00:00 [pmc-release]
AID - 00001888-202111000-00011 [pii]
AID - 10.1097/ACM.0000000000004374 [doi]
PST - ppublish
SO  - Acad Med. 2021 Nov 1;96(11):1507-1512. doi: 10.1097/ACM.0000000000004374.