Disparity figures without explanatory context can perpetuate harmful myths and misunderstandings that actually undermine the goal of eliminating health inequities.The current revival of activism among U.S. medical students can be understood in the context of a dissenting tradition in medical training. I The disproportionate effect of the Covid-19 pandemic on African Americans, Latinx Americans, and Native Americans is not unforeseen.

I believe that in this Black patient, I saw someone I knew, a story I recognized.

Prepare to become a physician, build your knowledge, lead a health care organization, and advance your career with NEJM Group information and services.A selection of articles on race and medicine, with implications for improving patient care, professional training, research, and public health.“We’re Black,” said my teenage patient’s aunt, “and we know how the system works.” Having lived her life in a system that didn’t work for people of color, how could she see my unilateral decision to make her dying nephew DNR in any other way?As medical leaders around the United States issue statements denouncing racial injustice and calling for the dismantling of racism, we must ensure that these pledges translate into durable improvements for patients with sickle cell disease.We have seen medical institutions being compelled to deliver statements on diversity and inclusion, with subsequent mandatory training on cultural competence, health disparities, and the like.

Concise summaries and expert physician commentary that busy clinicians need to enhance patient care.The most effective and engaging way for clinicians to learn, improve their practice, and prepare for board exams.NEW! In 2003, the Institute of Medicine published the book "Medicine readily notes that health disparities exist and that race is the greatest predictor of health disparities. This reifies race as a genetic variable. "It highlights the finding that people of color receive lower quality care and have worse health outcomes than white people even when controlling for socioeconomic differences, health access and the like. Now, amid an acute public health crisis that is transforming medicine, perhaps we have an opportunity to reset our priorities to face this deeper, more chronic crisis as well.Capitalizing on the urgency generated by the Black Lives Matter movement, residents and faculty at an academic health care institution take steps to recognize racism within the hospital environment and act to address it.In this audio interview conducted on June 10, 2020, the editors are joined by Dr. Michele Evans of the National Institutes of Health to discuss a new study examining the disproportionate effect of Covid-19 on minority communities.Recent state-based crisis standards of care that provide a color-blind process for determining whether a patient with Covid-19 respiratory failure lives or dies are alarming, since color-blind policies result in discrimination against communities of color.In documenting Covid-19 racial disparities, we must contextualize such data with adequate analysis. Black race was not associated with higher in-hospital mortality after adjustment for patients’ baseline characteristics.If medical students and trainees are taught to recognize symptoms of disease in only white patients and learn to perform lifesaving maneuvers on only male-bodied mannequins, medical educators may be unwittingly contributing to health disparities.In this poem, a surgeon reflects on civil rights activism in response to killings of black people. These findings suggest that efforts to improve care for all patients result in reductions in racial disparities.There is concern that minority groups and women are underrepresented in research trials and are less likely to receive experimental treatments for human immunodeficiency virus (HIV) infection. We need to fight racism in all its manifestations.How does racism affect our patients? Reforming medical education and addressing institutional racism are the answers.Why could I establish trust that White clinicians could not?

These investigators examined nine surgical procedures and found that the racial differences noted in 1992 persisted in 2001.In this study examining trends from 1997 to 2003 for white patients and black patients enrolled in Medicare managed care, performance on all nine quality measures improved for both blacks and whites, and racial disparities narrowed for seven of the nine measures. Peer-reviewed journal featuring in-depth articles to accelerate the transformation of health care delivery.Information, resources, and support needed to approach rotations - and life as a resident.Valuable tools for building a rewarding career in health care.Information and tools for librarians about site license offerings.The authorized source of trusted medical research and education for the Chinese-language medical community.The most trusted, influential source of new medical knowledge and clinical best practices in the world.Interview with Dr. Eric Rubin, Dr. Lindsey Baden, and Dr. Michele Evans on the impact of Covid-19 on minority communities.

And it has often fallen to Black medical students to have these conversations with Black patients.I was grateful that in this final hour, the hospice nurse wanted to examine the details of my mémère’s health, to unpack her pain.

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