scholarly journals Addressing the Impact of Systemic Racism in Radiation Oncology

2020 ◽  
Vol 5 (5) ◽  
pp. 791-792 ◽  
Author(s):  
Isabel Jackson ◽  
Curtiland Deville ◽  
Jillian Tsai ◽  
Sharad Goyal ◽  
Kathleen M. Hintenlang ◽  
...  
Neurology ◽  
2021 ◽  
Vol 97 (15) ◽  
pp. 729-736 ◽  
Author(s):  
Gillian L. Gordon Perue ◽  
Susan E. Fox-Rosellini ◽  
Nicole B. Sur ◽  
Erika Marulanda-Londono ◽  
Jason Margolesky ◽  
...  

Recent racial inequities as illustrated by the health disparities in COVID-19 infections and deaths, the recent killings of Black men and women by law enforcement, and the widening socioeconomic inequality and have brought systemic racism into a national conversation. These unprecedented times may have deleterious consequences, increasing stress, and trauma for many members of the neurology workforce. The Equity, Diversity, Inclusion and Anti-Racism Committee within our Department of Neurology provides infrastructure and guidance to foster a culture of belonging and addresses the well-being of faculty, staff, and trainees. Here, we present the creation and implementation of our Equity, Diversity, Inclusion, and Anti-Racism (EDIA) Pledge, which was central to our committee's response to these unprecedented times. We outline the process of developing this unique EDIA Pledge and provide a roadmap for approaching these important topics through a Continuing Medical Education Neurology Grand Rounds aimed at fostering a diverse, inclusive, equitable, and antiracist work environment. Through the lived experiences of 4 faculty members, we identify the impact of bias and microaggressions and encourage allyship and personal development for cultural intelligence. We hope that these efforts will inspire neurology departments and other academic institutions across the globe to make a similar pledge.


2020 ◽  
Vol 3 (3) ◽  
pp. 11-15
Author(s):  
Michelle A. Gotto ◽  
Laura Morello ◽  
Marsha Michie

Background: The United States lags far behind other developed nations in our overall infant mortality rate. Public health researcher Arline Geronimus has described a "weathering" effect of chronic racial stress among Black women that contributes to high rates of preterm birth, the leading cause of infant death. Trusting relationships between clinicians and patients may play a role in reducing infant mortality for Black mothers. Based on a social-ecological model of health care communication around infant mortality, we focus here on doctor-patient communication and correlations between clinicians' understandings of systemic racism and their communication with Black pregnant patients.Methods: This paper reports the findings from interviews with 5 maternal health clinicians (prior to recruitment being temporarily paused due to COVID-19) practicing at Cuyahoga County hospitals that serve large populations of Black women. Qualitative coding methods based in grounded theory were used to draw out themes from interview transcripts.Results: Doctor-patient communication was an emergent theme in these interviews. Results suggest an association between clinicians' understanding of the impact of systemic racism and their ability to communicate successfully and form positive bonds with pregnant mothers who are at higher risk of infant mortality.Conclusion: Acknowledging systemic racism as the cause of poor social determinants of health, which in turn contribute to higher rates of infant mortality, may provide clinicians a pathway to more positive communication and higher levels of trust with their patients, which in turn may play a role in reducing infant mortality in the Black community. Further research should investigate these associations.


2021 ◽  
Vol 27 (2) ◽  
pp. 88-93
Author(s):  
Mary Jo Kreitzer

The Covid-19 pandemic is having a significant impact on the well-being of nurses and has exacerbated long-standing issues of stress and burnout. Expecting or hoping that nurses will recover quickly or bounce back from the stress and deep trauma of the pandemic is not realistic. Each nurse has a story, and while these stories may have similar themes, they are all different. It is important to reflect on our stories, identify the myriad of emotions we are experiencing, and find ways to work through our feelings. Ignoring, denying, or suppressing feelings does not serve us well in the long run. Stifling negative emotions does not make them go away. A Call to Action is needed to address the impact of the pandemic, clinician burnout, and systemic racism on health-care organizations and educational institutions. Strategies are identified that will support personal and organizational well-being.


Author(s):  
J. Eckstein ◽  
Z.H. Rana ◽  
R. Sharma ◽  
L. Potters ◽  
B. Parashar

2020 ◽  
Vol 19 (3) ◽  
pp. 506-515
Author(s):  
Katie L. Acosta

The impact of COVID–19 on racially minoritized communities in the United States has forced us all to look square in the face of the systemic racism that is embedded in every fabric of our society. As the number of infected people continues to rise, the racial disparities are glaringly obvious. Black and Latinx communities have been hit considerably harder by this pandemic. Both racial/ethnic groups have seen rates of infection well above their percentage in the general population and African Americans have seen rates of death from COVID–19 as high as twice their percentage in the general population. These numbers bear witness to the high cost of racism in the United States.


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