Where Racism Takes You

 4/27/23 New England Journal of Medicine:

Founded on legacies of colonialism and racism, medical education has historically centered White learners and continues to perpetuate structural racism.4 Pedagogical approaches often center White learners and ignore the differential impact of content on BIPOC learners (Black, Indigenous, or people of color) with personal experiences of racism that are nuanced and have been informed by interactions and observations over their lifetimes. Immersion in the existing medical education system can therefore be retraumatizing, resulting in imposter syndrome, heightened anxiety, and a reduced sense of belonging. Especially as we seek to recruit more medical students who are BIPOC, we need to recognize this harm and encourage pedagogical approaches that support the needs of BIPOC learners.

The idea that blacks cannot compete on equal terms with whites is at the core of racial segregation in the bad old days.