And so began my real training. I entered internal medicine residency in 2016, treating a predominantly underserved Black population in Baltimore. Medical school had wholly unprepared me for the constructs of racism woven into quotidian healthcare, but I strove to learn from on-the-ground experience, from my many mentors dedicated to our local community and from the academic literature I later discovered as I was pursuing a master’s of public health.
For example, throughout residency, I advocated for incarcerated patients who were handcuffed to their hospital beds.
In healthcare, this has implications for the framing of diseases, such as hypertension, which is presented as “more common” among Black Americans. We hunt for a genetic basis, when the cause may be largely environmental and stems from historical patterns of disadvantage. Some diseases, like sickle cell anemia,, but most reflect inequities in social determinants of health, like neighborhood and income level.
Teaching CRT in medical school could lead to the elimination of separate standards for disease severity among Black patients — such as— which are rooted in debunked theories about inherent biological differences and can lead to improper dosage of medications and lack of access to lifesaving transplants.
CRT would also help bring the treatment of marginalized groups into the mainstream as students are taught to recognize patterns specific to these groups. For example, lesson plans would purposefully illustrate examples of
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