目的:机构声明的效用据说可以提供一个机构目标的清晰和强化。不幸的是,也可以说,这些陈述在所描述的词语和教师的环境之间存在明显的错位,学生,学员,和彩色脸的工作人员。这项研究的目的是分析学术医学机构声明,以回应2020年乔治·弗洛伊德被谋杀后的种族紧张局势,其中,以及随后全国范围内反对警察暴行的抗议活动。
方法:我们对乔治·弗洛伊德被谋杀后学术医疗中心产生的机构陈述进行了清单内容分析。我们使用清单内容分析来深入了解制度声明如何将结构性种族主义与学术医学的使命联系起来。我们收集并检查了26个学术医学中心的机构声明。选择参数包括公开可用的声明,并由机构在2周内发布。我们进行了四个阶段的分析:去文化,重新语境化,分类,和编译。为了更好地理解语句的集合,我们根据最突出的讨论主题绘制了这些机构声明。
结果:总体而言,机构声明通过三个子主题讨论了种族主义:确定健康差异的种族影响,呼吁采取行动解决种族主义问题,和偏心种族。还注意到缺少语言。第二,机构声明通过表达与学术医学使命的明确联系来唤起机构价值,命名社会正义的价值,强调社区的概念。最后,机构声明主要讨论了与种族主义或机构价值观有关的公共卫生。
结论:我们的研究确定了与学术医学使命急需的重新联系。收回社会使命将是重新确立机构行动基础的重要一步。这一呼吁最终将改善边缘化人口的健康和福祉。
OBJECTIVE: The utility of institutional
statements is said to provide clarity and reinforcement of an institution\'s goal. Unfortunately, it can also be argued that these
statements are in clear misalignment between the words described and the environments that faculty, students, trainees, and staff of color face. The purpose of this study was to analyze academic medicine institutional
statements that responded to 2020 racial tensions following the murders of George Floyd, among others, and the subsequent nationwide protests against police brutality.
METHODS: We conducted a manifest content analysis of institutional statements generated by academic medical centers after George Floyd\'s murder. We used manifest content analysis to gain insights into how institutional statements connect structural racism to the mission of academic medicine. We collected and examined institutional
statements from 26 academic medicine centers. Selection parameters included statements that were publicly available and published by the institutions during a 2-week period. We conducted a four-stage analysis: decontextualization, recontextualization, categorization, and compilation. To better understand the collection of
statements, we plotted these institutional
statements according to the most salient discussed themes.
RESULTS: Overall, institutional statements discussed racism through three subthemes: identifying the racial implications of health disparities, issuing a call to action to address racism, and decentering race. Absent language is also noted. Second, institutional statements evoked institutional values by expressing an explicit connection with the academic medicine mission, naming the value of social justice, and emphasizing the concept of community. Finally, institutional statements largely discussed public health in connection with racism or with institutional values.
CONCLUSIONS: Our study determines a much-needed reconnection to the mission of academic medicine. Reclaiming the social mission will be a major step toward recentering the foundation of institutional actions. This call is what ultimately will improve the health and well-being of marginalized populations.