{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,4]],"date-time":"2024-09-04T12:17:45Z","timestamp":1725452265746},"reference-count":12,"publisher":"Wiley","issue":"S1","license":[{"start":{"date-parts":[[2022,4,26]],"date-time":"2022-04-26T00:00:00Z","timestamp":1650931200000},"content-version":"vor","delay-in-days":56,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Hastings Center Report"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>In this commentary, which responds to the article \u201cAnti\u2010Black Racism as a Chronic Condition,\u201d by Nneka Sederstrom and Tamika Lasege, I draw on my experience as a physician who cares for a largely Black patient population. Physicians are trained to \u201cfirst do no harm\u201d and strive to treat patients to the best of their abilities. However well intentioned, many of us fall short of this goal and witness the consequences of health inequities that disproportionally impact the lives of Black patients. Recent years have brought increased acknowledgment and understanding of social determinants of health, but these modest changes fail to identify the true culprit of health disparities. Racism, not race, is responsible for the negative outcomes that we see in our communities of color. Both subtle and overt forms of systemic racism plague the educational systems and scientific metrics of medicine in the United States. Physicians\u2019 training, culture, and biases are founded in White norms. To decenter Whiteness as a normality, medicine must enact a multipronged approach that begins with increasing the diversity of physicians and providers to better reflect the patients that they care for. Bioethicists must publicly state that racism is real and that we are dedicated to changing it, but to get beyond statements, we must also have a measure of improvement and success in battling racism.<\/jats:p>","DOI":"10.1002\/hast.1365","type":"journal-article","created":{"date-parts":[[2022,4,26]],"date-time":"2022-04-26T13:00:50Z","timestamp":1650978050000},"update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Racism, Not Race: A Physician Perspective on Anti\u2010Black Racism in America"],"prefix":"10.1002","volume":"52","author":[{"given":"Elizabeth P.","family":"Clayborne","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,4,26]]},"reference":[{"key":"e_1_2_2_1_1","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.202006-583RL"},{"issue":"2","key":"e_1_2_2_2_1","first-page":"S24","article-title":"Anti\u2010Black Racism as a Chronic Condition","volume":"52","author":"Sederstrom N.","year":"2022","journal-title":"A Critical Moment in Bioethics: Reckoning with Anti\u2010Black Racism through Intergenerational Dialogue"},{"key":"e_1_2_2_3_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-publhealth-040218-043750"},{"key":"e_1_2_2_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMms2004740"},{"key":"e_1_2_2_5_1","unstructured":"Sederstrom and Lasege \u201cAnti\u2010Black Racism as a Chronic Condition \u201d S27."},{"key":"e_1_2_2_6_1","unstructured":"American Medical Association The AMA's Organizational Strategic Plan to Embed Racial Justice and Advance Health Equity 2021\u20132023(May 2021) https:\/\/www.ama-assn.org\/system\/files\/2021-05\/ama-equity-strategic-plan.pdf."},{"key":"e_1_2_2_7_1","first-page":"868","article-title":"Recognizing and Reacting to Microaggressions in Medicine and Surgery","volume":"154","author":"Torres M. B.","year":"2019","journal-title":"Journal of the American Medical Association Surgery"},{"key":"e_1_2_2_8_1","unstructured":"D. P.Ly \u201cHistorical Trends in the Representativeness and Incomes of Black Physicians 1900\u20132018 \u201dJournal of General Internal Medicine(April 19 2021 [epub ahead of print]): doi:10.1007\/s11606\u2010021\u201006745\u20101."},{"key":"e_1_2_2_9_1","unstructured":"Ibid."},{"key":"e_1_2_2_10_1","first-page":"87","volume-title":"Unmasking the Racial Contract: Indigenous Voices on Racism in the Australian Public Service","author":"Bargallie D.","year":"2020"},{"key":"e_1_2_2_11_1","doi-asserted-by":"crossref","first-page":"96","DOI":"10.5749\/minnesota\/9780816692149.001.0001","volume-title":"The White Possessive: Property, Power, and Indigenous Sovereignty","author":"Moreton\u2010Robinson A.","year":"2015"},{"key":"e_1_2_2_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/15265161.2016.1145283"}],"container-title":["Hastings Center Report"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hast.1365","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/hast.1365","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hast.1365","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,25]],"date-time":"2023-08-25T14:32:48Z","timestamp":1692973968000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hast.1365"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3]]},"references-count":12,"journal-issue":{"issue":"S1","published-print":{"date-parts":[[2022,3]]}},"alternative-id":["10.1002\/hast.1365"],"URL":"https:\/\/doi.org\/10.1002\/hast.1365","archive":["Portico"],"relation":{},"ISSN":["0093-0334","1552-146X"],"issn-type":[{"value":"0093-0334","type":"print"},{"value":"1552-146X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,3]]},"assertion":[{"value":"2022-04-26","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}