Patients' experience of stereotype threat in clinical settings and encounters may be one contributor to health care disparities. Stereotype threat occurs when cues in the environment make negative stereotypes associated with an individual's group status salient, triggering physiological and psychological processes that have detrimental consequences for behavior. By recognizing and understanding the factors that can trigger stereotype threat and understanding its consequences in medical settings, providers can prevent it from occurring or ameliorate its consequences for patient behavior and outcomes. In this paper, we discuss the implications of stereotype threat for medical education and trainee performance and offer practical suggestions for how future providers might reduce stereotype threat in their exam rooms and clinics.

No abstract

After reviewing issues of The Speech Teacher and Communication Education from inception through 2003, the authors note the absence of any prolonged, systematic investigation of the influence of race or the interplay of multiple cultural identities in academic settings. This introductory essay articulates the importance of acknowledging the existence of multiple identities in our classrooms (some visible, others not) and assessing our biases towards these cultural markers as we teach our courses. Critical pedagogy is offered as a viable option allowing educators to function as change agents deconstructing and replacing restrictive pedagogy with more progressive approaches to teaching and conducting research.

No abstract

Substance use among Mexican origin, low-income youths is a serious, but under-studied problem. This study examines the relationship between the structure of Mexican origin families (i.e. nuclear, single-parent, blended or extended), and the parental monitoring, substance use expectancies, and substance use reported by pre-adolescents. Family structure did not differentiate the substance use prevalence, expectancies or parental monitoring among the 1224 low-income, Mexican-origin fifth grade participants. Parents from all family types demonstrated similar levels of parental monitoring. More importantly, family composition was not related to pre-adolescents' substance use. Other analyses showed that the relationship between substance use and certain demographic variables (e.g. gender, country of birth, language use) did not differ across family structures. The report concludes by discussing possible developmental and resiliency factors in Mexican origin families that would account for these findings.