Culturally Competent Science

Chang, David C.; López, Diego B.; Molina, George

doi:10.1001/jamasurg.2018.0877

Cited by 5 publications

(5 citation statements)

References 5 publications

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“…While some have argued that race should be eliminated from clinical practice and medical research completely-which has led to alarming decision by some health care institutions to remove race from GFR calculations which would ignore potential population differences without considering the clinical performance characteristics or consequences for Black patients 11 -a more prudent approach may be to keep race, but to recalibrate how race is used. [11][12][13] The primary concern is that eliminating race/ethnicity may further solidify institutional racism. US and Europe have dominated the medical literature over the last 200 years, one of the unfortunate consequences of colonialism.…”

Section: Institutional Racism and The Normality Bias In Researchmentioning

confidence: 99%

“…31 We must redouble our efforts at recruiting not only non-white physician to deliver culturally competent care, but also more non-white physician-scientists to produce culturally competent medical science. 13…”

Section: Institutional Racism and The Normality Bias In Researchmentioning

confidence: 99%

“…However, non-White scientists, within and outside of medicine, often face challenges in finding acceptance 31 . We must redouble our efforts at recruiting not only non-white physician to deliver culturally competent care, but also more non-white physician-scientists to produce culturally competent medical science 13 …”

Section: How Can We Recalibrate Race-based Research So That It Does N...mentioning

confidence: 99%

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The Other Global Pandemic

et al. 2021

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T he year 2020 witnessed the emergence and persistence of an invisible virus-COVID-19-that changed our world and has killed nearly 4 million people. 1 Human to human airborne transmission was the mechanism of death. Science led to the pathogen identification, sequencing, and creation of mRNA vaccines, and complemented by public health measures including social distancing, mask wearing, and handwashing decreased transmission.A more pernicious and longer lasting virus has lived among us for centuries and has led to countless lives lost. That virus is racism. The vector is the hate of ''Other.'' Although we are one human race, differential treatment by societal racial/ethnic categories holding one group superior to another has led to untold suffering. In the medical literature, we have identified race as a factor in disparate health outcomes. In fact, race in and of itself does not lead to disparities, but racism does.In this editorial, we aim to highlight the destructive impact of racism in science and the limits of using race as an explanatory variable. We then will discuss how best to incorporate race/ethnicity in surgical research. Finally, we suggest remedies to the race conundrum.

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Section: Institutional Racism and The Normality Bias In Researchmentioning

confidence: 99%

Section: Institutional Racism and The Normality Bias In Researchmentioning

confidence: 99%

Section: How Can We Recalibrate Race-based Research So That It Does N...mentioning

confidence: 99%

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The Other Global Pandemic

et al. 2021

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“…However, less emphasis has been placed on encouraging culturally competent science that upholds similarly inclusive principles during all phases of the research process, giving rise to conclusions truly generalizable across different patient groups. 1 This is particularly important given the rich racial diversity of the U.S. population, which according to most recent U.S. Census Bureau data consists of 60.4% white, 13.4% black, 18.3% Hispanic, 5.9% Asian, 1.3% American Indian or Alaskan Native, and 0.2% Native Hawaiian or Pacific Islander individuals. 2 In their 2018 article, Stapleton et al argued that although scientific data are inherently objective, physicians and scientists naturally bring our own biases into the research process, which can ultimately lead to flawed interpretations.…”

mentioning

confidence: 99%

“…There has been a recent drive within the American healthcare system to provide culturally competent care, which has translated into increased acknowledgment of our patients’ cultural norms. However, less emphasis has been placed on encouraging culturally competent science that upholds similarly inclusive principles during all phases of the research process, giving rise to conclusions truly generalizable across different patient groups 1 . This is particularly important given the rich racial diversity of the U.S. population, which according to most recent U.S. Census Bureau data consists of 60.4% white, 13.4% black, 18.3% Hispanic, 5.9% Asian, 1.3% American Indian or Alaskan Native, and 0.2% Native Hawaiian or Pacific Islander individuals 2…”

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confidence: 99%

Racially Conscious Cancer Screening Guidelines

et al. 2020

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Objective: To review the racial composition of the study populations that the current USPSTF screening guidelines for lung, breast, and colorectal cancer are based on, and the effects of their application across non-white individuals. Summary of Background Data: USPSTF guidelines commonly become the basis for establishing standards of care, yet providers are often unaware of the racial composition of the study populations they are based on. Methods: We accessed the USPSTF screening guidelines for lung, breast, and colorectal cancer via their website, and reviewed all referenced publications for randomized controlled trials (RCTs), focusing on the racial composition of their study populations. We then used PubMed to identify publications addressing the generalizability of such guidelines across non-white individuals. Lastly, we reviewed all guidelines published by non-USPSTF organizations to identify the availability of race-specific recommendations. Results: Most RCTs used as basis for the current USPSTF guidelines either did not report race, or enrolled cohorts that were not representative of the U.S. population. Several studies were identified demonstrating the broad application of such guidelines across non-white individuals can lead to underdiagnosis and higher levels of advanced disease. Nearly all guideline-issuing bodies fail to provide race-specific recommendations, despite often acknowledging increased disease burden among non-whites. Conclusion: Concerted efforts to overcome limitations in the generalizability of RCTs are required to provide screening guidelines that are truly applicable to non-white populations. Broader policy changes to improve the pipeline for minority populations into science and medicine are needed to address the ongoing lack of diversity in these fields.

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