Integrating institutional and individual self‐reflexivity practices into clinical pharmacy practice: A critical review of race in a widely utilized medical guideline

Abstract

In this clinical pharmacy forum, an argument is presented that clinical pharmacists and their respective institutions must be self-reflexive about race, racism, and implicit bias in treating patients. Drawing on the Public Health Critical Race praxis and selfreflexivity practices, this forum provides a critical review of a widely utilized medical guideline and tool, the American College of Cardiology (ACC) and American Heart Association (AHA) Clinical Practice Guideline on the Primary Prevention of Cardiovascular Disease and its respective Arteriosclerotic Cardiovascular Disease Risk Estimator, as an example of how self-reflexive practices on race, racism, and implicit bias can be accomplished. This critical review offers clinical pharmacists entry points of considerations and actions that can more robustly aid themselves and their institutions to enact racial justice policies and practices in medical contexts.