An American Crisis The Growing Absence of Black Men in Medicine and Science: Proceedings of a Joint Workshop (2018) / Chapter Skim
Currently Skimming:
3 Exploring the Challenges and Barriers for Black Men Along the Life Trajectory
3 Exploring the Challenges and Barriers for Black Men Along the Life Trajectory
Pages 15-22
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From page 15... ...
• A population health approach to behavioral health care may better meet the needs of Black boys and men and thus improve their health and life outcomes. (Evans)
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From page 16... ...
Camara Jones, M.D., M.P.H., Ph.D., described racism as a fundamental root cause of the lack of Black men in medicine. Drawing from his own experience, Roger Mitchell, Jr., M.D., described the importance of role models and socioenvironmental barriers, such as mass incarceration and unsafe and underresourced neighborhood environments.
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From page 17... ...
Jones identified several examples of personally mediated racism, including • Police brutality • Physician disrespect • Shopkeeper vigilance • Waiter indifference • Teacher devaluation Internalized racism is the "acceptance by members of stigmatized races of negative messages about our own abilities and intrinsic worth .
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From page 18... ...
Jones finished her presentation by identifying potential mechanisms of racism that could be targets for interventions to increase the number of Black men in medicine. Some of these mechanisms are • The medical education pipeline as a structure, • Funding public education through property taxes as a policy, • The lack of Black faculty and community members on medical school admissions committees as a practice, • The shortage of Black men in medicine not being understood as a societal problem requiring an urgent solution as a norm, and • The view of Black men as inherently threatening as a value.
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From page 19... ...
He proposed that understanding health care disparities is important for understanding not only the health of Black men, but also other life outcomes, including higher rates of incarceration and worse educational outcomes. He commented, "If you care about the pipeline of African American men and boys being available to go into careers in science and in medicine, you have to care about behavioral health challenges." He added that, importantly, although the prevalence of serious mental illnesses is similar among Black men compared with women and other racial and ethnic groups, how these illnesses play out differs greatly.
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From page 20... ...
Thus, he proposed the need for a population health approach to behavioral health care. Such an approach targets healthy individuals and those at risk for disease (i.e., those with undiagnosed or subclinical mental health issues)
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From page 21... ...
Responding to Jones's comment, a participant offered that the choice between examining resilience as an individual characteristic and structural barriers need not be binary. The participant asserted, What we assume is that there are superstars.
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From page 22... ...
cultural racism" as societal values that structure society are fundamental drivers of the problem of a shortage of Black men in medicine. She elaborated on the importance of calling out this racism as "a problem requiring urgent solution" and added that, without addressing this fundamental cause, the system of medical education will continue to disadvantage Black students while privileging students of other races and ethnicities regardless of the pipeline programs implemented to mitigate the effects of this racism on the representation of Black men in medicine.
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