Open-Letter-from-Medical-and-Non-Medical-Cambridge-Students
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Open-Letter-from-Medical-and-Non-Medical-Cambridge-Students
open Letter from Medical and Non-Medical Cambriílạe StudentsDeal Dr Diana Wood and Professor Patrick Maxwell.We would like to bring to your attention Open-Letter-from-Medical-and-Non-Medical-Cambridge-Students some aspects of our clinical training that we would like to improve to ensure that institutionalised racism and microaggressions within the workplace are not just challenged, but eliminated. As Cambridge Medical School IS training the next generation of doctors and pioneers of medical research, we Open-Letter-from-Medical-and-Non-Medical-Cambridge-Studentsneed to ensure that we set an example to all other medical schools to protect our Black. Asian and Minority Ethnic (BAME) patients and colleagues. WeOpen-Letter-from-Medical-and-Non-Medical-Cambridge-Students
thus need to go beyond just accepting the statement that “all patients should be treated equally" as highlighted in the GMC’s Tomorrow's Doctors. Instopen Letter from Medical and Non-Medical Cambriílạe StudentsDeal Dr Diana Wood and Professor Patrick Maxwell.We would like to bring to your attention Open-Letter-from-Medical-and-Non-Medical-Cambridge-Studentsics highlight discrepancies 111 patient outcomes, patient treatment, doctor’s pay and even in student attainment BAME women have worse pre-, peri- and post-natal outcomes as shown by the following:•Black women are 5 times more likely to die in childbirth than white women. South Asian women are twice Open-Letter-from-Medical-and-Non-Medical-Cambridge-Students as likely to die during childbirth (MBRRACE 2019).•BAME women are also more likely to have a poorer experience of healthcare during pregnancy deliverOpen-Letter-from-Medical-and-Non-Medical-Cambridge-Students
y and post-natal care (Henderson et al. 2013).BAME patients ate generally not treated the same as white patients by healthcare professionals. Failuresopen Letter from Medical and Non-Medical Cambriílạe StudentsDeal Dr Diana Wood and Professor Patrick Maxwell.We would like to bring to your attention Open-Letter-from-Medical-and-Non-Medical-Cambridge-Students0% less likely to receive pain medication than white patients (Singhal et al.. 2016)•Black patients are less likely to receive care and support during then cancer care (National Cancer Patient Experience Survey).•Doctors give different treatment options to hypothetical white patients than they do to Open-Letter-from-Medical-and-Non-Medical-Cambridge-Students hypothetical black patients with the same symptoms (Boujie 2019. Zestcott 2016).•African and African-Caribbean people who have a psychotic illness anOpen-Letter-from-Medical-and-Non-Medical-Cambridge-Students
d who live in London are between 4 and 8 times more likely to be detained than their white counterparts (Audini and Lelhott 2002.p. 225)The representaopen Letter from Medical and Non-Medical Cambriílạe StudentsDeal Dr Diana Wood and Professor Patrick Maxwell.We would like to bring to your attention Open-Letter-from-Medical-and-Non-Medical-Cambridge-Studentshite colleagues for doing the same job:•46% of white doctors are consultants, compared with 33.4% of Chinese doctors and 30.6% of black doctors (Milner 2020).•92% of board members tn NHS trusts are white. This compares to 55.6% of white staff working in medical roles in the NHS. (NHS Workforce Stati Open-Letter-from-Medical-and-Non-Medical-Cambridge-Studentsstics March 2019).•For every £1 a black female doctor earns, a white female doctor earns £1.19 and a white male doctor makes £1.38 (NHS Pay Gap ReportOpen-Letter-from-Medical-and-Non-Medical-Cambridge-Students
2019).Even throughout training, both doctors and students have a higher fail rate than their respective white colleagues.•Ethnic minority medical stuopen Letter from Medical and Non-Medical Cambriílạe StudentsDeal Dr Diana Wood and Professor Patrick Maxwell.We would like to bring to your attention Open-Letter-from-Medical-and-Non-Medical-Cambridge-Students passed the Royal College of GPs membership examination, compared With 75.5% of UK medical school graduates from BAME backgrounds (RCGP 2018).BAME doctors are more frequently reported to the GMC than white doctors. They are also more likely to feel intimidated in their work environment by other coll Open-Letter-from-Medical-and-Non-Medical-Cambridge-Studentseagues.•Black and brown doctors are reported to the GMC at more than twice the rate of white doctors (GMC Fan to Refer 2019).•Black NHS staff report tOpen-Letter-from-Medical-and-Non-Medical-Cambridge-Students
he highest incidence of bullying and harassment from their colleagues and leaders (NHS Workforce Race Equality Standard 2019).To attempt to change theopen Letter from Medical and Non-Medical Cambriílạe StudentsDeal Dr Diana Wood and Professor Patrick Maxwell.We would like to bring to your attention Open-Letter-from-Medical-and-Non-Medical-Cambridge-Studentsortunately does include fellow colleagues' experiences at Cambridge Medical School in a professional and educational setting To illustrate this, we carried out a survey of 158 medical students in years 1-6 of the Cambridge Medical course. We have summarised our results in the report attached and hig Open-Letter-from-Medical-and-Non-Medical-Cambridge-Studentshlight some relevant figures. For example. 28.5% of medical students have witnessed racial bias towards patients in a clinical setting, with 75.6% ofOpen-Letter-from-Medical-and-Non-Medical-Cambridge-Students
those being from clinical years. Furthermore. 58.2% of medical students have witnessed or experienced racism either in a professional or educational sopen Letter from Medical and Non-Medical Cambriílạe StudentsDeal Dr Diana Wood and Professor Patrick Maxwell.We would like to bring to your attention Open-Letter-from-Medical-and-Non-Medical-Cambridge-Studentse (student) doctors. Multiple prechmcal students mentioned explicit and implicit racist comments and behaviour from anatomy demonstrators and supervisors. (Please refer to the full report attached for further information and all qualitative accounts of students' experiences). This needs to change, a Open-Letter-from-Medical-and-Non-Medical-Cambridge-Studentsnd our BAME students need to feel represented and listened to Here is what we propose:1Eliminating and challenging our own implicit biasProblem la: AsOpen-Letter-from-Medical-and-Non-Medical-Cambridge-Students
evidenced above. BAME patients, students and doctors face massive gaps in almost all aspects of the healthcare system. This also includes educationalopen Letter from Medical and Non-Medical Cambriílạe StudentsDeal Dr Diana Wood and Professor Patrick Maxwell.We would like to bring to your attention Open-Letter-from-Medical-and-Non-Medical-Cambridge-Studentsd). We all need to be taught to recognise and challenge our own implicit bias. Furthermore, all medical students need to feel confident enough to challenge microaggressions in a clinical setting and need to be able to identify- racial bias in order to try to minimise these differences ill patient ou Open-Letter-from-Medical-and-Non-Medical-Cambridge-Studentstcomes.Suggestions We suggest implementing compulsory active racial bias training foro All medical students 111 their clinical yearso All staff involvOpen-Letter-from-Medical-and-Non-Medical-Cambridge-Students
ed 111 teaching both prechmcal and clinical coursesThis should include unconscious bias and bystander skills, with the use of anonymised cases based oopen Letter from Medical and Non-Medical Cambriílạe StudentsDeal Dr Diana Wood and Professor Patrick Maxwell.We would like to bring to your attention Open-Letter-from-Medical-and-Non-Medical-Cambridge-Studentsinequalities early on and encourage US to actively change them. To that end. assessment of the SECHI course should be changed such that, firstly. It is appropriately recognised as importantby the student body, and secondly, students are required to engage with all topics taught in the SECHI course. Open-Letter-from-Medical-and-Non-Medical-Cambridge-StudentsThis could include submitting a portfolio of marked essays and presenting to other students m scminais throughout the six years of the curriculum lathOpen-Letter-from-Medical-and-Non-Medical-Cambridge-Students
er than writing just two essays under exam conditions. Exams have a focus on testing fact recall, whereas coursework' essays would allow more in-depthopen Letter from Medical and Non-Medical Cambriílạe StudentsDeal Dr Diana Wood and Professor Patrick Maxwell.We would like to bring to your attention Open-Letter-from-Medical-and-Non-Medical-Cambridge-Students issues, for which there is no need for role learning of specific statistics, but rather engagement with and exploration of broader principles.2Medical education and decolonising the curriculumProblem 2a: In our student questionnaire, many people reported that most clinical presentations are based a Open-Letter-from-Medical-and-Non-Medical-Cambridge-Studentsround while palienls'cases and that there is little emphasis on the ways BAME patients can present differently. The experience of many medical studentOpen-Letter-from-Medical-and-Non-Medical-Cambridge-Students
s has been a lack of awareness regarding the presentation of various diseases on dark skin, as an example. Often, we arc not shown clinical presentatiopen Letter from Medical and Non-Medical Cambriílạe StudentsDeal Dr Diana Wood and Professor Patrick Maxwell.We would like to bring to your attention Open-Letter-from-Medical-and-Non-Medical-Cambridge-Studentsludeo Cardiology - women and BAME patients are more likely to present a myocardial infarction with atypical symptoms such as back-shoulder jaw pain, sweating, nausea and an upset stomach. Thus, white males are often more likely to be diagnosed.o Dermatology - using adjectives such as ‘pallor’ and ‘e Open-Letter-from-Medical-and-Non-Medical-Cambridge-Studentsiythematous' only refers to white skin: the use of these descriptors does not apply to all patients. Further, most examples of skin rashes and presentOpen-Letter-from-Medical-and-Non-Medical-Cambridge-Students
ations on slides are on white patients.o Psychiatry- - failure to address that BAME patients are less likely to present, yet more likely to be detaineopen Letter from Medical and Non-Medical Cambriílạe StudentsDeal Dr Diana Wood and Professor Patrick Maxwell.We would like to bring to your attentionGọi ngay
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