Enlightened Institutions of Higher Learning

Enlightened Institutions of Higher Learning

"People are not born racists; these are learned behaviors. Over time and generations, these learned behaviors have manifested in institutional and systemic racism, teaching our medical learners and demonstrating to our patients that the commission of racism is acceptable."

Robert Sapien is a distinguished professor of emergency medicine and pediatrics, associate dean for admissions, director of the Combined BA/MD Degree Program, and principal investigator of the Child Ready Program and New Mexico Emergency Medical Services Program at the University of Mexico School of Medicine. He reflects on a lifetime of being on the receiving end of systemic and institutional racism, and how even institutions with strong social missions can misstep by overlooking how these learned behaviors manifest - in ways subtle or not.

This essay was published in the Teaching and Learning Moments column in the August 2021 issue of Academic Medicine. Read the essay at academicmedicine.org.

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Episoder(150)

Why Am I Talking: Should I WAIT

Why Am I Talking: Should I WAIT

Whenever a patient or learner asked a question, instead of answering, I would look at the senior resident and WAIT for them to answer it. Turns out, in the vast majority of cases the resident handled ...

29 Jun 3min

Healer's Reflections: Someone Special

Healer's Reflections: Someone Special

Every patient is the protagonist in their own story. When we open our hearts to their narratives, we see ourselves reflected in them. We are invigorated to connect with the patients we are accompanyin...

15 Jun 6min

Seeing Medicine: Learning to Read Between the Shadows

Seeing Medicine: Learning to Read Between the Shadows

Every shadow on a scan carries weight. And every patient deserves someone who knows how to read between the shadows—and then, to speak gently about what they see. Sonal Kumar reflects on clinical obs...

1 Jun 4min

The Valley of the Shadow of Death

The Valley of the Shadow of Death

Medicine was not just about what we did for patients—it was about how we walked with them through life and death. A typical day for me might be a patient's most vulnerable and life-defining moment. L...

18 Mai 4min

First Impressions

First Impressions

The candles ignited my pants that evening. But the real culprit was my anxiety over making a good first impression: in an effort to avoid the approaching dean, I unwittingly backpedaled into an open f...

4 Mai 5min

Scholarship at Night: Building a Successful Career as an Academic Nocturnist

Scholarship at Night: Building a Successful Career as an Academic Nocturnist

Discussing the unique role of the nocturnist, or the night shift clinician, in academic medicine, are Jessica Chambers, MD, MPH, Alex Rittenberg, MD, and John George, MD. They offer opportunities for ...

20 Apr 34min

The Severance of a Thread

The Severance of a Thread

We do not always rage against the dying of the light. Sometimes, we allow the light to fade gently, with grace, in the presence of love. Nezienwa Ezenwa reflects on a patient who demonstrated that me...

6 Apr 7min

The Heart of Hope

The Heart of Hope

Something shifted after that conversation. It wasn't a dramatic overnight change, but it was there—the slightest flicker of fight in him again. He started pushing himself a little more, engaging in ph...

3 Apr 4min

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