67 research outputs found
When I say … privilege
No full textIn the latest instalment of “When I Say…” Cleland and Razack argue it is time for medical education to acknowledge its complicit participation in socially constructed privilege and systemic inequalities and commit to change
The personal calculus of moral reasoning and identity in global health professions work
No full textIn this personal essay, the author reflects on experiences in global health professions education projects, and the moral reasoning that might be required to define explicitly what constitutes ethical participation. Three interrelated notions are explored:
• The decision to engage or not through a discussion of the concepts of safety, understanding power dynamics, and analysis of personal and institutional motivations for the project
• The ultimate goals to promote human flourishing and improve equity, through attention to local inequities potentially experienced by either participants or colleagues from home.
• Attention to the personal transformative potential of participation in global health professions projects.
A framework for exploring moral reasoning in global health professions education work using these three concepts is presented as one that the author has found helpful in his own work in global health professions education
Book Note: Dying From Improvement: Inquests And Inquiries Into Indigenous Deaths In Custody, by Sherene H. Razack
No full textINDIGENOUS DEATHS IN CUSTODY have long told a story of alcoholism and mental illness, suggesting a fundamental incapacity of Canada’s Indigenous populations to survive and prosper in modern society. In Dying from Improvement Sherene H. Razack tells a different story, one of colonial aggression which constructs the state as a body that secures its own legitimacy through encounters with Indigenous bodies. Running parallel to this examination is a question for all Canadians: In the face of police aggression and the profound indifference that underlies so many Indigenous deaths in custody, “why do we fail to care?”2 By examining inquests and inquiries into Indigenous deaths in custody in British Columbia and Saskatchewan, the author shines a light on the oft-subverted discussion of the racial animus that colours police interaction with Canada’s Indigenous peoples. Razack is primarily concerned with challenging the Canadian public discourse that defines Indigenous deaths in custody—the story of a group of people unfit for modern life who exist somewhere “between life and death,” as prisoners of their own dysfunction and dependency.3The book is divided into six chapters. Each chapter examines the death of a particular person or group, and state response to the associated tragedy, running alongside an exploration of what the author believes lies beneath the surface
Promoting skill-building in cultural competence: A must for paediatricians who care for socially vulnerable populations
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The Ethics of Using Innovative Therapies in the Care of Children
No full textAn innovative therapy is a newly introduced or modified therapy with unproven effect or side effect, and is undertaken in the best interest of the patient. The ethical use of innovative therapies has been controversial. In paediatrics, the conflict between withholding potential rescue therapy and protecting a vulnerable population's rights and welfare must be considered. Therefore, it is necessary to ensure that this innovation is conducted within an ethical framework that recognizes that the therapy is not standard. This should integrate the patient's autonomy, the role of the institution, professional consensus and innovation evaluation. Innovative therapy represents a justifiable departure from inferior conventional therapy in the absence of an accepted standard therapy. Innovation shares with research its experimental nature, but differs from research in its goal and context that exempts innovative therapy from direct governance by research ethics board. Innovative therapy is part of the continuum of hypothesis generation in the advancement of medical knowledge, and its evaluation is a transforming point for clinical research
Navigating social distance in foundational clinical encounters: Understanding medical students’ early experiences with diverse patients
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Retelling racialized violence, remaking white innocence: the politics of interlocking oppressions in transgender day of remembrance
No full textTransgender Day of Remembrance has become a significant political event among those resisting violence against gender-variant persons. Commemorated in more than 250 locations worldwide, this day honors individuals who were killed due to anti-transgender hatred or prejudice. However, by focusing on transphobia as the definitive cause of violence, this ritual potentially obscures the ways in which hierarchies of race, class, and sexuality constitute such acts. Taking the Transgender Day of Remembrance/Remembering Our Dead project as a case study for considering the politics of memorialization, as well as tracing the narrative history of the Fred F. C. Martinez murder case in Colorado, the author argues that deracialized accounts of violence produce seemingly innocent White witnesses who can consume these spectacles of domination without confronting their own complicity in such acts. The author suggests that remembrance practices require critical rethinking if we are to confront violence in more effective ways. Description from publisher's site: http://caliber.ucpress.net/doi/abs/10.1525/srsp.2008.5.1.2
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