title: Remembering Freddie Gray: Medical Education for Social Justice.
abstract: Recent attention to racial disparities in law enforcement, highlighted by the death of Freddie Gray, raises questions about whether medical education adequately prepares physicians to care for persons particularly affected by societal inequities and injustice who present to clinics, hospitals, and emergency rooms. In this Perspective, the authors propose that medical school curricula should address such concerns through an explicit pedagogical orientation. The authors detail two specific approaches-antiracist pedagogy and the concept of structural competency-to construct a curriculum oriented toward appropriate care for patients who are victimized by extremely challenging social and economic disadvantages and who present with health concerns that arise from these disadvantages. In memory of Freddie Gray, the authors describe a curriculum, outlining specific strategies for engaging learners and naming specific resources that can be brought to bear on these strategies. The fundamental aim of such a curriculum is to help trainees and faculty understand how equitable access to skilled and respectful health care is often denied; how we and the institutions where we learn, teach, and work can be complicit in this reality; and how we can work toward eliminating the societal injustices that interfere with the delivery of appropriate health care.
authors: D. Wear is professor, Family and Community Medicine, Northeast Ohio Medical University, Rootstown, Ohio. J. Zarconi is professor and chair, Internal Medicine, Northeast Ohio Medical University, Rootstown, Ohio. J.M. Aultman is professor, Family and Community Medicine, Northeast Ohio Medical University, Rootstown, Ohio. M.R. Chyatte is assistant professor, Family and Community Medicine, Northeast Ohio Medical University, Rootstown, Ohio. A.K. Kumagai is professor of medicine and vice chair for education, University of Toronto Department of Medicine, Toronto, Ontario, Canada.
authors: Delese
authors: D
authors: Wear
authors: Joseph
authors: J
authors: Zarconi
authors: Julie M
authors: JM
authors: Aultman
authors: Michelle R
authors: MR
authors: Chyatte
authors: Arno K
authors: AK
authors: Kumagai
mesh_terms: D000328:Adult; D003479:Curriculum; D004501:Education, Medical / Q000458:organization & administration*; D005178:Faculty / Q000523:psychology*; D005260:Female; D054625:Healthcare Disparities; D006801:Humans; D008297:Male; D008396:Maryland; D008875:Middle Aged; D010820:Physicians / Q000523:psychology*; D011287:Prejudice; D012935:Social Justice / Q000193:education* / Q000331:legislation & jurisprudence*