Medical Education and Racism: Where Have We Been and Where Might We Go?

  • Derri ShtaselEmail author
  • Andrew D. Carlo
  • Nhi-Ha T. Trinh
Part of the Current Clinical Psychiatry book series (CCPSY)


The majority of approaches used in medical education to teach about health disparities and racism have been applied at the level of undergraduate medical education and taught through the lens of cultural competence. The dearth of curricula that directly address the experience of racism and its impact on access to health care, diagnosis, and treatment is notable. In this chapter, the limitations of using cultural competence training as a proxy for teaching about racism and the surprisingly few efforts to teach about health inequities and racism at the residency level are reviewed and discussed. With this background, the authors describe a recently developed psychiatry residency–level, racism-focused curriculum and propose broader training efforts that are needed. Finally, a more robust approach to teaching race equity than has been systematically implemented at either the undergraduate or residency level of medical education is proposed.


Medical education racism Race equity teaching Racism pedagogy Health disparities Faculty development racism 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Derri Shtasel
    • 1
    Email author
  • Andrew D. Carlo
    • 2
  • Nhi-Ha T. Trinh
    • 3
  1. 1.MGH Division of Public and Community Psychiatry, Department of PsychiatryMassachusetts General HospitalBostonUSA
  2. 2.Department of Psychiatry and Behavioral SciencesUniversity of WashingtonSeattleUSA
  3. 3.MGH Psychiatry Center for Diversity, Department of PsychiatryMassachusetts General HospitalBostonUSA

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