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      O racismo e o sexismo na trajetória das estudantes de Medicina negras: uma revisão integrativa Translated title: Racism and sexism in the trajectory of black female medical students: an integrative review Translated title: El racismo y el sexismo en la trayectoria de las estudiantes de medicina negras: una revisión integradora

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          Abstract

          Alunas negras do curso de Medicina são minoria e enfrentam diversos obstáculos durante a formação por serem mulheres negras. Objetivou-se sintetizar o conhecimento produzido em estudos empíricos sobre a discriminação racial e de gênero que sofrem estudantes de Medicina negras no curso. Realizamos uma revisão integrativa nas bases de dados do PubMed e BVS. Foram analisados em profundidade cinquenta estudos classificados em três categorias temáticas: I- O preconceito racial sistêmico-estrutural e estruturante; II- O racismo como um dos fatores da iniquidade na educação médica; e III- O racismo genderizado vivenciado pelas estudantes negras. Concluiu-se que, nas escolas médicas, um espaço social com baixa diversidade étnica/racial e atravessado pelo racismo estrutural, as estudantes negras são discriminadas pela intersecção das dinâmicas de raça, gênero e classe social.

          Translated abstract

          Black female medical students are a minority and face various obstacles during their training because they are black women. The study aimed to synthesize the knowledge produced in empirical studies on the racial and gender discrimination suffered by black female medical students. We carried out an integrative review using the PubMed and VHL databases. Fifty studies were analyzed in depth and classified into three thematic categories: 1- Systemic-structural and structuring racial prejudice. 2- Racism as one of the factors of inequity in medical education. 3- Genderized racism experienced by black students. It was concluded that in medical schools, a social space with low ethnic/racial diversity and crossed by structural racism, female black students are negatively discriminated by the intersection of race, gender and social class dynamics.

          Translated abstract

          Las alumnas negras del curso de medicina son minoría y enfrentan diversos obstáculos durante la formación por ser mujeres negras. El objetivo fue sintetizar el conocimiento producido en estudios empíricos sobre la discriminación racial y de género que sufren estudiantes de medicina negras en el curso. Realizamos una revisión integradora de las bases de datos del PubMed y BVS. Se analizaron en profundidad cincuenta estudios clasificados en tres categorías temáticas: 1- El prejuicio racial sistémico-estructural y estructurador. 2- El racismo como uno de los factores de la inequidad en la Educación Médica. 3- El racismo de género vivido por las estudiantes negras. Se concluyó que, en las escuelas médicas, un espacio social con baja diversidad étnica/racial, atravesado por el racismo estructural, las estudiantes negras son discriminadas por la intersección de las dinámicas de raza, género y clase social.

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          Most cited references63

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          Implicit Racial Bias in Medical School Admissions

          Implicit white race preference has been associated with discrimination in the education, criminal justice, and health care systems and could impede the entry of African Americans into the medical profession, where they and other minorities remain underrepresented. Little is known about implicit racial bias in medical school admissions committees.
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            Differences in words used to describe racial and gender groups in Medical Student Performance Evaluations

            Purpose The transition from medical school to residency is a critical step in the careers of physicians. Because of the standardized application process–wherein schools submit summative Medical Student Performance Evaluations (MSPE’s)–it also represents a unique opportunity to assess the possible prevalence of racial and gender disparities, as shown elsewhere in medicine. Method The authors conducted textual analysis of MSPE’s from 6,000 US students applying to 16 residency programs at a single institution in 2014–15. They used custom software to extract demographic data and keyword frequency from each MSPE. The main outcome measure was the proportion of applicants described using 24 pre-determined words from four thematic categories (“standout traits”, “ability”, “grindstone habits”, and “compassion”). Results The data showed significant differences based on race and gender. White applicants were more likely to be described using “standout” or “ability” keywords (including “exceptional”, “best”, and “outstanding”) while Black applicants were more likely to be described as “competent”. These differences remained significant after controlling for United States Medical Licensing Examination Step 1 scores. Female applicants were more frequently described as “caring”, “compassionate”, and “empathic” or “empathetic”. Women were also more frequently described as “bright” and “organized”. Conclusions While the MSPE is intended to reflect an objective, summative assessment of students’ qualifications, these data demonstrate for the first time systematic differences in how candidates are described based on racial/ethnic and gender group membership. Recognizing possible implicit biases and their potential impact is important for faculty who strive to create a more egalitarian medical community.
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              Racial/Ethnic Disparities in Clinical Grading in Medical School

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                Author and article information

                Journal
                icse
                Interface - Comunicação, Saúde, Educação
                Interface (Botucatu)
                UNESP (Botucatu, SP, Brazil )
                1414-3283
                1807-5762
                2024
                : 28
                : e230343
                Affiliations
                [01] Rio de Janeiro Rio de Janeiro orgnameUniversidade do Estado do Rio de Janeiro orgdiv1Programa de Pós-Graduação em Bioética, Ética e Saúde Coletiva Brazil
                [02] Rio de Janeiro RJ orgnameUERJ orgdiv1Faculdade de Ciências Médicas orgdiv2Departamento de Pediatria Brasil
                Article
                S1414-32832024000101001 S1414-3283(24)02800001001
                10.1590/interface.230343
                9a8abc2f-46ad-4965-be53-b46cee08bf57

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 04 October 2023
                : 12 July 2023
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 63, Pages: 0
                Product

                SciELO Brazil


                Sexismo,Desigualdades,Racismo,Medicina,Estudantes,Desigualdade,Students,Sexism,Racism,Medicine,Inequality,Estudiantes

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