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Diversity, Equity, and Inclusion in Health Care

Anti-Racism Toolkit

As the ASH community and part of the greater medical community, we find ourselves called upon to discuss and address health disparities while teaching, conducting research and delivering care. Racism affects one's life experience in ways that have tangible consequences on our patients, our practice, and the field of medicine. Stereotyping, bias, lack of representation, and racism perpetuate false beliefs, lead to misdiagnosis, dangerously narrow clinical decision making, and perpetuate implicit bias, all of which lead to real health disparities. These forces also affect the integrity and safety of the learning climate and impact the success of future hematologists. Therefore, we at ASH have a moral imperative to confront and dismantle racism. This toolkit provides resources to help its members do that in their day-to-day practice as clinicians, researchers, and educators.

DEFINING RACISM AND CREATING AN ANTI-RACISM FRAMEWORK

Articles


James Baldwin's 1966 essay for The Nation describes the Black American experience in stark terms.


This study shows the contradiction of underrepresented groups fostering innovation without being proportionate rewarded.

Books


Historians Daina Ramey Berry and Kali Nicole Gross examine the story of Black women in America.


Ta-Nehisi Coates' book attempts to reckon with the history and burden of race in America.


Eddie S. Glaude Jr.’s book argues examines the interplay between race and democracy in the US.


Jonathan M. Metzl investigates how racist politics and policy have profoundly negative effects on the voters who enable them.


Ibram X. Kendi's memoir explains his personal journey and imagines how antiracist principles could reshape our society.


Crystal M. Fleming's book cuts through the usual dialogue about race and reveals ways that society can move forward.


W. E. B. Du Bois work provides a historic reflection on race's role in American society.


Dr. Beverly Daniel Tatum investigates the phenomenon of self-segregation in a nominally integrated society.


Reni Eddo-Lodge takes a hard look at the barriers to racial justice in Britain.

Textbooks and Compilations


Sixteen authors provide a range of perspectives on living as a person of color in Minnesota.


This collection of scholarship investigates the intersections between race and capitalism.


Audre Lorde's collection of essays takes an intersectional approach to social justice.


This collection of James Baldwin essays tackles a variety of dimensions of American social life.


James Baldwin's essays urge the reader to confront the oppressive institutions of race, religion, and nationhood.

Courses


This reading and quiz from Peggy MacIntosh explores the concept and consequences of white privilege.

Talks


This 2020 TED Talk seeks to determine how the US can dismantle its systems of oppression and live up to its greatest ideals.


Kimberlé Crenshaw defines intersectionality, describing the the results of combining multiple forms of exclusion.

Videos


Directed by Raoul Peck, this adaptation of James Baldwin's unfinished novel tells the story of race in modern America.

UNDERSTANDING RACISM IN THE CONTEXT OF HEALTHCARE, MEDICINE, AND HEMATOLOGY

Articles


This article points to Public Health Critical Race Praxis as a guiding principle for addressing health equity challenges.


The authors reexamine the common medical practice of recording patient race and ethnicity data.


This study investigates the connection between medical professionals’ implicit racial attitudes and health outcomes.


This article from Health Affairs questions medical journals' role in perpetuating ignorance about race and health.


Published in the New England Journal of Medicine, this article takes a hard look at the harms done by medical schools.


This collection provides a variety of resources on the connections between race and medicine.


Dr. Kavita Vinekar writes in favor of an overhaul of medical training and residency.


The Lancet outlines the ways in which healthcare institutions can demonstrate their commitment to racial equity.


Drs. Kemi M. Doll and Charles R. Thomas, Jr. provide strategies for the retention and promotion of underrepresented groups.


The authors argue against the use of biological concepts of race in human genetic research.


Dr. Stephanie Nixon calls for understanding and action on health inequities and social determinants of health.

Books


Author Dorothy Roberts examines the historical treatment of Black women in the United States.


Harriet A. Washington chronicles the history of medical experimentation on Black Americans.


Rebecca Skloot tells the story of the Black woman whose cells became instrumental in modern medicine.

Textbooks and Compilations


This collection connects research methodologies with issues of social justice and ethics.

Courses


MedEdPORTAL's resources were compiled to aid the profession in its fight against health inequity and racial injustice.

Talks


Drs. Mast, Smith, and Weeks address systemic racism in research and medicine.


David R. Williams measures the impact of discrimination on wellbeing and shows how it can sustain inequality.


Dr. Ahmar Zaidi discusses racial disparities in hematology and the US healthcare system.


Dorothy Roberts explains race-based medicine -- making judgments based on skin color rather than medical observation.

Articles


Dr. Stephanie Nixon explores the role of power, privilege, and oppression in shaping health, research, and education.


Dr. Stephanie Nixon explores the principles of allyship and how to apply them in life, work, and advocacy.


In this documentary, Dr. Earle U. Robinson Jr shares his personal story and demonstrates the hospital's historic significance,

ADDRESSING RACISM AND IMPLEMENTING CHANGE IN YOUR CLINICAL, ACADEMIC, AND SCHOLARY WORKS

Articles


Disparities in funding exist between SCD and cystic fibrosis and may be associated with decreased research in SCD.


The review discusses possible causes of and potential solutions for racial and ethnic disparities.


This study describes contemporary rates of hospitalization for PE and examines differences by age and race/ethnicity.


This study explores treatment disparities and the impact of potential access barriers.


Drs. Alexandra Power-Hays and Patrick T. McGann propose changes to reduce the impact of racism on patients with SCD.


Published in Blood, this article reexamines practices in hematology that contribute to systemic racism.

Books


Keith Wailoo chronicles sickle cell anemia in the US as it relates to the African American experience.

Courses


This activity will guide users on implicit bias and structural racism in the clinical setting.