THREAD 1/
1 of my revered premed profs @HowardU once said to me and my classmates:

"Biochem without Genetics is $%#!; and Genetics without Biochem is $%#!"

I am now declaring that "A medical (& nursing, pharmacy, etc.) education without #SDOH & Racism/Bias in medicine is $%#!"
2/
It doesn't matter if your 1st yr med student aces the test on how hemoglobinopathies are transmitted and result in the sickling of cells if you don't teach them that SC pts are victims of bias and racism in ERs across the country
3/ Nor does it matter students memorize the Krebs Cycle and how energy production in the presence of oxygen is more efficient if U don't help them realize that myocardial cells in Blacks vs White pts are more likely to die due to longer door-to-balloon times in "Black" hospitals
4/
If we teach them the pathophysiology of bronchospasm and mucus overproduction in asthma without teaching them that housing discrimination means that more minority families will spend their lives breathing polluted air, should we pat ourselves on the back?
5/
If we help them unlock the biochemical mysteries of protein phosphorylation in cancer-causing genes but fail to teach them that tobacco company executives create campaigns to target cigarette ads to inner city youth, or ...
6/
If we teach them about the life-saving potential of ACE inh, beta blockers, aldosterone antagonists, and AICDs in severe CHF pts without discussing the disproportionate impact of lack of insurance and underinsurance on communities of color, our job is incomplete. And ...
7/
If we train our doctors (nurses, pharmacists, etc.) to master all of this science to end human suffering but we don't tell them that explicit and implicit bias can lead us to use these technologies in ways that are not equitable and just, then our #MedEd is, as the saying goes
8/
"not a part of the solution, but a part of the problem."

This #COVID19 pandemic is making this more crystal clear than ever. We must teach our Drs, RNs, social workers, pharmacists, etc. the "bread and butter."
9/
Time is passed for us to consider bias and racism educational "bread and butter." Lives depend on it.

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