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Medical education as liberatory praxis: Experiences from the UCLA "structural racism and health equity" curriculum

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Listed:
  • Baker, Cydni
  • Bueno, Stephanie
  • Carrillo, Lizeth
  • Flores, Elizabeth
  • Hing, Matthew
  • Kaur, Guneet
  • Kennedy, Daniel
  • LeTran, Kathley
  • Rodriguez, Dailyn
  • Samra, Shamsher
  • Sheikh, Hanin
  • Wells, Lindsay

Abstract

This paper describes the origins and initial experiences of an innovative student-led, faculty-supported, and community-accountable ongoing experiment in structurally competent anti-racist medical training: the UCLA Structural Racism and Health Equity (SRHE) Curricular Thread. As critical locations of social reproduction for the medical profession and the broader medical-industrial complex, medical schools present opportunities for disrupting professional identities that further settler-colonialism, racial capitalism, and extractive abandonment, and for instead constructing a liberatory health praxis. Scholars have proposed integrating structural analysis into medical training to examine harmful aspects of clinical medicine and medical epistemology that become naturalized and inscribed through professionalization. Coalitions of trainees, faculty, health workers, and community organizers have also long participated in productive disruptions of medical education as usual through creative intra- and extra-institutional pedagogical efforts that reimagine the profession and call attention to medical institutions’ responsibility towards racial and social justice. Drawing on these genealogies, SRHE provides medical education that (1) deconstructs hidden structures that produce and sustain health inequities and (2) imagines liberatory futures for the medical profession that challenge community/clinical binaries and notions of “medical expertise” itself.

Suggested Citation

  • Baker, Cydni & Bueno, Stephanie & Carrillo, Lizeth & Flores, Elizabeth & Hing, Matthew & Kaur, Guneet & Kennedy, Daniel & LeTran, Kathley & Rodriguez, Dailyn & Samra, Shamsher & Sheikh, Hanin & Wells,, 2025. "Medical education as liberatory praxis: Experiences from the UCLA "structural racism and health equity" curriculum," Social Science & Medicine, Elsevier, vol. 376(C).
  • Handle: RePEc:eee:socmed:v:376:y:2025:i:c:s0277953625004241
    DOI: 10.1016/j.socscimed.2025.118094
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    References listed on IDEAS

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    1. Metzl, Jonathan M. & Hansen, Helena, 2014. "Structural competency: Theorizing a new medical engagement with stigma and inequality," Social Science & Medicine, Elsevier, vol. 103(C), pages 126-133.
    2. Waitzkin, H. & Iriart, C. & Estrada, A. & Lamadrid, S., 2001. "Social medicine then and now: Lessons from Latin America," American Journal of Public Health, American Public Health Association, vol. 91(10), pages 1592-1601.
    3. Forrester, Katrina, 2022. "Feminist Demands and the Problem of Housework," American Political Science Review, Cambridge University Press, vol. 116(4), pages 1278-1292, November.
    4. Chowkwanyun, M., 2011. "The new left and public health: The health policy advisory center, community organizing, and the big business of health, 1967-1975," American Journal of Public Health, American Public Health Association, vol. 101(2), pages 238-249.
    5. McNeil, Ryan & Small, Will & Wood, Evan & Kerr, Thomas, 2014. "Hospitals as a ‘risk environment’: An ethno-epidemiological study of voluntary and involuntary discharge from hospital against medical advice among people who inject drugs," Social Science & Medicine, Elsevier, vol. 105(C), pages 59-66.
    6. Brandt, A.M. & Gardner, M., 2000. "Antagonism and accommodation: Interpreting the relationship between public health and medicine in the United States during the 20th century," American Journal of Public Health, American Public Health Association, vol. 90(5), pages 707-715.
    7. Bambra, Clare & Smith, Katherine E. & Pearce, Jamie, 2019. "Scaling up: The politics of health and place," Social Science & Medicine, Elsevier, vol. 232(C), pages 36-42.
    8. Dubal, Sam B. & Samra, Shamsher S. & Janeway, Hannah H., 2021. "Beyond border health: Infrastructural violence and the health of border abolition," Social Science & Medicine, Elsevier, vol. 279(C).
    9. Burson, Randall C. & Familusi, Olivia O. & Clapp, Justin T., 2022. "Imagining the ‘structural’ in medical education and practice in the United States: A curricular investigation," Social Science & Medicine, Elsevier, vol. 300(C).
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