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CEC 101: What's the IHP's Role in Health Equity?

Definitions for Context

Class Definition

Though the experience of social class is shaped by this economic positioning, the actual impact of the construct on social and psychological experience is wide-ranging and multifaceted: Social class shapes behavior through cultural learning, such as socialization processes occurring within a family whose members share a similar socioeconomic background, and through social-cognitive mechanisms, which include habitual response patterns to an experience that is unique to a particular social class (e.g., Fiske & Markus, 2012). Social class can also determine the groups an individual interacts with and belongs to (Lareau & Conley, 2008). Because of its many facets, it is helpful to conceptualize social class (like race) as a “bundle of sticks” that can be disaggregated and studied based on its specific elements (i.e., Sen & Wasow, 2016).” Kraus, M. W., Park, J. W., & Tan, J. J. X. (2017)

Racism Definition

“[Racism is] a system of dominance, power, and privilege based on racial group designations; rooted in the historical oppression of a group defined or perceived by dominant group members as inferior, deviant, or undesirable; and occurring in circumstances where members of the dominant group create or accept their societal privilege by maintaining structures, ideology, values, and behavior that have the intent or effect of leaving nondominant group members relatively excluded from power, esteem, status, and/or equal access to societal resources.” (Harrell, 2000; p. 43 )

For complete references of the cited sources, please see the Supplemental Materials section.

Structural Inequities

Structural and Historical Inequities

These videos will provide a history of structural inequalities and make connections to current inequalities.

Opportunities for Reflection

Opportunities for Reflection

After viewing the videos, use this reflection sheet to help think through the ideas they presented and the feelings they invoked.

Reflect on your Emotional Reactions

  1. What's salient?
  2. What's surprising
  3. What emotions (e.g. uncomfortable, upset, sad, and angry) are you experiencing while watching these films and reading the materials?
  4. When did you experience these emotions?
  5. How are you making sense of your visceral reactions to parts of these films and readings?
  6. What did you learn about yourself, race, racism, gender, and sexuality?

Reflect on Your Role as a Future Health Professional

Respond to the following questions to reflect on health disparities as well as your role to advance care for a diverse society:

  1. What have you learned about systemic inequities through the videos and readings?
  2. As an aspiring health professional, what do you see being your role in influencing and making health care more equitable? What can you do to support those who have been historically and systemically excluded in education and in the healthcare setting (e.g., classmates, colleagues, and clients/patients)?
  3. The mission of the MGH IHP is to prepare "health professionals and scientists to advance care for a diverse society through leadership in education, clinical practice, research, and community engagement." What would you need as a student to learn in order to advance care for a diverse society while at the IHP?

Supplemental Materials

Supplemental Materials

Class and Racism Definitions Sources

Self Care

Race and Ethnicity

Gender Health and Medicine Social Context

Racialized and Gendered Health Disparities