‘White People are the default’: A qualitative analysis of medical trainees' perceptions of cultural competency, medical culture, and racial bias

•We examine how cultural competency training intellectualizes race, upholds medical hierarchies, and reproduces racial health inequities.•Medical knowledge regimes and educational materials favor White bodies and include race-based associations.•Cultural competency courses were not highly valued and...

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Bibliographic Details
Published in:SSM. Qualitative research in health 2023-12, Vol.4, p.100312, Article 100312
Main Authors: Plaisime, Marie V., Jipguep-Akhtar, Marie-Claude, Belcher, Harolyn M.E.
Format: Article
Language:English
Subjects:
Cultural competency
Medical education
Medical students
Qualitative research
Race-based medicine and racism
Racial bias
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Summary:•We examine how cultural competency training intellectualizes race, upholds medical hierarchies, and reproduces racial health inequities.•Medical knowledge regimes and educational materials favor White bodies and include race-based associations.•Cultural competency courses were not highly valued and included race-based associations among trainees.•Trainees revealed that medical power hierarchies restricted practices of acknowledging and correcting differential treatment of Black patients.•Perfunctory training illustrates how knowledge production of white-centered curricula fails to inform culturally relevant practices.
ISSN:2667-3215
2667-3215
DOI:10.1016/j.ssmqr.2023.100312