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. 2024 Apr 12;12(Suppl 3):e002828.
doi: 10.1136/fmch-2024-002828.

Storylines of family medicine X: standing up for diversity, equity and inclusion

William B Ventres  1 , Leslie A Stone  2 , Wayne W Bryant Jr  2 , Mario F Pacheco  3 , Edgar Figueroa  4 , Francis N Chu  5 , Shailendra Prasad  6 , David N Blane  7 , Na'amah Razon  8 , Ranit Mishori  9 , Robert L Ferrer  10 , Garrett S Kneese  11
Affiliations

Storylines of family medicine X: standing up for diversity, equity and inclusion

William B Ventres et al. Fam Med Community Health. .

Abstract

Storylines of Family Medicine is a 12-part series of thematically linked mini-essays with accompanying illustrations that explore the many dimensions of family medicine as interpreted by individual family physicians and medical educators in the USA and elsewhere around the world. In 'X: standing up for diversity, equity and inclusion', authors address the following themes: 'The power of diversity-why inclusivity is essential to equity in healthcare', 'Medical education for whom?', 'Growing a diverse and inclusive workforce', 'Therapeutic judo-an inclusive approach to patient care', 'Global family medicine-seeing the world "upside down"', 'The inverse care law', 'Social determinants of health as a lens for care', 'Why family physicians should care about human rights' and 'Toward health equity-the opportunome'. May the essays that follow inspire readers to promote change.

Keywords: Family Medicine; General Practice; Global Health; Minority Health; Social Determinants of Health.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Working together toward inclusivity. Adapted with permission.
Figure 2
Figure 2
Educating ourselves for the public’s health.
Figure 3
Figure 3
Toward workforce diversity and inclusion in family medicine. Adapted with permission.
Figure 4
Figure 4
Therapeutic judo: honouring the patient.
Figure 5
Figure 5
Can you see the world ‘upside down’?
Figure 6
Figure 6
General practitioners at the Deep End. (1) The inverse care law illustrated—steep gradients of health needs across the social spectrum, alongside flat distributions of funding and accessibility; (2) a swimming pool—Deep End practitioners often struggle to keep their heads above water while addressing the complexity of their patients’ needs; (3) a thistle—a nod to the Scottish origin of the Deep End project; (4) a spurtle (a traditional Scottish utensil used to stir porridge)—Deep End practitioners stir the pot and agitate for change. Adapted with permission. GPs, general practitioners.
Figure 7
Figure 7
SDoH and health outcomes. Adapted with permission. SDoH, social determinants of health.
Figure 8
Figure 8
Humanity is our patient. Adapted with permission.
Figure 9
Figure 9
Health in social context = the opportunome.
See this image and copyright information in PMC

References

    1. Paradies Y, Ben J, Denson N, et al. . Racism as a determinant of health: a systematic review and meta-analysis. PLoS One 2015;10:e0138511. 10.1371/journal.pone.0138511 - DOI - PMC - PubMed
    1. Gomez LE, Bernet P. Diversity improves performance and outcomes. J Natl Med Assoc 2019;111:383–92. 10.1016/j.jnma.2019.01.006 - DOI - PubMed
    1. Wonder woman 0731 . School diversity many hands held together. flickr; 2007. Available: https://www.flickr.com/photos/wildrose115/27623264486/sizes/l [Accessed 31 Jan 2024].
    1. Blair IV, Steiner JF, Fairclough DL, et al. . Clinicians’ implicit ethnic/racial bias and perceptions of care among Black and Latino patients. Ann Fam Med 2013;11:43–52. 10.1370/afm.1442 - DOI - PMC - PubMed
    1. Echiverri AT, Parra Y, Rodríguez J. Start with individuals, but ensure that antiracism becomes an institutional value. Fam Med 2023;55:67–8. 10.22454/FamMed.55.689129 - DOI - PMC - PubMed