Filling in the Chasm Between Black and White

Scholarly perspectives on the mixed race experience.

If doctors and clinical educators rigorously analyze algorithms that include race correction, they can judge, with fresh eyes, whether the use of race or ethnicity is appropriate. In many cases, this appraisal will require further research into the complex interactions among ancestry, race, racism, socioeconomic status, and environment. Much of the burden of this work falls on the researchers who propose race adjustment and on the institutions (e.g., professional societies, clinical laboratories) that endorse and implement clinical algorithms. But clinicians can be thoughtful and deliberate users. They can discern whether the correction is likely to relieve or exacerbate inequities. If the latter, then clinicians should examine whether the correction is warranted. Some tools, including eGFR and the VBAC calculator, have already been challenged; clinicians have advocated successfully for their institutions to remove the adjustment for race.^43,44 Other algorithms may succumb to similar scrutiny.⁴⁵ A full reckoning will require medical specialties to critically appraise their tools and revise them when indicated.

Darshali A. Vyas, Leo G. Eisenstein, and David S. Jones, “Hidden in Plain Sight — Reconsidering the Use of Race Correction in Clinical Algorithms,” The New England Journal of Medicine, Volume 2020, Number 383, 882. https://dx.doi.org/10.1056/NEJMms2004740.

Filling in the Chasm Between Black and White

Filling in the Chasm Between Black and White

The Siskiyou
Southern Oregon University
2006-02-27

Shannon Luders-Manuel

Last week I had the pleasure of attending the lecture by James McBride, having read his memoir a few years ago when I was at my most-heightened search for identity. Without retaining much of the details of his life story, what has remained with me is the knowledge that someone else had experiences similar to my own. To know that he too struggled with feelings of shame over his white mother and questions over whether he, as a black child, had been adopted, brought down the wall of alienation I felt was between me and the rest of the world…

Read the entire article here.

Tags: Shannon Luders-Manuel, The Siskiyou

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Mixed Race Studies

Filling in the Chasm Between Black and White

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