Racial Affinity Group Caucusing in Medical Education — A Key Supplement to Antiracism Curricula
April 27, 2023
N Engl J Med 2023; 388:1542-1545
DOI: 10.1056/NEJMp2212866
As academic medicine begins to recognize and examine racism as the root cause of racially disparate health outcomes, we need curricula for training physicians to dismantle the systems that perpetuate these inequities. Since traditional approaches to medical education are themselves founded in inequitable systems, new approaches are essential.
Racial affinity group caucuses (RAGCs)
Cultivating sacred spaces: a racial affinity group approach to support critical educators of color
ABSTRACTDespite repeated pleas for diversifying the U.S. teacher force, teachers of color who are committed to social justice are often unsupported and even pushed out via structural, interpersonal, and pedagogical obstacles within the profession. In response to neoliberal, colorblind, and apolitical approaches to teacher development and support, educators and organizers have reclaimed and reframed their pedagogies through critical professional development and grassroots activism to center healing from the impacts of oppression in its myriad forms . The ethnographic case study in this article examines how, over the course of three years, a grassroots racial affinity group became an important space for learning and healing for its members. I explain how the group explicitly centered twelve members' voices, needs, and collective knowledge, and in so doing: (a) collectively cultivated a critical, humanizing, and healing space for their sustainability; and (b) navigated various positions within socially toxic education institutions and organizations. I conclude by discussing how and why critical racial affinity spaces for educators of color are necessary in order to support their personal, political, relational, and pedagogical growth, which has implications on their retention and leadership within the field.
- An official policy of racial segregation formerly practiced in the Republic of South Africa, involving political, legal, and economic discrimination against nonwhites.
- A policy or practice of separating or segregating groups.
- The condition of being separated from others; segregation.
Founded on legacies of colonialism and racism, medical education has historically centered White learners and continues to perpetuate structural racism.4 Pedagogical approaches often center White learners and ignore the differential impact of content on BIPOC learners (Black, Indigenous, or people of color) with personal experiences of racism that are nuanced and have been informed by interactions and observations over their lifetimes. Immersion in the existing medical education system can therefore be retraumatizing, resulting in imposter syndrome, heightened anxiety, and a reduced sense of belonging. Especially as we seek to recruit more medical students who are BIPOC, we need to recognize this harm and encourage pedagogical approaches that support the needs of BIPOC learners.
RAGCs have been studied in a range of settings, including K–12 education, undergraduate education, and workplace environments, but have not yet been well studied in medical education.1,3 Some BIPOC people have been socialized to care for the egos of White people, to express their emotions only in ways that are palatable to White audiences, and to tread lightly around "White fragility" (White people's discomfort and defensiveness regarding their legacy of racism and complicity in systems of inequality) in order to maintain their relationships, professional status, and safety.5 In a space without White people, BIPOC participants can bring their whole selves, heal from racial trauma together, and identify strategies for addressing structural racism.1,2,5