There is ample evidence that patient mistrust toward the American medical system is to some extent associated with communal and individual experiences of racism. I suggest that, in an atmosphere of mistrust, comprehension of the existence and source of suspicion is essential to effective signaling of trustworthiness.
Racism impacts patient care and clinical training in emergency medicine (EM), but dedicated racism training is not required in graduate medical education. We designed an innovative health equity retreat to teach EM residents about forms of racism and skills for responding to racial inequities in clinical environments.
An introduction to an article by Douglas et al. is presented, which describes how inadequate reporting of cases and deaths by race/ethnicity is masking the magnitude of inequities caused by the COVID-19 pandemic.
Because racial disparities between African Americans and Caucasians are the most studied in the United States, this article will focus exclusively on how structural racism continues and causes racial inequalities between African Americans and Caucasians in wealth, employment, income, and healthcare, which lead to racial disparities in access to healthcare and health status.