Abstract
As HPE begins to turn their attention to the lived experiences of minoritized groups in society, health professions education (HPE) researchers need to be aware of the history of social science research and the ways it contributes to creating systems of oppression. This is because as ‘knowledge producers,’ we make decisions about how to design our studies, analyze and interpret data, and report it in ways that are frequently oblivious to the harmful legacy of social science research, and how it continues to bring harm to minoritized communities. To not do so is to perpetuate a system that has historically served the dominant group at the expense of those who are limited in representing the world for themselves. This article proposes that HPE researchers engage in disruptive research practices by delinking with their disciplinary training, and reimagine their role in the research process. To accomplish this, I suggest that they engage in three strategies: attend to the research team’s composition, embrace critical theory and investigate epistemological ignorance. These strategies are nowhere close to exhaustive, and they do not extend as far as the conversation must go in reimagining our role in the research enterprise. However, in providing some initial thoughts on this topic, I hope to invite the HPE community into discussion on how we might harness our collective responsibility to resist research practices that are harmful and unjust to minoritized communities.
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References
Ajjawi, R., Crampton, P., Ginsburg, S., Mubuuke, G., Hauer, K., Illing, J., Mattick, K., Monrouxe, L., Nadarajah, V., & Vu, N. (2022). Promoting inclusivity in health professions education publishing. Medical Education, 56(3), 252–256. https://doi.org/10.1111/medu.14724
American Association of Medical Colleges. (2004). Underrepresented in Medicine Definition. Retrieved October 12 from https://www.aamc.org/what-we-do/mission-areas/diversity-inclusion/underrepresented-in-medicine
Barlo, S., Boyd, E., Hughes, M., Wilson, S., & Pelizzon, A. (2021). Yarning as protected space: Relational accountability in research. AlterNative: an International Journal of Indigenous Peoples, 17(1), 40–48. https://doi.org/10.1177/1177180120986151
Chow, C., Byington, C., Olsen, L., Ramirez, K., Zeng, S., & Lopez, A. (2018). A conceptual model for understanding academic physicians’ performances of identity: Findings from the University of Utah. Academic Medicine. https://doi.org/10.1097/ACM.0000000000002298
Chow, C., Hirshfield, L., & Wyatt, T. R. (2021). Sharpening our tools: Conducting medical education research using critical theory. Teaching and Learning in Medicine. https://doi.org/10.1080/10401334.2021.1946401
Cianciolo, A. (2020). Letter from the editor - Teaching & Learning in Medicine’s anti-racism strategy. Teaching and Learning in Medicine. https://doi.org/10.1080/10401334.2020.1836461
Cochran, P., Marshall, C., Garcia-Downing, C., Kendell, E., Cook, D., McCubbin, L., & Gover, R. (2008). Indigenous ways of knowing: Implications for participatory research and community. American Journal of Public Health, 98(1), 22–27.
Delgado, R., & Stefancic, J. (2001). Critical race theory - An Introduction. University Press.
Ellaway, R., Van Roy, K., Preston, R., Greenhill, J., Clithero, A., Elasanousi, S., Richards, J., Labarda, C., Graves, L., Mammen, M., Assayed, A., & Willems, S. (2018). Translating medical school social missions to student experiences. Medical Education, 52(2), 171–181. https://doi.org/10.1111/medu.13417
Foucault, M. (1991). Discipline and punish. Penguin.
Foucault, M. (2003). Society Must Be Defended: Lectures at the College de France, 1975–76 (D. Macey, Trans.; M. Bertani & A. Fontana, Eds.). Picador.
Gibbons, M., Limoges, C., Nowotny, H., Scott, P., & Trow, M. (1994). The new production of knowledge: The dynamics of science and research in contemporary societies. Thousand Oaks: Sage.
Grosfoguel, R. (2011). Decolonizing post-colonial studies and paradigms of political-economy: Transmodernity, decolonial thinking, and global coloniality. Transmodernity, 1(1), 1–36.
Guillemin, M., Gillam, L., Barnard, E., Stewart, P., Walker, H., & Rosenthal, D. (2016). “We’re checking them out”: Indigenous and non-Indigenous research participants’ accounts of deciding to be involved in research. International Journal for Equity in Health, 15(8), 1–10. https://doi.org/10.1186/s12939-016-0301-4
Harding, S. (Ed.). (2004). The standpoint theory reader: Intellectual and political controversies. Routledge.
Hill-Collins, P. (1989). The social construction of Black feminist thought. Journal of Women in Culture and Society, 14(4), 745–773. https://doi.org/10.2307/800672
Jenkins, T. (2021). Doctor’s orders: The making of status heirarchies in an elite profession. Columbia University Press.
Kaomea, J. (2009). Contemplating Kuleana: Reflections on the rights and responsibilities of non-indigenous participants. AlterNative: an International Journal of Indigenous Peoples, 5(2), 79–99.
Kincheloe, J., & McLaren, P. (2011). Rethinking critical theory and qualitative research. In K. Hayes, S. Steinberg, & K. Tobin (Eds.), Key work in critical pedagogy (pp. 285–326). Sense Publishers.
Mignolo, W. (2009). Epistemic disobedience, independent thoughts and decolonial freedom. Theory, Culture and Society, 26(7–8), 1–23. https://doi.org/10.1177/0263276409349275
Mignolo, W. (2011). Geopolitics of sensing and knowing: On (de)coloniality, border thinking and epistemic disobedience. Postcolonial Studies, 14(3), 273–283.
Mills, C. (1997). The racial contract. Oxford: Ornell University Press.
Mills, C. (2007). White ignorance. In S. Sullivan & N. Tuana (Eds.), Race and epistemologies of ignorance (pp. 11–38). State University of New York.
Mills, K. (2020). It’s systemic”: Environmental racial microaggressions experienced by Black undergraduates at a predominantly White institution. Journal of Diversity in Higher Education, 13(1), 44–55. https://doi.org/10.1037/dhe0000121
Milner, H. (2007). Race, culture, and researcher positionality: Working through dangers seen, unseen, and unforeseen. Educational Researcher, 36(7), 388–400. https://doi.org/10.3102/0013189X07309471
Niessen, T., Vermunt, J., Abma, T., Widdershoven, G., & van der Vlueten, C. (2004). On the nature and form of epistemologies: Revealing hidden assumptions through an analysis of instrument design. European Journal of Social Psychology, 2(1–2), 39–64.
Pappas, S. (2019). New guidance on race and ethnicity for psychologists: Guidelines urge psychologists to consider how their backgrounds shape their behavior. American Psychological Association. Retrieved September 29 from https://www.apa.org/monitor/2019/12/ce-corner-race
Paradis, E., Nimmon, L., Wondimagegn, D., & Whitehead, C. (2020). Critical theory: Broadening our thinking to explore the structural factors at play in health professions education. Academic Medicine, 95(6), 842–845. https://doi.org/10.1097/ACM.0000000000003108
Patel, L. (2014). Countering coloniality in educational research: From ownership to answerability. Educational Studies. https://doi.org/10.1080/00131946.2014.924942
Paton, M., Kuper, A., Paradis, E., Feilchenfeld, Z., & Whitehead, C. (2021). Tackling the void: The importance of addressing absences in the field of health professions education research. Advances in Health Sciences Education, 26, 5–18. https://doi.org/10.1007/s10459-020-09966-x
Randall, R. (2021). “Color-Neutral” is not a thing: Redefining construct definition and representation through a justice-oriented critical antiracist lens. Educational Measurement. https://doi.org/10.1111/emip.12429
Rondini, A., Kowalsky, R., & Waggoner, M. (2021). Addressing meso-level mechanisms of racism in medicine. The American Journal of Bioethics, 21(2), 69–72. https://doi.org/10.1080/1565161.2020.1861373
Said, E. W. (1987). Orientalism: Western conceptions of the orient. Penguin Group.
Scheurich, J., & Young, M. (1997). Coloring epistemologies: Are our research epistemologies racially biased? Educational Researcher, 26(4), 4–16. https://doi.org/10.3102/0013189X026004004
Sewell, A. (2016). The racism-race reification process: A mesolevel political economic framework for understanding racial health disparities. Sociology of Race and Ethnicity, 2(4), 402–432. https://doi.org/10.1177/2332649215626936
Spivak, G. (1988). Can the subaltern speak? In C. Nelson & L. Grossberg (Eds.), Marxism and the interpretation of culture (pp. 271–313). Macmillan Education.
Stanfield, J. (1995). The myth of race and the human sciences. Journal of Negro Education, 64(3), 218–231. https://doi.org/10.2307/2967204
Stanfield, J., II. (1985). The ethnocentric basis of social science knowledge production. Review of Research in Education, 12, 387–415. https://doi.org/10.2307/1167154
Stanfield, J., II. (1994). Ethnic modeling in qualitative research. In N. Denzin & Y. Lincoln (Eds.), Handbook of qualitative inquiry (pp. 175–188). Sage.
Sullivan, S., & Tuana, N. (2007). Introduction. In S. Sullivan & N. Tuana (Eds.), Race and epistmologies of ignorance (pp. 1–10). State University of New York.
Tsai, J., & Crawford-Roberts, A. (2017). A call for critical race theory in medical education. Academic Medicine, 92(8), 1072–1073. https://doi.org/10.1097/ACM.0000000000001810
Tuhiwai-Smith, L. (1999). Decolonizing methodologies: Research and indigenous peoples. Zed Books.
Tuhiwai-Smith, L. (2008). On tricky ground: Researching the Native in the age of uncertainty. In N. Denzin & Y. Lincoln (Eds.), The landscape of qualitative research (pp. 113–145). Sage.
Watts, L., & Hodgson, D. (2019). Critical social science and critical theory. Springer. https://doi.org/10.1007/978-981-13-3621-8_6
Wyatt, T. R., Rockich-Winston, N., White, D., & Taylor, T. (2020). “Changing the narrative”: A study on professional identity formation among Black/African American physicians in the U.S. Advances in Health Science Education. https://doi.org/10.1007/s10459-020-09978-7
Wyatt, T. R., & Zaidi, Z. (2021). Bricolage: A tool for race-related, historically situated complex research. Medical Education. https://doi.org/10.1111/medu.14629
Yearby, R. (2020). Race based medicine, colorblind disease: How racism in medicine harms us all. The American Journal of Bioethics, 21(2), 19–27. https://doi.org/10.1080/15265161.2020.1851811
Zaidi, Z., Partman, I., Whitehead, C., Kuper, A., & Wyatt, T. R. (2021). Contending with our racial past in medical education: A Foucauldian Perspective. Teaching and Learning in Medicine, 33(4), 453–462. https://doi.org/10.1080/10401334.2021.1945929
Zaidi, Z., Young, M., Balmer, D., & Park, Y. S. (2021). Endarkening the episteme: Critical race theory and medical education scholarship. Academic Medicine. https://doi.org/10.1097/ACM.0000000000004373
Zuberi, T., & Bonilla-Silva, E. (2008). White logic. Rowman & Littlefield Publishers Ltd.
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Wyatt, T.R. “The sins of our forefathers”: reimagining research in health professions education. Adv in Health Sci Educ 27, 1195–1206 (2022). https://doi.org/10.1007/s10459-022-10111-z
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DOI: https://doi.org/10.1007/s10459-022-10111-z