Commentary

How and why the language of medicine must change


 


I consider this document from the AMA and AAMC to be both profound and profoundly important for the healing professions. The contributors frequently use words like “humility” as they describe their efforts and products, knowing full well that they (and their organizations) stand to be figuratively torn limb from limb by a host of critics – or worse, ignored and marginalized.

Part 1 of the Health Equity Guide is titled “Language for promoting health equity.” It lists commonly used words and phrases that are better off not being used and their equity-focused alternatives (the reader is referred to the Health Equity Guide for the reasoning and explanations for all).

Commonly used words/phrases and equity-based alternatives

Part 2 of the Health Equity Guide is called “Why narratives matter.” It includes features of dominant narratives; a substantial section on the narrative of race and the narrative of individualism; the purpose of a health equity–based narrative; how to change the narrative; and how to see and think critically through dialogue.

Part 3 of the Health Equity Guide is a glossary of 138 key terms such as “class,” “discrimination,” “gender dysphoria,” “non-White,” “racial capitalism,” and “structural competency.”

The CDC also has a toolkit for inclusive communication, the “Health Equity Guiding Principles for Inclusive Communication.”

The substantive message of the Health Equity Guide could affect what you say, write, and do (even how you think) every day as well as how those with whom you interact view you. It can affect the entire communication milieu in which you live, whether or not you like it. Read it seriously, as though your professional life depended on it. It may.

Dr. Lundberg is consulting professor of health research policy and pathology at Stanford (Calif.) University. He reported no relevant conflicts of interest.

A version of this article first appeared on Medscape.com.

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