Ed.D., Antioch University, 2025, Education
The persistent health disparities faced by Black, Indigenous, and People of Color (BIPOC) in the United States are deeply rooted in systemic racism embedded within medical education and clinical practice. Historical acceptance of racial supremacy in the United States has shaped both the foundations and continued practices of medical education, leading to entrenched biases that affect healthcare delivery and patient outcomes. This dissertation critically examines the intersection of race, education, and health by analyzing how historical and contemporary understandings of race and ethnicity shape medical curricula, healthcare practices, and patient care. Through the integration of Critical Race Theory (CRT), Social Cognitive Theory (SCT), and ScT, this study deconstructs racialized knowledge systems in medicine and examines their impact on health equity. CRT provides a lens to analyze how systemic racism is embedded within medical education and practice, illuminating the ways racial bias is institutionalized and perpetuated in healthcare structures. SCT contributes by exploring how individuals internalize societal norms and beliefs, which influence the attitudes and behaviors of both medical practitioners and patients. Finally, ScT emphasizes the role of social networks and relationships, highlighting how disparities in access to healthcare resources and support systems affect health outcomes in marginalized communities. Together, these theories offer a comprehensive framework for understanding the layered and interconnected influences of race, education, and healthcare, guiding the study's aim to challenge and dismantle biased practices within medical training and clinical care. Chapters I and II introduce the research problem and establish a comprehensive foundation, outlining key theoretical frameworks—CRT, SCT, and ScT—while exploring the historical roots of racialized practices in medicine, including the legacy of unethical experimentation and the Flexner Report (open full item for complete abstract)
Committee: Tony Kashani Ph.D. (Committee Chair); Cristy Sugarman Ph.D. (Committee Member); Lauren Mitchell Ph.D. (Committee Member)
Subjects: African Americans; American History; Black History; Black Studies; Cultural Anthropology; Education History; Education Policy; Educational Evaluation; Educational Leadership; Educational Theory; Ethics; Evolution and Development; Health; Health Care; Health Education; Health Sciences; Higher Education; Higher Education Administration; Medical Ethics; Medicine; Organization Theory; Organizational Behavior; Public Administration; Public Health; Public Health Education; School Administration; Science Education; Secondary Education; Social Research; Social Structure