You are currently browsing the tag archive for the ‘Medical Students’ tag.

In one of our first few meetings for the Diversity Council (DC), our first faculty advisor, Dr. Braciale, told us she would write a course proposal.  The idea was simple; have every teacher do one to two hours of lecture a semester on their own lecture material having to do with health disparities and/or cultural competency.  You can read the actual course proposal here (click here) but know that the idea was a 10 year old one we borrowed from the AAMC (Association of American Medical Colleges, click here).  Also, you may want to know that there are certain states which dictate that this must be taught in their medical schools (such as New York) as well as the LCME (the folks who accredit a medical school in the US) and the ACGME (folks who accredit residency programs) request or require cultural competency be taught/understood.  Furthermore, you should know that AUC spends approximately 4 hours or less talking a mixture of issues, one of which is cultural competency.

When dave, joe, mike, chanell and myself learned all this, we were shocked.  We had been talking for some time about our frustrations with the curriculum and how health disparities in the US and Canada were ignored.  What was disturbing was that many of our colleagues didn’t even know there were health disparities, and to make matters worse, our teachers were propagating an ideology that biology and genetics are a significant factor/cause.  Thing is most US institutions place high importance on health disparities and know that such ideologies are totally untrue, “Current information about the biologic and genetic characteristics of minority and underserved populations does not explain the health disparities experienced by these groups” (CDC, Office of Minority Health Disparities).

Knowing all this we were ecstatic to hear about Dr. Braciale’s course proposal.  However, there were some within the Diversity Council who worried we were moving to fast.  So I tried to go to all the teachers and get their support for the proposal before Dr. Braciale presented it to the monthly Teacher Meeting.  Unfortunately, the proposal was shot down anyhow.  Complaints from teachers included, “We don’t have enough time”, “It’s not that important”, “I can’t teach this and I am not qualified to teach this.”  Furthermore, the Behavioral Department chair, Dr. Johnson, walked into Dr. Braciales office and dropped the Behavioral Course syllabus onto her office before walking out.  Behavioral science has one lecture, depending on the semester, for 50 minutes devoted to this subject.  Afterwards I was told to be careful and not step on “anyones toes” or that people have “long toes” at AUC.

Not one to give up, I tried to write a proposal after my term as president of the Diversity Council was up.  During my time as President I had found that Dr. Johnson had wrote a similar proposal to Dr. Braciale’s years back.  I spoke with her a few times on the subject matter and she told me that other Caribbean schools had such a course.  I looked at other Caribbean medical schools such as Ross and SGU and found they had specific courses for this subject matter.  One of which was called Doctor, Patient and Society.  I modeled my course off it (click here to read about it) with the fundamental focus on health disparities and Culture Competency.  The problem was I needed a Course director; someone who would teach the course, write the syllabus and pitch it to the curriculum committee/administration.  I tried Dr. Johnson.  She said that she didn’t really want to but that she would co-direct the proposal.  I asked Dr. Braciale if she would co-direct with Dr. Johnson such a course.  She said sure.  A short time later Dr. Johnson tells me she does not want to do the course.  I decided that I would get all the teachers I had spoken too together and see once and for all if anyone would chair my course.  I asked Dr. Johnson to organize such a meeting briefly between classes and she tells me that, “Yes, well, I think we should take this off your shoulders.”  I thought nothing of it but a short time later I was told that I was being to aggressive.  Dr. Johnson had requested to meet Dr. Testa and Dr. Braciale about me and my course proposal so that everyone was on the same page when she told me no.

Then came my last two semesters and I met our Medical Ethics teacher Dr. Edwards.  I spoke with her about my course proposal and Dr. Braciale’s and she said that she wanted to teach such a course.  She said that she would write a syllabus and get back to back to me and my colleagues who were working on the proposal (myself, kyle, gundi, jessica – they helped write both of my course proposals).  We gave her a bunch of ideas for the syllabus and course which you can read here.  More than anything we wanted this course to be the course where everything AUC didn’t teach was finally being taught.  Tragically, however, a family member of Dr. Edward’s died.  She had to drop everything and I know I would have done the same had I been in her shoes.  I wish I had met Dr. Edwards sooner.

When I left AUC, after all the efforts my colleagues and I made, student opinion had changed.  I remember sitting in class and watching peers of my semester go back and forth with teachers on cultural competency.  It was a good feeling, knowing that my arguments did not fall on deaf ears.  But then the hate crime happened and I watched people’s reactions and my doubts grew.  I realized that the newer semesters had no clue about cultural competency and health disparities.  Also, that only one or two organizations were continuing the discussion, half heartily, on cultural competency.

Remember though that on the heels of the hate crime incident the school has promised a new pilot course for May 2011.  I for one hope they come thru.

What do you think???

As mentioned in earlier posts (click here), the Diversity Council at some point was intended to replace the SGA.  The smaller organizations were often getting the shaft and student concerns were often tabled or brushed aside.  But, within the DC, students and teachers were split on the topic.  A lot of people were tired of not being recognized and did not feel we could ever supplant the SGA.  They worried that no one would support us in that endeavor.  Others, myself included, felt that if we joined SGA we would never realize our potential; that we would be shackled to a meager or ineffective student government.  Worst of all, we would have to start playing by their rules.

Before we became part of SGA there was no one telling us what we could or could not do.  Yes, the school often denied us certain privileges and the administration would often hassle our supporters when they/we booked a room for an event.  But, the rooms always got booked and we held our events regardless.  We did not have to kowtow to the administration or SGA.  We did not have to report every single event we did to the Deans and SGA (which everyone has to do this now).  We could have as many faculty sponsors as we want and have whatever structure/mission we want.  Basically, we didn’t have to report to anyone or have fear of anyone looking over our shoulder.

However, when we decided to go ahead and become recognized by the SGA I made a mistake.  I did not stand my ground and form a good enough argument.  Plus, I had spoken with majority of the members of the Council and they wanted to be under SGA.  I wasn’t about to become like the SGA and find some way to brush it aside.

At the time all this was playing out we were working for recognition alongside BGLAM (Bisexuals, Gays, Lesbians, Allies in Medicine).  Once Dr. Testa shared with them how to become recognized, they shared it with us and we applied for recognition under SGA.  When we went before the SGA we ended up being grilled by SGA members, even our own supporters.    People were worried that we were going to supplant SGA, that we were a political organization and they questioned our legitimacy.  It was funny since we had put on some of the most successful events and were the most active organization on campus, but we were still questioned for almost a half hour.  I did most of the talking and I suppose I was able to put forward a good argument because we ended up being recognized.

Getting recognition was definitely a victory for those of us who started the DC such as chanell, sana, moonmoon, binta, joe, dave, mike and myself.  We were really excited.  Unfortunately, the good feelings didn’t last because when we tried booking a room for St. Maarten day (a national holiday for St. Maarten, day off from school), we ran into the usual problems.  We were only allowed to use a certain minute part of the courtyard.  Plus, we were denied use of a lawn in front of the school, which no one ever uses especially on holiday when no one is at school.  Fortunately, we were able to get use of the lawn last second and we held the event.  After this, I knew even then that becoming part of SGA had been a mistake because it felt like nothing changed.

Perhaps becoming part of SGA ensured that the DC would continue after I left but I admit now that the DC of today is not the DC we created.  Not by a long shot.  For the first executive board and myself, the DC was the most important organization at AUC and we put a 110% into the organization.  Having watched the two executive boards that followed, I can say that progress is being made.  I can only hope that the DC will have more than just one meeting a semester and that it will once again become the most active organization on campus.  Mostly, I hope they continue to educate and discuss with students health disparities and cultural competency.

What do you think? Do you think the Diversity Council should have joined the Student Government??  Do you think health disparities or cultural competency is a big deal???

Dear Readers,

This is a public service announcement that your writer will be taking a break to kick his comprehensive exam next Friday.  Please keep this writer in your hearts and minds if you want this writer to pass his big exam that will free him of basic sciences and allow him to come back to the D and A2.

Tune in next week and I will have a new post for the “Student Stories” section about a student with good grades who was kicked out of school.  Plus, I have a great deal of new posts to share including one explaining why the American University of the Caribbean (AUC) was scared of new student organizations like the Diversity Council.

In the meantime, feel free to come by, check stuff out and leave a comment.

Most importantly, please pray/meditate for the family and loved ones of the AUC 2nd semester student who lost their life recently.

May you be at Peace,

MD C.

Image from http://rivertext.smugmug.com

‘It’s better to regret what you’ve done, not what you didn’t do.’ Anonymous

A few weeks ago I was told by a staff member that I was the spokesperson for vegetarians at AUC (American University of the Caribbean).  I can guarantee you that I did not arrive at this exalted position because I am well spoken.  Rather, I am the only one speaking up.

I think a large part of this stems from the fact that my colleagues and I are medical students.  Medical students across the world have a lot on their plates.   However, where do we as medical students, or in fact as human beings, draw the line?  At which point in our careers do we turn a blind eye to suffering and disparities?

At AUC we talk a big game about ‘Diversity’ and about being innovative or just as good as anyone else.  My problem, and the problem many of my colleagues share, is that AUC doesn’t walk the walk.  Everyone is so scared of losing their position or ‘not making it’ in their second chance at medical school, that conflicts and different perspectives on medicine/classes/whatever are stifled. They are swept underneath a rug.  AUC has all these reports claiming there are no hate crimes and no discrimination at AUC.  But, then there is an event like the recent hate crime incident and no one speaks out and not enough people know the victims story.  It’s the silence on the conflicts at this school which makes everything so frustrating. No one speaks up unless it involves money.  Even when it does, people still do little.

Not too long ago I was fighting against a magical new rule (aka Double standard) regarding the DC (Diversity Council, note irony) when the school forced all its students to buy from one insurance company, Nagico.   At the time I was more worried about the double standard but members of my organization had asked me to look into it so I did.  This is what I found: when the Nagico issue arose, only two second semesters choose to do anything.  No one offered to help them in their efforts when they wrote a letter to Miami or when they convinced SGA to send the letter to the Miami office.  When the ‘Miami office’, aka the greatest share holder at AUC inc., said too bad – the issue dropped.  No one did anything afterwards.    Students and families have accepted that they are being charged 3-4x more for a worse insurance policy.  It doesn’t seem to matter that the person who organized the deal has a husband previously employed by the insurance provider, Nagico (see here and here)It doesn’t matter that the SXM immigration office, AUC’s cited reason for the change, is selectively enforcing a mandatory domestic insurance rule only on AUC and not the St. Maarten University down the street (see link here, American students and international students may still waive the insurance policy like AUC students used to do).

So why again doesn’t this all matter??

If you ask about this and the other issues brought up, I guarantee you will hear a variation of the following from AUC students, “Oh, that is awful but you know how things are here” or “just forget about it and study, there’s nothing you can do anyways”.  The best response I usually hear is the more cautious, “well, we can’t just make wild allegations, we have to be sure and do this the right way – we don’t want to harm our schools reputation or possibly get kicked out.”  I have listened to these responses during my first two semesters as well as now, and back then (like now) I hoped then I wasn’t alone in my complaints.

In January of 2009 I went to all the student organizations and definitively found that I wasn’t alone.  Those that worked with me helped me create an organization to end the pervasive silence at AUC, but now I am the only person left out of those founders and the DC has changed.  With the handling of the recent hate crime incident by the administration, I am asking people to do something and stick with it. Make a petition.  Sign my proposal.  Support BGLAM by signing up or becoming active.  Write your congressman on this issue or any issue.  DO something, anything, please.  You are not powerless and it should go without saying,  “live without regrets”.

(courtesy of http://www.cartoonstock.com)

Related Articles

Enter your email address to subscribe to this blog and receive notifications of new posts by email.

Join 4 other followers

Purpose of this Blog

This blog is an account of past and present struggles at the American University of the Caribbean Medical School (AUC). My colleagues and I endeavored to make our Caribbean Medical School more progressive and supportive of all its students. We worked against an administration and student government to end marginalization of students and fight ignorance. When all was said and done, the administration at AUC claimed that they had single handily brought more diversity to AUC. It's time to share the whole story.

This is the story of those that fought for progress, stood up to AUC's administration/SGA and, just sometimes, won.

June 2017
M T W T F S S
« Dec    
 1234
567891011
12131415161718
19202122232425
2627282930  
%d bloggers like this: