건강 형평성 옹호에서 소셜 미디어의 역할

### 소셜 미디어 및 옹호 활동을 통한 의료 분야의 변화 지원
* 🌍 의대 4학년생이자 의학 미스터리 버스터인 조엘 블를은 **주류 미디어가 간과하는 중요한 건강 문제**를 논의할 수 있는 안전한 피난처로서 **소셜 미디어의 역할**을 강조합니다.
* 📱 그녀는 팔로워들이 자신이 공유하는 독특한 콘텐츠에 대해 **"다른 곳에서는 본 적이 없다"**며 놀라움을 표하는 경우가 많다는 점을 강조하며 이러한 토론의 중요성을 강조합니다.
* 조엘은 같은 반의 단 두 명의 흑인 의대생 중 한 명이었던 자신의 경험을 되돌아보며 **의료 교육과 결과의 인종적 격차를 해결**해야겠다고 다짐합니다.
* 📊 그녀는 의대생이나 레지던트의 **50%가 흑인과 비흑인 환자의 차이에 대한 잘못된 생물학적 믿음**을 지지한다는 사실과 같은 놀라운 통계를 인용하며, 이는 의료 현장에서 해로운 고정관념을 영속화합니다.
* ⚖ Joelle은 의료 분야에서 다양성, 형평성, 포용성(DEI)의 필요성을 강조하며 **이러한 원칙은 의료 서비스 제공자가 다양한 환자 집단을 이해하고 대처하는 데 필수적**이라고 주장합니다.
* 📉 그녀는 **DEI 반대 법안이 의학교육과 환자 치료의 발전을 심각하게 저해**하여 의료 형평성과 접근성의 퇴보로 이어질 수 있다고 경고합니다.
* 💪 Joelle은 의료 서비스 제공자와 소통할 때 개인이 지식을 통해 스스로 역량을 강화하도록 장려하며, 이를 통해 **체계적인 문제를 해결하는 데 의미 있는 변화**를 이끌어낼 수 있다고 믿습니다.
* 🌟 그녀는 소셜 미디어가 커뮤니티 구축과 옹호 활동을 위한 플랫폼으로서 **토론을 통해 의료 시스템을 개선**하고 궁극적으로 생명을 구할 수 있는 플랫폼이 되기를 꿈꿉니다.

의료 미신 타파에 앞장서고 있는 조엘은 소셜 미디어를 활용해 의료 편견에 도전하고 건강 형평성을 증진해야 한다고 주장합니다.

I think in the face of any adversity, communities of color have always found solutions. I think for me, social media is one of those places, safe havens. Social media can be a positive change; it can inform masses about really crucial issues that are often overlooked in the media. My followers often are commenting on my videos, saying, I haven't seen this anywhere else. I think that social media can save lives when used in the right way. My name is Joelle Bll. I'm a fourth-year medical student, but I'm better known online as a medical mythbuster for creating content about health equity, the hidden history of medicine, and the ways that healthcare needs to change for communities of color. When I first started medical school, it was a really interesting time. I was thinking a lot about Ahmed Aubrey and Breonna Taylor and George Floyd. All these moments were happening at the same time that I entered my first year of medical school, where myself and one other medical student were the only two black medical students in our school of 200.

students. It made me think a lot about how we were talking about race in the United States and what race meant in the context of being a medical student. I kept hearing in my classes that black people were more likely to have asthma, black people were more likely to get covid, black people were more likely to have diabetes. We never dived into the social or other political ramifications of why that was and the history behind what led to those health disparities to exist. Seeing the lack of diverse medical education in my curriculum made me want to actually take to Tik Tok and Instagram to talk about the things that I wasn't seeing in school. My name is Joelle, the medical mythbuster, and let's talk about racial bias with the alpha feto protein test. And let's talk about racial biases in lung function tests. Let's talk about the racialization of X-ray radiation, the misguided racial correction built into this device, the spirometer, and it assumes that all black and Asian patients have lower lung functioning.

compared to any other race. Up to 93% of cervical cancers are preventable, yet in the United States, Latinos are more likely to be diagnosed with it, and black women are more likely to die from it. What looking back at this history teaches us is how racism becomes embedded and unnoticed until we raise the alarm to practices that make no [Music] sense. So many of my videos, a lot of the comments were from healthcare professionals, doctors, nurses, PAs, saying, I've never heard about this. A study in 2016 was done and actually showed that 50% of medical students or residents endorsed at least one false biological belief about differences between black and non-black patients. And so goes to show how the history of these biases and stereotypes continues till today and can impact the way that patients get care. Because everyone, especially most black people, has had an experience in the hospital where they felt like they weren't listened to, they were ignored, and they want to understand why. There's already legacies and histories of why.

communities of color don't trust the medical system. You can look at so many things that have been done. In 1961, Fanny Lamer went to the hospital for the removal of a small uterine tumor. While under anesthesia, she was given a hysterectomy without her knowledge or consent. This woman sold her body for research on COVID, polio, cancer, and so much more, but her cells were taken without her consent. Dr. Sims practiced genital surgeries on enslaved black women and children without any anesthesia. Our job as physicians needs to be to be able to figure out what should and what shouldn't stand from past beliefs to present beliefs. I think diversity, equity, inclusion is one way that we're able to critically evaluate the systems around us, especially in medicine. Diversity, equity, inclusion is really important because it goes beyond race; it goes to thinking about all aspects of our social identities and how that interacts with the healthcare field. And two, it's necessary just because the patient population we serve is diverse in itself. So often there are

places in medicine where it doesn't make sense to use race, whether that's through an equation that's about kidney functioning or about lung functioning. So, being able to talk about DEI and that lens allows us to critically evaluate why we use race-specific issues. If we're not able to accurately critique why race is included in systems and whether that's harming or helping patients, we're unable to do our job of Do no harm. But there's a considered effort to try and essentially root diversity, equity, inclusion out of medicine, people thinking that's negative in the medical field. If these anti-DEI bills continue to get passed, I think we're going to see less diversity, equity in medicine across the spectrum. I think we're going to see less access to research that's really critically thinking about why we're using race and being able to kind of recorrect that, which has already been difficult to get people to talk about in the first place. We're going to see scholarship programs dry up. We're going to see programs that are investing in

the Next Generation go away. We're going to see students less interested in going into medicine simply because there's not investments into communities that have been overlooked for so long. We're going to be set back to a time where we were not moving medicine forward and actively harming patients. I don't want to scare people away from the Healthcare System, but I want them to know that they have the power and there's information they can have when they get to the doctor so they feel a little bit more confident. When there's awareness, providers, patients, and researchers can actually start tackling the problem. I think when we don't know it's a problem, we don't do anything about it. I think there's just so many opportunities to use social media as this kind of ground for Community to build and create advocacy and hopefully create change. I think especially when it comes to anti-di bills, I think that's the space we're going into. It can be a space to continue to learn, educate, and hopefully talk about how we can

A Medical Mythbuster’s Mission to Improve Health Care | Joel Bervell | TED

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Joelle Bll: 의료 미신 버스터이자 건강 형평성 옹호자

의대 4학년인 조엘 블를은 소셜 미디어를 플랫폼으로 삼아 유색인종 커뮤니티의 건강 형평성과 의학의 숨겨진 역사를 다루고 있습니다.

200명으로 구성된 학급에서 흑인 의대생 2명 중 한 명이었던 자신의 경험과 인종적 불공정의 영향이 더해져 건강 격차와 다양한 의학 교육의 필요성을 강조하는 콘텐츠를 제작하게 되었습니다.

그녀는 동영상을 통해 의료계의 인종적 편견에 대한 인식을 제고하고 의료 시스템의 변화를 옹호하는 것을 목표로 하고 있습니다.

인종차별이 자궁경부암과 의료에 미치는 영향

자궁경부암은 대부분 예방이 가능하지만, 미국에서는 라틴계가 진단을 받을 확률이 더 높고 흑인 여성이 사망할 확률이 더 높습니다.

의료계에서 인종 차별의 역사는 오늘날까지도 편견과 고정관념으로 이어져 환자 치료와 의료 시스템에 대한 신뢰에 영향을 미치고 있습니다.

다양성, 형평성, 포용성은 의료계에서 시스템을 비판적으로 평가하고 환자 집단의 다양한 요구를 해결하기 위해 매우 중요합니다.

신장 및 폐 기능에 대한 의료 방정식에서 인종을 사용하는 것은 DEI 렌즈를 통해 비판적으로 평가되고 있습니다.

인종차별 금지 법안은 의학의 다양성과 형평성을 떨어뜨려 연구 및 장학금 프로그램에 대한 접근성을 떨어뜨릴 수 있습니다.

소셜 미디어를 통해 커뮤니티를 구축하고 옹호 활동을 펼치면 이러한 문제에 대한 인식을 제고하고 변화를 이끌어낼 수 있습니다.

전반적인 의료의 질을 향상시키기 위한 노력이 계속되고 있습니다.

기술과 연구의 혁신은 치료와 환자 관리의 발전을 이끌고 있습니다.

의료 분야에서 효과적인 변화를 구현하기 위해서는 의료 전문가 간의 협력이 매우 중요합니다.