My textbooks are racist.

Being a black male medical student (yes we do exist), you quickly realize that you’re not just there as you, you are representing your entire race and gender. One that continues to let you down in every way possible but you continue to boldly represent. Being a black male medical student, you’re continuously interacting with teachers and consultants you cannot relate to, not culturally, racially or any other forms of -lly. White consultants assume that you’re there based on a quota system and the few black consultants want to make you believe that you need to work thrice as hard to be worth standing where you are, continuously telling you stories of how hard they had it during their “time” and how we should be grateful to have it the way we do now. Both completely out of touch with reality I suppose, it’s 2016 I cannot be grateful to the fact that I’m given the opportunity to have these specific set of struggles, I need change and accepting things as they are isn’t something I think I can do. Being part of a group of about 30 black males in a class of 314 students puts your race and gender into perceptive. How did we get here? People look at you and applaud because it seems as though you’re one of the lucky few who have managed to survive this far in a system that is in no way designed for you. As though we should still celebrate being a minority in 2016.
In the spirit of peace and ignorance I had accepted this and learned to deal with it to a certain extent; accepted the pressure that it came with and the shock on people’s face when I tell them that I’m a medical student or when they see me walking around the hospital in scrubs or with stethoscope around my neck. The constant “you don’t look like a medical student” or the confusions that all my black female friends MUST be nurses, because there’s no such thing as black female doctor right? I guess this fits right into the #WhatADoctorLooksLike problem; there’s are some physical criteria and we either have too much melanin or two X chromosomes with too much melanin to fit in. I had learned to deal with the look on the face of a white consultant when I was able to answer a question my white counterpart could not. Learn to politely smile when they felt the need to compliment my accent by telling me how well spoken I was, something I had never heard said to my white counterpart, it almost as if as a black man, I’m not suppose to articulate my words right, my knowledge of the English language is suppose to be limited. As a black man, my level of education and intelligence isn’t measured in the degrees I may have, the distinctions I continue to get or my ability to reason but rather my ability to flawlessly speak the English language in an European accent. To walk in a ward without a name badge on and everyone automatically assuming that you’re a poor black patient & not a medical student or young doctor. I dealt with it everyday I was in the ward, seeing consultants continuously asking my white counterpart as to what we’re suppose to be doing because the possibility that a person of color could know what’s happening is beyond understanding. I had to learn to keep quiet and not take offense when subtle racist or sexist comments were made in my presence.

But it was when I felt this very racism in the comfort of my bedroom that I lost my ability to cope. Like a shock of white while reading my clinical examination textbooks in preparation for an OSCE; I realized there was a lot of descriptions on how to identify jaundice, cyanosis, xanthelasma, pallor, hyper-pigmentation and hundreds of other diseases presentation, but these descriptions explain how to identify these on white patients, the images in my textbooks were all of white patients. I stood there in disbelief, thinking maybe I’m overthinking this, I’ve been studying for too long I should take a break. My discomfort, however, was too overwhelming to ignore as I put down the textbook to quickly pick it up again and go through every image in it never once seeing a person of color.
This is the prescribed textbook by an African university, a textbook used to train African doctors for African patients, but it had no African images or descriptions, not once in the hundreds of pages that made the textbook. My OSCE will be conducted on black stimulating patients, the wards where I will spend the first 5 years of clinical exposure is made up of 99% of black patients but I’m not studying for black patients, I’m not being taught for black patients, I mean how would I ever identify any these on a black patient? The author of my prescribed clinical examination book must have never heard of sick people of color. Maybe black people don’t suffer from jaundice, maybe it’s a Caucasian thing, maybe we don’t suffer from anaemia, cancer or anything that has the ability to alter our appearances. Maybe it’s all infectious disease with us, maybe I’ve had this all wrong, nah it can’t be – I took to the google streets to confirm my curiosity.

Dear Talley’s and O’connor

Black, colored, Indian, latino, Asian people with jaundice, cyanosis, anaemia, and hyperpigmentation do exist. I’d be more than happy to forward you images I found online for your next edition.
a disappointed BLACK MALE MEDICAL STUDENT (yes, we do exist) forced to used your textbook.


2 thoughts on “My textbooks are racist.

  1. Love this piece. It’s so accurate. I was trying to google about a certain skin condition my child had but based on the pictures of white patients I could not pin point what my son had. I mean it totally looks different on a person of colour why would they avoid showing us the non white version of the disease lol. Anyway love your writing, love taking this journey through med school woth you. Well done.

    Liked by 1 person

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