How to Demonstrate Equity on Casper® 

In order to better understand how to perform well on equity metrics on Casper, it is helpful to understand why this is being measured in the first place.

Why are medical schools and other health professions programs so interested in assessing equity?

Let's look at an example in a professional context for some insight. Below, we'll share a story of equity in a family doctor's office setting.

Pat is making her third trip to their family doctor's office in as many months. Pat, a First Nations Cree woman, was diagnosed with type 2 diabetes after the birth of her daughter 18 years ago, and her blood sugar control had never been great. She also had high blood pressure, high cholesterol, and diabetic foot ulcers.

Pat's family doctor had added an insulin injection along with a pill in an attempt to improve her sugars, which hadn't helped. He had also arranged an appointment for health behavior teaching with the clinic's diabetes nurse, which hadn't helped either. He told Pat in no uncertain terms that she would destroy her feet unless she improved her sugar control.

Pat's family doctor was unsure of what to do next and decided to read through the Truth and Reconciliation Report for ideas. He read more articles, learned about the concepts of cultural safety and cultural humility for his Indigenous patients, and engaged in critical self-reflection. He hadn't realized that his implicit biases were destabilizing his clinical relationship with Pat or that he had been unknowingly using language rooted in racism and oppression.

He discovered that when he used his authority as a doctor to tell Pat how to manage her diabetes, he was re-enacting the legacy of colonization with its uneven and damaging relationships between Indigenous and non-Indigenous people.

Pat noticed that her doctor acted differently during this visit. He focused on sharing and connectedness as well as used a more indirect and nonconfrontational approach to discuss Pat's health issues. He acknowledged the connection between Pat's adverse life experiences and her capacity to manage her diabetes.

For the first time, Pat felt safe and acknowledged at her family doctor's office instead of being powerless and reprimanded.

***

As you can see from this example, equity is a skill that involves not only addressing the differential treatment of marginalized groups in society but also acknowledging your privilege and reflecting on how you interact with members of these groups.

Pat's health was set on the path to improvement without any changes in medication-what she needed for equity was a doctor who created a safe and stable clinical relationship through understanding Indigenous practices and acknowledging the historical and social context of Pat's health.

Healthcare systems in Canada and countries worldwide are working to address the social determinants of health and structural barriers to care and achieve health equity for whole populations.

Medical schools are interested in people who promote equity, as physicians are active participant architects within the healthcare system and are key to its improvement.

Given this example, you can understand why medical schools and other health professions programs are so interested in asking applicants to demonstrate equity.