Toward Critically Analyzing Whiteness in Immigrant Health.

Assimilation theories dominate immigration scholarship to examine differential life chances, opportunities, and health of immigrants across three waves of immigrants in the United States. Assimilation theories are widely used in public health to explain the health status of immigrants despite the embedded White supremacist ideology while ignoring the role of whiteness. This article reviews and critiques assimilation theories to propose a critical analysis of whiteness in immigrant health scholarship. Critically analyzing whiteness in immigrant health studies allows us to recognize (a) the problematic framing of assimilation theories because of the theories' devotion to a White-European vision of upward mobility and a mainstream characterized as elite and White and (b) how a purportedly colorblind immigration law reinforces White supremacy through possessive investment in whiteness. To highlight whiteness in immigrant health, we examine the anti-immigration rhetoric and anti-immigrant policies and surveillance while providing implications for future research in the scholarship of immigrant health.

The impact of Whiteness on the education of nurses.

Racism affects the nursing profession by routinely producing an over representation of Whites. Since the Sullivan Commission on Diversity in the Healthcare Workforce (Sullivan, 2004) reported that people of Color (POC) found it difficult to gain admission into health professions schools, regulatory agencies have made recommendations to the nursing profession to create program strategies to increase diversity. Many strategies were implemented to recruit, educate, retain, and graduate POC from university-based nursing programs, but these have had little effect on diversity in nursing. Simply put, these strategies were only band-aids attempting to heal a much larger issue within the profession precisely because programs do not address the underlying problem: the pervasiveness of whiteness. Whiteness has been normalized and influential in the manifestation of racism in nursing practice. The pervasiveness of whiteness has resulted in nursing education being seen through a White lens (Scammell & Olumide, 2011). This paper explores whiteness and its effect on the profession of nursing and nursing education.

Tools for Discussing Identity and Privilege Among Medical Students, Trainees, and Faculty.

Introduction: Physicians and students of all backgrounds should be prepared to interact with patients of various socioeconomic, racial, ethnic, gender, religious, and sexual orientation identities. The approach described here emphasizes how important it is for physicians and physicians-in-training to develop self-awareness before engaging with patients. Methods: Over the course of 6 months, we conducted workshops on identity awareness for four groups: (1) fourth-year medical students (N = 6), (2) first-year medical students (N = 88), (3) faculty and staff (N = 11), and (4) residents/fellows (N = 4). Exercises in this workshop prompted learners to reflect on the development of social and professional identities through the use of an identity wheel activity, a group reading about professional identity formation, and a hands-on activity modeling social inequity. Results: Our analysis of responses to pre- and postsurveys indicated that learners in the first-year medical student group (N = 88) experienced increased awareness and acknowledgment of social identity, professional identity, professional relationships, and the concepts of privilege and difference following participation in this workshop. Discussion: These exercises guide learners toward critical thinking about privilege and identity to better prepare them for culturally inclusive patient interactions. These materials can be used with physicians at various levels of training. The earlier they are used, the more time learners will have to reflect on social and professional identities before interacting with patients.