Physicians and medical learners are encouraged to be socially “Respecting and valuing diversity” is an explicit expectation of accountable and to advocate for patients within the clinical the CanMEDS collaborator role (which encompasses collabora- environment and to the populations they serve. [...] However, Black tion with patients, communities and other health care profession- and racialized physicians specifically are surveilled and critiqued als), yet Black and Indigenous patients, learners and physicians for the type of advocacy efforts in which they engage.5,7 Arguably, continue to experience interpersonal racism in the form of advocacy, as defined by the academy, is white-centred and c. [...] The continued exclu- formance of Black trainees is now recognized as a structurally sion of Black scholars and partners in clinical research permits racist practice that persists in medical education.6 the development of epistemic bias in medical knowledge and the All editorial matter in CMAJ represents the opinions of the authors and not necessarily those of the Cana dian Medical Association or i. [...] The CanMEDS role of professional is perhaps the most diffi- cult with respect to the perpetuation of racism. [...] All authors contributed to the design, drafting and revisions of the final manuscript, gave final approval of the version to be published and agreed to be accountable for all aspects of the work in ensuring that questions related to the accuracy and integrity of the work have been appropriately investi- gated and resolved.
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