The Tools at Their Fingertips How Settler Colonial Geographies Shape
Social Science & Medicine 237 (2019) 112363 Contents lists available at ScienceDirect Social Science & Medicine journal homepage: www.elsevier.com/locate/socscimed The tools at their fingertips: How settler colonial geographies shape medical T educators’ strategies for grappling with Anti-Indigenous racism ∗ ∗∗ Paul Sylvestrea, , Heather Castledena,b, , Jeff Denisc, Debbie Martind, Amy Bombaye a Department of Geography and Planning, Queen's University, Kingston, Ontario, Canada b Department of Public Health Sciences, Queen's University, Kingston, Ontario, Canada c Department of Sociology, McMaster University, Hamilton, Ontario, Canada d School of Health and Human Performance, Dalhousie University, Halifax, Nova Scotia, Canada e Department of Psychiatry and School of Nursing, Dalhousie University, Halifax, Nova Scotia, Canada ARTICLE INFO ABSTRACT Keywords: Settler colonialism implicates settler and Indigenous populations differently within ongoing projects of settle- Medical education ment and nation building. The uneven distribution of benefits and harms is a primary consequence of settler anti-Indigenous racism colonialism. Indeed, it is a central organizing feature of the settler state's governance of Indigenous societies and Indigenous health is animated, in part, through pervasive settler ignorance and anti-Indigenous racism, which has manifested in Settler colonialism persistent health disparities amongst Indigenous peoples. This broader socio-political context surrounding Multiculturalism medical schools, which are seeking to develop teaching and learning about Indigenous health presents a sig- Qualitative inquiry Truth and reconciliation commission of Canada nificant challenge. Understanding the cognitive and affective tools that settler educators use when grappling with questions of race, racialization, and Indigenous difference is an important step in addressing anti- Indigenous racism in health care provision.
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