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Record W4414629284 · doi:10.36834/cmej.81766

Engaging intersectionality in medical education

2025· article· en· W4414629284 on OpenAlexaffvenue
Princess Eze, Sarah Forgie, Philomina Okeke‐Ihejirika, Marghalara Rashid

Bibliographic record

VenueCanadian Medical Education Journal · 2025
Typearticle
Languageen
FieldSocial Sciences
TopicDiversity and Career in Medicine
Canadian institutionsWomen's and Gender Studies et Recherches FéministesAlberta HealthUniversity of SaskatchewanUniversity of Alberta
Fundersnot available
KeywordsIntersectionalityHealth careDiversity (politics)Identity (music)Health equitySocial identity theoryHealthcare systemFoundation (evidence)

Abstract

fetched live from OpenAlex

Medical education (ME) plays a critical role in shaping future healthcare providers; however, systemic inequities persist due to biases embedded in both the formal and hidden curricula. The hidden curriculum-unspoken values, norms, and structural inequalities-reinforces implicit biases that influence professional identity formation, clinical decision-making, and patient outcomes. This theoretical paper examines how overlapping social identities can shape health experiences and access to care, and establishes a foundation for tackling systemic inequalities by advocating for the integration of an intersectional framework into ME. As healthcare institutions increasingly focus on diversity and inclusion, we aim to demonstrate that integrating intersectionality theory into ME is a timely and necessary step towards training physicians to meet the needs of diverse patient populations and reduce care disparities. We highlight how the absence of intersectional perspectives in medical training results in narrow clinical frameworks, reduced cultural competency, and the perpetuation of health disparities through the hidden curriculum. Furthermore, we outline practical strategies for embedding intersectionality into ME, such as building an intersectional curriculum, incorporating diverse case scenarios, and establishing institutional task forces. Despite potential challenges, such as resistance to change and resource constraints, implementing intersectionality in ME remains essential and can be attainable through institutional commitment and collaborative approaches. By using intersectionality as a guiding framework, ME can better prepare future healthcare providers to deliver equitable patient centered care while reducing the systemic disparities in healthcare.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.046
metaresearch head score (Gemma)0.040
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Theoretical or conceptual · Consensus signal: Theoretical or conceptual
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.046
Threshold uncertainty score0.245

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0460.040
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0030.002
Science and technology studies0.0190.037
Scholarly communication0.0160.016
Open science0.0030.065
Research integrity0.0050.011
Insufficient payload (model declined to judge)0.0100.001

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.013
GPT teacher head0.349
Teacher spread0.336 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designTheoretical or conceptual
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes2
Has abstractyes

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