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Medical Mistrust and Medical DistrustHistorical Foundations of Racism in Medicine

Learning Objectives
1. Define and differentiate between trustworthiness, medical distrust, and medical mistrust
2. Explain how historical and contemporary instances of medical experimentation and research on people from racial and ethnic minority groups contribute to medical distrust and medical mistrust
3. Implement strategies to understand and address medical distrust and medical mistrust among patient communities and strive for trustworthiness
0.25 Credit CME

In health care, we are often acculturated to believe patients who don't follow physicians' care plans are “non-compliant” or do not care about their health. Understanding the history behind a patient's lack of trust in a care plan may help you approach patients more openly and will support better communication about your recommendations. This module will explore the important distinctions between medical distrust and medical mistrust. The history of unethical medical experimentation and substandard care provided to people from racial and ethnic minority groups lie at the root of mistrust and distrust in health care in these communities.

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Education from AMA Center for Health Equity
AMA’s online education to empower individuals and organizations, in health care and beyond, in advancing racial justice and equity. Learn more.

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Activity Information

Credit Designation Statement: The American Medical Association designates this enduring material activity for a maximum of 0.25 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships.

If applicable, all relevant financial relationships have been mitigated.

AMA CME Accreditation Information

Credit Designation Statement: The American Medical Association designates this Enduring Material activity for a maximum of 0.25  AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to:

  • 0.25 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program;;
  • 0.25 Self-Assessment points in the American Board of Otolaryngology – Head and Neck Surgery’s (ABOHNS) Continuing Certification program;
  • 0.25 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program;
  • 0.25 Lifelong Learning points in the American Board of Pathology’s (ABPath) Continuing Certification program; and
  • 0.25 credit toward the CME [and Self-Assessment requirements] of the American Board of Surgery’s Continuous Certification program

It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting MOC credit.

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