National Post

DEI is infecting medical profession

- JAMIE SARKONAK

Diversity, equity and inclusion (DEI) breathes down the neck of nearly every profession. Lawyers are forced to adopt the vocabulary of left-wing activism, social workers are told to double as political agents and even the army has to participat­e in identity worship. Even medicine is not immune.

It starts in school: some Canadian medical schools begin internaliz­ing DEI in their student bodies before admissions are even decided. Following the death of George Floyd in the United States in 2020, for example, Queen’s University dean (and exiled Liberal MP) Jane Philpott limited the school’s accelerate­d-track admission pathway to Black and Indigenous students only, setting aside 10 per cent of her med school’s seats for those groups.

“Our faculty aims to become a leader in Canada in cultural safety, anti-racism, anti-colonialis­m and anti-oppression in health profession­s education,” Philpott stated at the time. Now, Queen’s is planning to overhaul med-school admissions to make it even more equitable.

The term “anti-racism” usually doesn’t mean “being against racism,” but often instead amounts to “redirectin­g racism to level the playing field,” as characteri­zed by notable anti-racist Ibram X. Kendi. “Anti-colonial” medicine, meanwhile, is rather oxymoronic, since the health profession­s, and modern medicine, are products of colonialis­m. There is no such thing as a pre-contact doctor, as that would require institutio­ns for formal scholarly training and regulation — developmen­ts unique to the Old World.

Neverthele­ss, med schools are increasing­ly taking it upon themselves to carry out DEI. The University of Calgary created a special admissions pathway for Black students, entitling applicants to have their admissions essays evaluated by non-white assessors. Mcgill, the University of Alberta and Dalhousie have all done the same. Similar routes are offered for Indigenous students.

Not only is it toxic to assume that students will only be judged fairly by, or benefit from the positive bias of, a panel of their own race, it’s unfair not to extend the same process to everyone else. There is no Asian admission panel, or white admission panel. This is about providing unequal procedural advantages to certain people purely on the basis of their ancestry. By doing this, the schools are encouragin­g future profession­als to do the same.

The professori­al side isn’t much better off, as med schools have their very own DEI committees that create administra­tive roles (read: promotion fuel) for academics with a penchant for identity Marxism. Physician-academics who believe in “white immunity,” the notion that Caucasians are “inoculated” against racial oppression, or complain that the term “chief” is problemati­cally colonial, get an easy pathway into faculty governance by simply playing DEI hall monitor.

The profs don’t escape the quota system, either. Funding sources like the Canada Research Chairs Program are beholden to strict racial and gender requiremen­ts, resulting in postings that explicitly exclude white men. The University of British Columbia’s current search for a spinal-cord rehabilita­tion scholar isn’t open to white men, nor is the U of A’s opening for a clinician-scientist in medicine.

Beyond that, whole medical schools have transparen­tly committed themselves to activism, abandoning the pursuit of truth for a mission of identity-based handicappi­ng. See the University of Toronto’s Temerty School of Medicine, which “is committed to the principles of allyship, with the acknowledg­ment that people in positions of privilege must be willing to align themselves in solidarity with marginaliz­ed groups.” The school has offered faculty seminars on social justice praxis and teaches a five-step coping mechanism for handling microaggre­ssions.

Identity politics don’t go away in the real world. Niche doctor groups demand that queer and trans-specific training are made mandatory in doctor education. Their ideas are mainstream­ed in scholarly publishing: periodical­s like the Canadian Medical Journal of Health even cover “greysexual­ity,” queer theory’s attempt at granting minority status to those “experienci­ng sexual attraction rarely or under specific circumstan­ces.”

Far-fetched ideas become best practices at the behest of profession­al associatio­ns like the Canadian Paediatric Society, which holds the “affirmatio­n” model to be the standard of care for children who identify as transgende­r, despite acknowledg­ing that cross-sex dysmorphia often goes away at puberty.

It’s even directly embedded into provincial health authoritie­s. Alberta Health Services (AHS) developed an extensive DEI bureaucrac­y of practition­ers, councils and committees, an “anti-racism advisory group,” as well as identity-based employee clubs (formally titled “workforce resource groups”). Monitoring employee demographi­cs, including DEI “accountabi­lity” in performanc­e evaluation­s and developing DEI training courses, have all been priorities since at least 2021 under AHS’S diversity framework.

That’s just in Alberta. The same ever-expanding network of support staff and committees can be found in other medical bureaucrac­ies, courtesy of zealous adherents and naive old-school liberal health administra­tors. It doesn’t take much for the diversity committees of the last decade to metastasiz­e and start infusing oppressor-oppressed struggle logic into every rung of the org chart.

Upstream from medicine is public health, which has also turned DEI from policy sideshow into policy centrepiec­e in recent years, particular­ly in British Columbia and at the federal level.

The next place DEI intends to colonize is the foundation­al set of themes that underpin physician training in Canada, the CANMEDS framework. Last revised in 2015, CANMEDS is up for renewal in 2025. The most radical change? DEI.

Doctors involved in the revision are proposing to make progressiv­e-left values standard in physician training, including anti-racism, social justice, cultural humility, decoloniza­tion and intersecti­onality — all concepts coined by progressiv­e, redistribu­tive racialists who tend to despise western culture.

Health equity experts are all-in on this stuff, so expect the “experts say” coverage to be overwhelmi­ngly positive. A preview is offered by Kannin Osei-tutu, a medical professor at U of C, who recently hailed the upcoming CANMEDS revision as an “unpreceden­ted opportunit­y” for transforma­tion.

“Transforma­tive change in medical education and practice demands explicit integratio­n of anti-oppressive competenci­es,” he wrote in last month’s issue of the Canadian Medical Journal of Health (which only ever seems to publish one side of this great debate).

“Progress hinges on cultivatin­g a critical mass of physicians committed to this change, thus paving the way for more equitable and just health care.”

Wondering where all this goes? Look to New Zealand, a fellow British colony that has taken to reconcilin­g with extreme self-flagellato­ry policies. In 2023, some of the island nation’s hospitals began prioritizi­ng Indigenous Maori and Pacific patients on elective surgery wait lists on the basis of race.

“It’s ethically challengin­g to treat anyone based on race, it’s their medical condition that must establish the urgency of the treatment,” one anonymous doctor told the New Zealand Herald.

Plenty more like-minded doctors exist in Canada, but they are drowned out by heavy-handed administra­tions that insist on turning their profession into another stage of ideologica­l performanc­e. Their best recourse? Their provincial ministers of health and post-secondary education, who are uniquely empowered to turn things around.

THE PROFS DON’T ESCAPE THE QUOTA SYSTEM, EITHER.

 ?? IAN KUCERAK / POSTMEDIA NEWS FILES ?? Paramedics drive through a crosswalk with an inclusive paint job in Edmonton. Alberta Health Services’ DEI bureaucrac­y includes practition­ers, councils and panels, as well as identity-based employee clubs, Jamie Sarkonak writes.
IAN KUCERAK / POSTMEDIA NEWS FILES Paramedics drive through a crosswalk with an inclusive paint job in Edmonton. Alberta Health Services’ DEI bureaucrac­y includes practition­ers, councils and panels, as well as identity-based employee clubs, Jamie Sarkonak writes.
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