Malone Mukwende, a second-year medical student at St. George’s, University of London, was motivated to create “Mind the Gap” after he noticed a lack of diversity in his learning materials.
So Mukwende created a handbook to teach physicians how physical symptoms appear on differing skin tones.
To quote from Atlanta Black Star:
“On arrival at medical school I noticed the lack of teaching in darker skin. We were often being taught to look for symptoms such as red rashes which I was aware would not appear as described in my own skin,” he told BME Medics. “When flagging this to tutors it was clear that they didn’t know of any other way to describe these conditions on patients of darker skin tones and I knew that I had to make a change to that.”
Mukwende’s school backed the project and he joined forces with Margot Turner, a lecturer in diversity and medical education and Peter Tamony, clinical lecturer in clinical skills to complete it. The team will use the booklet to host trainings for medical tutors this month.
“The booklet addresses many issues that have been further exacerbated during the Covid-19 pandemic, such as families being asked if potential Covid patients are ‘pale’ or if their lips ‘turned blue,’” he said in a statement.
“These are not useful descriptors for a Black patient and, as a result, their care is compromised from the first point of contact,” Mukwende added. “It is essential we begin to educate others so they are aware of such differences and the power of the clinical language we currently use.”
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Why has this taken so long?
I believe this booklet will be an asset not only doctors, but nurses and even ancillary staff in identifying changes in different skin tones persons of color. I hope it is comprehensive and can be used as a teaching/reference tool for medical staff.
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This is WONDERFUL!! I taught CPR and first aid for years and years and we struggled with this very issue. I am hoping I can get a copy when it comes out.
At the University of Michigan, librarians have created a resource to consolidate information around Skin of Color and will look to see how we can include this booklet when it gets published, as well. The resources is available at: https://guides.lib.umich.edu/skinofcolor