Structural Competency and Health Professional Training


Structural Competency in Mental Health and Medicine: A Case-Based Approach to Treating the Social Determinants of Health (2019), Edited by Helena Hansen, MD, PhD and Jonathan Metzl, MD, PhD


Gutierrez, Kevin J. (2020). The Performance of “Antiracism” Curricula. New England Journal of Medicine, 2020 August, DOI: 10.1056/NEJMpv2025046

Castillo, Enrico G. MD, MSHPM; Isom, Jessica MD, MPH; DeBonis, Katrina L. MD; Jordan, Ayana MD, PhD; Braslow, Joel T. MD, PhD; Rohrbaugh, Robert MD Reconsidering Systems-Based Practice, Academic Medicine: June 23, 2020 – Volume Publish Ahead of Print – Issue – doi: 10.1097/ACM.0000000000003559

Metzl, JM, Petty, J and Olowajoba, OV. Using a structural competency framework to teach structural racism in pre-health education. Social Science and Medicine. 2018. 199:189-201

Neff, J, Knight, KR, Satterwhite, S, Nelson, N, Matthews, J, & Holmes, SM. “Teaching Structure: A Qualitative Evaluation of a Structural Competency Training for Resident Physicians” J Gen Intern Med. 2017 Apr;32(4):430-433

Metzl, J. M. and D. E. Roberts (2014). “Structural competency meets structural racism: race, politics, and the structure of medical knowledge.” Virtual Mentor 16(9): 674-690.

Metzl, M. Jonathan, and Helena Hansen.”Structural competency: theorizing a new medical engagement with stigma and inequality. Social Science and Medicine, 2014 Feb;103:126-33.

Ruth, A., SturtzSreetharan, C., Brewis, A. et al. Structural Competency of Pre-health Students: Can a Single Course Lead to Meaningful Change?. Med.Sci.Educ. 30, 331–337 (2020).

Andress L, Purtill MP (2020) Shifting the gaze of the physician from the body to the body in a place: A qualitative analysis of a community-based photovoice approach to teaching place-health concepts to medical students. PLoS ONE 15(2): e0228640.

Petty, J., Metzl, J.M. & Keeys, M.R. Developing and Evaluating an Innovative Structural Competency Curriculum for Pre-Health Students. J Med Humanit 38, 459–471 (2017).

Tsevat, R. K., et al. (2015). “Bringing Home the Health Humanities: Narrative Humility, Structural Competency, and Engaged Pedagogy.” Academic Medicine, 90(11):1462-65.

Brooks, K. C. (2015). “A silent curriculum.” JAMA 313(19): 1909-1910.

Michael Harvey , Joshua Neff , Kelly R. Knight , Joia S. Mukherjee , Sriram Shamasunder , Phuoc V. Le , Robin Tittle , Yogesh Jain , Héctor Carrasco , Daniel Bernal-Serrano , Tinashe Goronga & Seth M. Holmes (2020): Structural competency and global health education, Global Public Health.

Downey, MM and Gómez, AM. Structural Competency and Reproductive Health. AMA J Ethics. 2018;20(3):211-223. doi: 10.1001/journalofethics.2018.20.3.peer1-1803.

Orr Z., Unger S.(2020). The TOLERance Model for Promoting Structural Competency in Nursing. J Nurs Educ. 59(8) 425-432.

Francisco Ortega & Michael Orsini (2020) Governing COVID-19 without government in Brazil: Ignorance, neoliberal authoritarianism, and the collapse of public health leadership, Global Public Health, DOI: 10.1080/17441692.2020.1795223

Paul, Dereck W., et al. “Beyond a Moment – Reckoning with Our History and Embracing Antiracism in Medicine: NEJM.” New England Journal of Medicine, New England Journal of Medicine, 23 July 2020

Downey, Margaret Mary; Neff, Joshua; and Dube, Kate (2019) “Don’t “Just Call the Social Worker”: Training in Structural Competency to Enhance Collaboration between Healthcare Social Work and Medicine,” The Journal of Sociology & Social Welfare: Vol. 46 : Iss. 4 , Article 6.

Health Effects of Dramatic Societal Events — Ramifications of the Recent Presidential Election
David R. Williams, Ph.D., M.P.H., and Morgan M. Medlock, M.D., M.Div.

Rethinking the Social History

Pon, G. (2009). “Cultural Competency as New Racism: An Ontology of Forgetting.” Journal of Progressive Human Services 20(1): 59-71.

Kumagai, A. K. and M. L. Lypson (2009). “Beyond cultural competence: critical consciousness, social justice, and multicultural education.” Academic Medicine 84(6): 782-787.

Gregg, J., & Saha, S. (2006). Losing Culture on the Way to Competence: The Use and Misuse of Culture in Medical Education. Academic Medicine, 81(6):542-547.

Kleinman A, Benson P (2006) Anthropology in the Clinic: The Problem of Cultural Competency and How to Fix It. PLoS Med 3(10): e294. doi:10.1371/journal.pmed.0030294

Lee, S. Agnes, and Michelle Farrell. “Is Cultural Competency a Backdoor to Racism?” Anthropology News 47.3 (2006): 9-10. Web.

Tervalon, M. and J. Murray-Garcia (1998). “Cultural humility versus cultural competence: a critical distinction in defining physician training outcomes in multicultural education.” Journal of Health Care for the Poor and Underserved 9(2): 117-125.

Donald, Cameron & DasGupta, Sayantani & Metzl, Jonathan & Eckstrand, Kristen. (2016). Queer Frontiers in Medicine: A Structural Competency Approach. Academic Medicine. 92. 1. 10.1097/ACM.0000000000001533.