{
  "abstract": "As of this year, 2026, medical schools are no longer explicitly required to teach structural competency in order to be accredited by the Liaison Committee on Medical Education. This change marks a significant shift in the priorities that guide medical education in the United States. Structural competency provides a framework for understanding how social, economic, political, and institutional forces shape health outcomes, health care experiences, and opportunities for well-being. Drawing on research encounters with medically underserved populations, particularly Black women living with HIV, this commentary argues that patient narratives are a powerful tool for helping learners in the health professions understand the lived realities that influence health and health care. As ethics educators, we have a moral obligation to help learners recognize the full humanity of the patients they serve so that these future health professionals are better able to provide respectful, compassionate, holistic, and person-centered care. In the current political climate, fulfilling this obligation may require moral courage.",
  "abstract_shown": true,
  "affiliations": [],
  "article_type": "other",
  "arxiv": null,
  "author_total": 1,
  "authors": [
    {
      "name": "Faith E Fletcher"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/dhjxj2333tbma.bib",
  "cited_by": 0,
  "doi": "10.1002/hast.70096",
  "fulltext_url": "https://europepmc.org/articles/PMC13715639",
  "id": "dhjxj2333tbma",
  "issns": [
    "0093-0334",
    "1552-146X"
  ],
  "landing_url": "https://europepmc.org/article/MED/42949600",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Perspective"
    ],
    [
      "openalex",
      "3312|Cultural Competency in Health Care"
    ]
  ],
  "openalex": "W7224085836",
  "pdf_url": "https://europepmc.org/articles/PMC13715639?pdf=render",
  "pmcid": "PMC13715639",
  "pmid": "42949600",
  "published": "2026-09-01",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/dhjxj2333tbma.ris",
  "sources": [
    {
      "first_seen": "2026-10-31T00:20:35Z",
      "native_id": "MED:42949600",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42949600"
    },
    {
      "first_seen": "2026-11-01T12:22:52Z",
      "native_id": "PMC13715639",
      "source": "pmc",
      "url": "https://doi.org/10.1002/hast.70096"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "journal-openalex:2739|Ethics and bioethics in healthcare",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "Patient Narratives as Testimonies to Structural Inequity.",
  "title_text": "Patient Narratives as Testimonies to Structural Inequity.",
  "type": "peer-reviewed",
  "updated_at": "2026-11-01T12:22:52Z",
  "url": "https://research.draconitic.com/paper/dhjxj2333tbma",
  "venue": "The Hastings Center report",
  "versions": []
}