Good afternoon, my fellow humans! As I reviewed the career of Dr. Alfred R. Shands Jr. and perused a list of previous incumbents of this lectureship, I was filled with humility, awe, and inspiration. Dr. Shands was a visionary leader and a Past President of the American Orthopaedic Association who stressed the importance of basic science in the education of the orthopaedic surgeon. I ask that you help me to achieve two formidable goals this afternoon. The first is to change your thinking about race and the medical profession. The second is to change what you do when you go back to your office “the first thing Monday morning.” Here, in this second item, lies Our Humanitarian Orthopaedic Opportunity! In order to achieve these goals, I must engage you in some frank, even crusty, communications. The purpose of these communications is not to accuse, blame, stimulate guilt, or provoke denial. I speak in the spirit of friendship and collegiality. Call it “tough love” if you will. My ultimate intentions are the good of our patients, our profession, and our nation. American biomedical science can be thought of as a beautiful and powerful fabric. This “fabric” has tremendous influence, exerts great leadership, and has made contributions throughout the world. Unfortunately, this fabric also has some blemishes. Together today, we will trace the very threads of the blemishes. We will see how long the threads are and how thoroughly they are woven into the fabric. If any of our three daughters were here today, she would exclaim, at just about this time, “Get to the point, Dad!” So, I will. Peer-reviewed medical journals confirm a substantial disparity in health care for minorities in America today. The best indicator of overall health care for a given population is the infant mortality rate. The …
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