Health professions education (HPE) is built on a structural foundation of modernity based on Eurocentric epistemologies. This foundation privileges certain forms of evidence and ways of knowing and is implicated in how dominant models of HPE curricula and healthcare practice position concepts of knowledge, equity, and social justice. This invited perspectives paper frames this contemporary HPE as the “Master’s House”, utilizing a term referenced from the writings of Audre Lorde. It examines the theoretical underpinnings of the “Master’s House” through the frame of Quijano’s concept of the Colonial Matrix of Power (employing examples of coloniality, race, and sex/gender). It concludes by exploring possibilities for how these Eurocentric structures may be dismantled, with reflection and discussion on the implications and opportunities of this work in praxis.

中文翻译：

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拆除主人的房子：卫生专业教育中了解公平和社会正义的新方法


卫生专业教育（HPE）建立在以欧洲中心认识论为基础的现代性结构基础上。该基础优先考虑某些形式的证据和认知方式，并涉及 HPE 课程和医疗保健实践的主导模式如何定位知识、公平和社会正义的概念。这篇受邀观点论文将当代 HPE 定义为“大师之家”，引用了 Audre Lorde 著作中的术语。它通过基哈诺的殖民权力矩阵概念的框架（采用殖民性、种族和性/性别的例子）审视了“主人之家”的理论基础。最后，探讨了如何拆除这些以欧洲为中心的结构的可能性，并对这项工作在实践中的影响和机遇进行了反思和讨论。