As statues are pulled down, anti-racism chants ring through streets worldwide and the coronavirus pandemic highlights glaring racial inequalities within public health systems, medical students in the UK are also questioning why their educational establishment is so white-centric.
Addressing the lack of diversity in the curriculum is long overdue. It has serious impacts on health outcomes for Black, Asian and minority ethnic (BAME) people. Being BAME is an independent risk factor for COVID-19, according to a report published by Public Health England in mid-June, with BAME healthcare workers dying at alarming rates. This risk exists even after adjusting for factors such as population density, socio-demographic factors and religion.
The report demonstrates how structural and systemic racism within the healthcare system can impact the quality of treatment BAME patients receive and therefore contribute to the health inequalities they face. The lack of consideration of these groups is quite literally a matter of life and death.
As a BAME student in a predominantly white medical school, I see the lack of representation every single day. Our studies involve using a national database of videos, which document patient experiences of illness. As I scrolled through these, hundreds of white faces stared back at me, whereas I could count the number of BAME faces on one hand.
Routinely treating ‘white’ as the default erases the experiences of BAME patients, who crucially often present differently. For example, Black African and Black Caribbean ethnic groups are at increased risk of hypertension, which affects one in four adults in England, and require more aggressive treatment.
Medical students are taught predominately how to recognise the disease in white patients, therefore under-preparing them for diagnosing accurately and distinctly between different ethnic groups. For example, we are trained to spot subtle changes that can only really be seen on white skin – a yellow tinge suggests liver disease and a blue tinge suggests cardio-respiratory disease – but these subtleties can go undetected in darker skin tones.
This oversight of representation in education also leaves peoples’ biases unchallenged. Whether unconscious or not, these biases have been proven to exist. US research into ethnicity as a risk factor in emergency departments has shown that doctors are less likely to prescribe pain medication to patients with a broken limb if they are black.
Simply seeing more BAME patients in clinical teaching sessions may help to erase this unconscious bias. Lack of diversity in the curriculum limits how BAME health is viewed and contributes to the segregation of diseases into those that affect whites versus simply all “others.” For example, BAME patients are often mentioned only in the context of infectious and tropical diseases, being consistently seen as exceptions rather than the default, which may contribute to the disparity in healthcare received, as well as outcomes.
It took COVID-19 to finally shine a spotlight on these long-existing inequalities. In the UK, black women are seven times more likely to die during pregnancy compared to white, British-born women. Substandard healthcare provision is a contributing factor, influenced by institutional racism and lack of concern for women from minority backgrounds. Perhaps some of this lack of empathy comes from not seeing more BAME patients in medical school?
The problems extend far beyond the physiological sphere, with seldom discussion of the need for cultural competency in medical education. My single teaching session on diversity this year, which felt more like a box-ticking exercise than anything and only covered the challenges of patients not speaking English. This shocked me, as I know that diversity involves so much more than language. Diversity is culture, religion and community structure, as well as the way institutional and everyday racism, can impact health.
Mental health is another important area lacking conversation about BAME patients, who are found to engage less with mental health services yet are at an increased risk of mental health disorders. Various complex factors contribute to this, including a lack of cultural sensitivity by healthcare workers.
Currently, every medical school in the UK must commit to teaching students a nationally approved curriculum to ensure a set level competency for future doctors. Medical students are currently petitioning to make this curriculum more diverse by calling on the General Medical Council to pass guidance that course material must include ethnically diverse case presentations. This petition has more than 180,000 signatures already.
Until these issues are addressed, medical students can access databases like BrownSkinMatters, which display photos of dermatological conditions seen on BAME skin tones.
BAME people make up around 20% of the UK population, and this erasure of their experiences can no longer be ignored. Our education should reflect the needs of our society and there has never been a better time to challenge it to do so.
January 16, 2023January 16, 2023 6min readBy Sejal Sehmi
I was a mere 14-year old on the fateful night of 22 April 1993. The night that witnessed black teenager Stephen Lawrence brutally murdered in a racially motivated attack as he waited for a bus. The night that cemented my fear, that the colour of my skin does matter. The same night that confirmed my indifference as a British Asian in the United Kingdom — were we really united? Fast forward to May 25 2020, the murder of African-American George Floyd by a white policeman was the turning point for British Asian author and my lovely friend, Shweta Aggarwal to finally break her silence and narrate her story of colourism, in her new book, “The Black Rose.”
Aggarwal’s gripping memoir emits so many emotions; that of an awakening, a voice that has been suppressed for years, filled with anger, mistrust and guilt. But most importantly, “The Black Rose” successfully disrupts the narrative that consistently allows society to box someone as indifferent based on a visibility factor. For Shweta, this factor was the colour of her skin. The injustices she consistently endured via some family members and fellow South Asian peers throughout her life, was as a result of her skin tone failing to qualify as ‘acceptable’, or as she often quotes in her book, not ranking high enough on the ‘fairometer.’ Whether she was in India, Japan or London, the scale was never too far behind.
Within the first chapter, she recalls as a child in India, the distinct lack of subtlety displayed by certain family members through direct taunts of her duskier appearance in comparison to her parents. She realised that she wasn’t in complete isolation from this prejudice, as her maternal aunt and uncle were also harshly nicknamed on the basis of their skin colour — Kaali (black) and Savla (wheatish). Aggarwal was left mortified by what many South Asians sadly still continue to casually exercise. Echoing similar incidents within my social proximity, it’s infuriating witnessing the recipients of such remarks surrender to laughing at themselves too.
Except it isn’t funny. Born into a culture where conversations on religion, caste and hierarchy in India are still so prominent, the comparison of Aggarwal’s skin colour being as dark as that of the domestic help (often from poorer families), prematurely planted seeds in her mind that she simply didn’t belong with her family, especially when she was sent to boarding school. Her lack of self-worth coupled with these taunts, gave her a whole new vocabulary for the letter B, that grew in parallel with the ongoing prejudice and anxiety. B for blackie, beggar’s child, bedwetter! Not funny, but derogatory. Post her book launch that Brown Girl Magazine attended, she tells me,
I personally feel we are way behind when it comes to understanding the importance of mental health. Name-calling was normalised and if you objected, you were ridiculed further with remarks such as ‘So sensitive! Can’t you take a joke?’ Body and colour shaming can lead to a feeling of inadequacy in the victim, which can further lead to depression and much worse mental illnesses.
During the 1984 Hindu Sikh riots in India, where over 3000 Sikhs lost their lives, Aggarwal recollects the frightening moment when she and her classmates fled into hiding to escape the violence during a school trip. As a means to save all the students from harm, the Sikh boys were forced to remove their turbans and long hair — their visible identities stripped to keep them alive. Yet, ironically, even in this horrifying situation, Aggarwal felt least at risk, attributing this self-assurance to her darker appearance.
The crux of her self-loathe was the love-hate relationship she formed with skin whitening creams. The birth of Fair and Lovely, India’s most renown brand (now known as Glow and Lovely following a backlash) was notorious for selling the damaging message that fairer skin equated to a happier and fulfilling life. For it was fairer skin women that would qualify for marriage — clearly their only sole purpose!
Tactfully using famous fair-skinned Bollywood actresses in television ads and posters, their so-called perfection would scream out to vulnerable young girls. (Men were targeted much later on, but the importance seemed less). Akin to the wretched beach body posters plastered on every corner in January — because apparently bikinis only look good on a certain body type — the damaging message remains the same. Social acceptance comes at a cost, and that cost is to look a certain way.
It’s an extension of the dated methods imposed on women from the womb, where mothers are lectured on drinking milk with saffron to ensure the baby is fair, traditional matrimonial sites asking women to specify skin colour, and women being told to stay out of the sun. These socially ingrained views are eventually developed into modern day methods in the form of cleverly marketed consumables. Aggarwal admits,
Most people only use the cream on their face just as I did. At that time, I didn’t even think about the rest of the body. I felt that if the face becomes fairer, that will be enough for acceptance. My mum noticed the difference for sure and I was lighter by the time I met my husband, Amit. I must admit the addiction is a combination of three factors: the justification in your own head, the strong marketing message that ONLY fair is beautiful, and the ‘compliments’ from those around you.
I admired Shweta’s honesty on admitting what essentially was a dangerous obsession that she remained faithful to throughout her teenage and adult life. A ritual that, whilst prompted gradual results in her appearance, was never going to eliminate the insecurities she felt within herself. Moments of joy with her husband and children on holidays abroad, would be broken up by the need to ‘fix’ any damage the sun may have inflicted i.e. reverse her tan. The booming tanning industry in U.K., her now home, and admiration of her ‘sun-kissed’ look by Brits initially surprised Aggarwal — as if her colour had now gained acceptance.
But who are we seeking acceptance from? A society that is still deep rooted in patriarchy forcing women even now to adhere to dated rites of passage that holds no relevance? Or a society that seeks to point out one’s indifference because of how they look — their skin, their religious attire, their weight? Or a society that passes judgement on a woman’s self-worth, and continues to abuse that same woman behind closed doors under the eyes of Goddess Kali? Aggarwarl goes on to explain,
The more damaging perceptions of colourism, are that ‘fair is rich’, ‘fair is successful’ and ‘fair is better educated’. Essentially, ‘fair is supreme’ in every sense. And if that’s the case, where does that leave dark-skinned people? In Ukraine, for example black and brown people were discriminated against and not given a fair chance to save their lives. Is it fair to be denied a basic human right — survival — based on your colour?
I personally was curious to know from my family what the definition of prejudice in the Hindi vocabulary is and how it is/was applied to in India. “Pakshappat” (taking sides) or “poorva dhaarna”, were the closest pure Hindi definitions known to my cousin, yet rarely used. However, my dad stated that “hum bedh bhau nahin hai” was the common term used to state amongst family and friends when someone was not biased and believed in equality. Somehow, colourism never really came under that category. A sentiment echoed by some of my Chinese and black friends . Even in parts of China and Africa, the belief that darker skin is perceived as inferior, is accredited to stereotyping certain groups of people as manual labourers working under the sun, and therefore of a lower class or caste. Does Shweta believe we can change this attitude?
A couple of my aunts are still reluctant to help me with my mission. One even said ‘it’s pointless fighting it’, while one said, ‘everyone has the right to define beauty for themselves and being fairer is what beauty is for some.’ The problem with this is that people then start to look down on people who aren’t. Colourism, casteism and classism divide people, creating more unrest in society. If we continue to aspire to be fairer, we’re still encouraging white skin privilege, and encouraging colonial values. The more we allow ourselves to succumb to these social constructs, the more enslaved we feel internally. Melanin is crucial for protecting our skin against the harmful radiation of the sun. Feel blessed that you have it and wear it with pride!
I wonder how we can dare to walk shoulder to shoulder with our black friends in the Black Lives Matter movement, if we refuse to face up to our own biases against colour? We seek equality in the U.K., but deny our deep-rooted prejudice, whilst a white privileged man lectures the world on the difference between racism and unconscious bias (yes Prince Harry, I’m looking at you!). “The Black Rose” has paved a way for many more voices to speak out against the damaging impact of colourism, and in my view, rightly belongs under the definition of prejudice in the collective South Asian vocabulary.
“The Black Rose” is available to purchase on Amazon.
Weddings, huh? Talk about a stress fest. And for the bride, it’s like a 24/7 walk on eggshells. However, add in a paranoid and overprotective sister, and you’ve got a recipe for a completely different degree of drama. In “Polite Society,” Ria Khan (Priya Kansara) and her gang of clumsy pals take the phrase “till death do us part” to a whole new level as they plot to “steal” the bride — aka Ria’s own sister, Lena (Ritu Arya), during her shaadi reception. But with a wedding hall packed with guests, a mother-in-law from hell, and a groom with more shades of fraud than a rainbow, this heist is anything but smooth sailing.
It goes without saying but “Polite Society” comes with a cast of wacky characters, gut-busting one-liners, and an action-packed heist sequence, making it a must-watch for anyone who loves a good comedy. I mean who hasn’t dealt with some serious wedding drama, am I right?
Lead actress Kansara agrees wholeheartedly. “I definitely have!” she chuckles, as I catch up with her at Soho Hotel in London. Despite the rubbish weather outside, Kansara is a ray of sunshine with her infectious enthusiasm.
The minute I read the script, I thought to myself…wow, playing Ria is going to be one wild ride!
And wild is definitely the right word to describe her character. Ria is a British-Pakistani martial artist-in-training from London, determined to become a professional stuntwoman. Her sister, Lena, who dropped out of uni, often ends up being the guinea pig for filming Ria’s stunts for YouTube, including one lovingly dubbed “the fury.” She reveals
I’d never done martial arts before this film. The stunt training started from the day I got the role, and it was three to four times a week all the way until we finished filming. It was a seven-week period in total, and boy, was it physically demanding. Oh my God, I think I can add a whole new skills section to my CV! But on a serious note, it was so much fun and we had an amazing stunt team. They, including my stunt double, taught me so much. It was important to me to do my own stunts as much as possible, but also strike a healthy balance.
For South Asian women, who are often expected to be quiet and agreeable, all that punching and kicking on set must have been cathartic, right?
Honestly, it was like anger management at work! I got to kick and throw things around — it was the perfect balance.
What sets Kansara apart from other actors starting out in the industry is her ability to draw from her own life experiences to bring authenticity to her characters on screen. Her career began with a degree from UCL and a communications job at a pharmaceutical company. But today, her versatile range and unwavering commitment to her craft have propelled her to the forefront of British comedy, portraying defiant South Asian women we’d love to see in real life.
From my own experience as a South Asian woman, I’ve always been told to do what’s ‘proper’ and think twice before speaking up. Playing a character like Ria and putting myself in her shoes, I felt like I was doing and saying things that I wish I had done at her age. It was almost like living through her and speaking my mind about things I never did.
Without a doubt, every South Asian woman on this planet wishes she cared more about herself and less about what other people think.
Ria totally inspired me. If only I had her mindset when I was younger, my career path would have taken off way sooner instead of worrying about other people’s opinions.
The chemistry between the cast members on and off-screen is so apparent, especially the sisterhood between Ria and Lena. The wild adventures of a bride, and her paranoid maid of honour navigating through family drama, are bound to create some unforgettable moments on set.
We both confess our love and admiration for Nimra Bucha’s portrayal of Raheela, Lena’s evil mother-in-law and share a teenage fangirling moment:
I’m obsessed with that woman. There’s something terrifying yet ultra sexy about her character in “Polite Society” that’s mesmerising. I absolutely loved the dance sequence. As South Asians, we’ve all grown up watching Bollywood films and idolising Madhuri Dixit’s iconic dance moves. “Polite Society” gave me my Bollywood heroine moment, and it was a dream come true with the costumes and jewellery.
It’s definitely a unique experience for Kansara, considering her former career was worlds apart from entertainment. So, what advice does she have for aspiring actors who may secretly wish to pursue the same path, but are unsure of the next steps? Kansara advises, drawing from her character’s heist-planning skills.
I believe starting small and honing your craft is an underrated superpower. If you’re passionate about acting, make short-form videos, and build your portfolio. You never know who might be watching.
So, grab your popcorn and your sense of humour, and get ready for “Polite Society” — the film that proves that sometimes, the most polite thing to do is kick some butt and save the day. It released in cinemas on April 28th, and I highly recommend it.
It’s always a flamboyant affair of colour, emotions and grandeur when Karan Johar directs a film, and his latest blockbuster “Rocky Aur Rani Ki Prem Kahani” is as K Jo as it gets. After recently being recognised at the British House of Parliament for 25 years as a filmmaker, Johar is back to doing what he does best — bringing together families and star-crossed lovers, but this time with a modern touch. He makes a decent attempt at showcasing progressive ideals and feminist issues while taking us on this family-friendly ride.
“Rocky Aur Rani Kii Prem Kahaani” is a larger-than-life film revolving around the love story of a boisterous Rocky (Ranveer Singh) from a wealthy Delhi family, and Rani (Alia Bhatt), a sharp journalist from a progressive Bengali household. And of course, despite belonging to completely different backgrounds and lives, our protagonists, in true Bollywood fashion, fall hopelessly in love through a string of slow-motion gazes, warm embraces and some truly breath-taking song sequences in Kashmir’s snowy mountains. They are then forced to face their opposing families which brings along the family drama in the second half of the film.
The plot is not the film’s strongest point — there’s no real surprise about what’s going to happen next, and yet the film doesn’t fail to keep audiences engaged and pack an emotional punch. This is down to its strong acting, witty dialogues and K Jo’s classic, beautiful cinematography.
Ranveer Singh sinks into the skin of his character with ease – not only does he make the hall burst into laughter with the help of perfectly-timed gags but he pulls off those dreamy gazes ,expected in K Jo’s heroes, to evoke that typical, fuzzy-feeling kind of Bollywood romance. Alia Bhatt’s intelligent and undefeated character is no less a pleasure to watch on screen — not only does she look breath-taking in every shot but her feminist dialogues earn claps and cheers from the audience as she brings a progressive touch to this family drama.
Albeit, while Bhatt’s dialogues do their best to steer this film to the reformist drama it hopes to be, some of Singh’s gags and monologues on cancel culture bring out bumps in the road. The film could have done better to reinforce its points on feminism and racism without using the groups it tries to support as the butt of jokes.
There is also a case to be made about how long these Punjabi and Bengali stereotypes can go on with often gawkish displays of Ranveer’s ‘dilwala-from-Delhi’ character among the overly-polished English from Rani’s Bengali family. But it is with the expertise of the supporting cast, that the film is able to get away with it. Jaya Bachchan in particular is as classy as ever on screen; the stern Dadi Ji holds her ground between the two lovers, while Dada Ji Dharmendra, and Thakuma Shabana Azmi, tug at our heartstrings showing that love truly is for all ages.
Saving the best to last, it is the film’s cinematography that makes the strongest case for audiences to flock to the cinema. The soul-stirring songs steal the show with their extravagant sets and powerful dance performances that treat the audiences to the much-awaited cinematic experience of a K Jo film. While audiences may already be familiar with the viral songs, “What Jhumka?” and “Tum Kya Mile“, it was the family-defying fight for love in “Dhindhora Baje Re” that really gave me goosebumps.
Overall, the film does exactly what it says on the tin and is a family entertainer with something for everyone. It will make you laugh, cry, and cringe at times, but nothing leaves you feeling as romantic as some old school Bollywood with a mix of new school humour, in true K Jo form.