Book–Dr. Tweedy, currently an assistant professor of psychiatry at Duke University, shares his experiences in this roughly chronological memoir that explores his identity as a black man and how it intersects with his identity as a doctor. He explores his discomfort with the fact that, for so many illnesses, simply being black is a major risk factor, and he is one of only a handful of black students in his medical program. He observes half-seriously that “being black can be bad for your health.” To me, the most interesting parts of the book are in the middle, where he tells various anecdotes about his patients’ reactions to him as a doctor during his residency and observes the inequalities in care received by the rich and the poor, who are disproportionately black. During his education, Tweedy briefly serves as a doctor at a pop-up clinic in a poor, rural area, prescribing whatever medicines his patients can afford and doing his best to make notes for whichever doctor will see them next time. He contrasts this type of patient-doctor relationship to that of his more affluent patients with health insurance, who are able to see the same primary care doctor each visit and receive drugs based on efficacy rather than affordability.
Tweedy makes for an engaging and thoughtful narrator. His account is modest and he remains cognizant of his own biases, having grown up in a middle class household shielded from the disadvantages suffered by many of his patients. If you enjoy Black Man in a White Coat, try Between the World and Me by Ta-Nehisi Coates, another examination of what it means to be a black man in America.