Review Article

RMMJ Rambam Maimonides Medical Journal Rambam Health Care Campus 2026; 17(3): e0021. ISSN: 2076-9172
Published online 2026 July 31. doi: 10.5041/RMMJ.10581

Anatomy of Antisemitism in Health Professions Education and Practice: A Narrative Review

Hedy S. Wald, Ph.D.1 and Steven Roth, M.D., F.A.R.V.O.2

1Department of Family Medicine, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA
2Department of Anesthesiology, College of Medicine, University of Illinois, Chicago, Illinois, USA

*To whom correspondence should be addressed. E-mail: hedy_wald@brown.edu | ORCID: 0000-0003-3897-4989

Abstract

There has been an international resurgence in antisemitism in healthcare education and practice since October 7, 2023, prominently affecting the United States (US), United Kingdom (UK), Canada, and Australia. In the US, federal investigations by the US Department of Justice and the Congressional Subcommittee on Education and the Workforce were initiated into antisemitic harassment and hostile learning environments in medical schools. Healthcare organizations in the UK also came under investigation, and the US Congress opened an investigation into alleged antisemitism within a national psychological association. Quantitative and descriptive studies of the prevalence and characteristics of this phenomenon within medical, psychology, and social work education and practice are scant. We conducted a narrative review given the under-recognized nature of antisemitism in this context and the limited literature on this international, inter-professional issue. We searched PubMed using a search string to capture peer-reviewed descriptive and quantitative studies of antisemitism in medicine, psychology, social work, nursing, pharmacy, physician assistant, dentistry, physical, and occupational therapy education and practice. We searched 17 ProQuest databases for media and other online or written materials and conducted a hand search for additional relevant publications. We identified studies showing a high prevalence of antisemitism particularly in medical education, psychology, and social work, where >50% of subjects experienced antisemitism since October 7, 2023. Fewer than 2% of institutions had incorporated education about antisemitism into anti-discrimination training. Our review revealed that antisemitism as a form of bigotry, hatred, and discrimination has been inadequately addressed, now taking on urgency given its reach including an anti-Israel bias “mutation” and the need to assure unbiased healthcare. Actionable recommendations to counter antisemitism in healthcare derived from the publications to date are presented.

Keywords: Antisemitism in medicine, antisemitism in healthcare professions, medicine during the Holocaust, professional identity formation

 

“If we want to fight antisemitism, let us walk tall and proud as Jews, and let us work with all humanity to banish hatred forever.”

Rabbi Lord Jonathan Sacks1

INTRODUCTION

Graduating physicians take oaths to respect sanctity of life, bring humility, and enter a covenant of service. All health profession trainees are trained to adhere to professional ethics charters. These oaths and charters are challenged by contradictions posed by antisemitism in healthcare, particularly its educational component, which surged after the October 7, 2023 Hamas terrorist attack on Israel.2 The moral imperative to counter antisemitism in medicine is inclusive of medical education and professional conduct. Advocacy against hate is a core component of medical professionalism.2 The health professions have challenged past and ongoing injustices. Antisemitism is no exception and deserves attention—there is work to be done in countering all forms of discrimination. This includes antisemitism in the health professions, albeit challenging as an under-recognized prejudice and because antisemitism has adapted over the millennia, leading to its label as a “mutating virus”3 that constantly changes its structure. The history of this virus through the millennia, adapting to the zeitgeist, includes hate on religious grounds, then shifting to racial hate (leading to the horror of the Holocaust), and then to anti-Israel hate/demonization or an anti-Zionist form.3 Elie Wiesel taught about harm of bystander silence, of the inherent complicity.4 Antisemitism is often described as a “canary in the coal mine,” a predictor of wider societal decay and bigotry.5 Attitudes and behavior not tolerated for other groups, therefore, cannot be tolerated for Jews.

We identified the need for a narrative review given the above and this international and inter-professional issue not being extensively described. Federal investigations into antisemitic harassment constituting hostile learning environments in medical schools6,7 have recently been initiated in the United States (US) as well as investigations of rampant antisemitism within a national psychological association.8 Federal Bureau of Investigation (FBI) statistics showed a 5.8% increase in hate crimes in 2024 versus 2023 against Jews, the highest number or percent yearly increase recorded.9 Religion-related hate crimes in the US disproportionately impact Jews (2% of the population), representing 16% of reported hate crimes and 70% of religion-based 2024 hate crimes.9 While Jews make up approximately 10% of the population of New York City, >50% of hate crimes were committed against Jews in the first quarter of 2026.10 In a US Jewish community 2025 survey, 55% had experienced at least one form of antisemitism in the last 12 months, antisemitism had become a “normal Jewish experience” for 57%, while 79% expressed concerns about antisemitism, and 48% reported having taken actions to increase personal security and safety.11 In Europe and Australia, since October 7, 2023, there has been a 400% rise in hate incidents and violence targeting Jews.12 The United Kingdom (UK) Community Security Trust reported a 324% increase in antisemitic incidents between October 7 and 10, 2023 versus the same period the year before and a 413% increase in incidents in universities in the year following the Hamas October 7, 2023 atrocities.13

Antisemitism in health professions education (HPE) is not new. Jewish quotas for admission to US and Canadian medical, dental, and psychology schools, and medical residency training, were widespread during the first half of the 20th century, in response to Jewish immigration from the 1880s to 1920.14,15 Today we witness the resurgence of global antisemitism which has bled into the healthcare professions, both in HPE and practice.

METHODS

Review Design
To enhance the rigor and transparency of this narrative review, relevant elements of the 2020 Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were used to inform the reporting of the literature search and source-selection process.16

Structured searches were performed in PubMed and ProQuest, and then supplemented by hand-searching relevant sources. The search for literature and other relevant materials was limited to English-language sources published between October 7, 2023 and March 6, 2026.

PubMed17 and ProQuest18 were searched to identify relevant peer-reviewed publications and media reports, and other online and printed materials, respectively. Additional records were identified through hand search of citations from identified articles and reviews. Although social media were not searched directly, eligible publications that analyzed social-media data were included. The International Holocaust Remembrance Alliance (IHRA) definition of antisemitism was used as an objective reference standard, as described elsewhere.19,20 By adopting this definition, the authors were able to apply explicit criteria when assessing and categorizing the manifestations of antisemitism described in the included sources.20

Search Strategy: PubMed

PubMed search filters. PubMed was searched for peer-reviewed scholarly literature using a single search string (Table 1) to capture the major healthcare disciplines. The truncator (*) captured variants of antisemitism, antisemitic, antisemite. Field-specific tags ([All Fields]) ensured comprehensive retrieval across titles, abstracts, and indexed terms. This search returned 61 records, which after applying inclusion/exclusion criteria yielded the final set of 23 results.

Table 1Table 1
Search Strings Used.

Export and deduplication. The search string process eliminated duplicates across disciplines. Performing the search with the disciplines one at a time then combining them all versus the single search string yielded the same results. Adding the medical subject headings (MeSH) term for antisemitism “prejudice” within the search yielded 20 of the final set of 23 articles. We independently screened and evaluated the records utilizing exclusion criteria, resolving any lack of agreement through discussion and reached consensus with 23 records retained (Supplementary Material). Additional records were identified through hand search citation tracking from relevant articles and reviews, yielding an additional 49 articles (Supplementary Material).

PubMed exclusion criteria. Exclusions were: (1) focus on historical antisemitism predating October 7, 2023; (2) non-English language; (3) not substantively relevant to healthcare or health professions education; or (4) addressed antisemitism exclusively in the context of COVID-19.

Search Strategy: ProQuest

ProQuest search filters. ProQuest was searched for media reports and other online and written materials. This database also included peer-reviewed journal articles from social science databases that are not included in PubMed (Tables 23). The search was narrowed to the three health professions most represented in PubMed in this domain: medicine, psychology, and social work (Supplementary Material). Truncation (*) was used to detect term variants. Filters (Table 2) were applied to yield 713 records after ProQuest’s built-in deduplication.

Table 2Table 2
Filters used in ProQuest Database Search.
Table 3Table 3
ProQuest Databases Searched.

ProQuest databases. The search was executed across 17 ProQuest sub-databases in the University of Illinois at Chicago Library subscription (Table 3).

Export and deduplication. Due to reference-exporting limitations, ProQuest results were batch-exported, combined, and de-duplicated using article title as unique identifier. Duplicate syndicated or identical news articles were excluded during manual review.

Screening/inclusions/exclusions. ProQuest records were screened through manual title and brief abstract review and retained if they included the words antisemitism, Jews, or Jewish, yielding 713 articles. We then screened full text, and records were included if they met at least one of the following criteria:

  • Antisemitism + academic setting
  • Antisemitism + medicine/psychology/social work
  • Federal/congressional investigation of healthcare or medical education
  • Antisemitic incident involving a healthcare professional

Exclusions included records not meeting any of these criteria such as antisemitism in political, religious, or general contexts unconnected to healthcare or health professions education, leaving 46 final records.

RESULTS

Literature Search
Search for publications on antisemitism and healthcare professions in PubMed yielded 23 articles (Figure 1) and in ProQuest, 46 items (Figure 2). Additional records identified through hand search tracking yielded an additional 49 articles.
Figure 1Figure 1
PRISMA Diagram for PubMed Search Shows the Process of Review, Inclusions, and Exclusions.
Figure 2Figure 2
PRISMA Diagram for ProQuest Search Shows the Process of Review, Inclusions, and Exclusions.

Quantitative Evidence on Antisemitism in the Health Professions Since October 7, 2023
Quantitative evidence on antisemitism in health professions education and practice in the US, UK, Canada, and Australia is summarized in Table 4. The evidence included peer-reviewed surveys, surveys reported in media sources, an observational analysis of medical-school commencement ceremonies, and a quantitative social-media analysis.
Table 4Table 4
Quantitative Evidence on Antisemitism in Health Professions Education and Practice.

The initial PubMed search for antisemitism in the healthcare professions yielded 61 records. For context, parallel searches with the same search strings but instead using the terms diversity, equity, and inclusion (DEI), and racism yielded 732 and 3,824 records, respectively—12 and 63 times the number retrieved by the antisemitism search during the same period.

Reported Examples of Antisemitism in the Health Professions Since October 7, 2023
This section summarizes incidents and experiences described in peer-reviewed publications, media reports, governmental documents, and organizational sources; the nature and evidentiary status of these sources vary.

Medicine. In the US, medical school faculty and health practitioners posted antisemitic tropes and derogatory comments about Jews in healthcare; medical students’ social media claimed Jews wielded disproportionate power (an antisemitic trope).30 Class content at the University of California–Los Angeles (UCLA) David Geffen School of Medicine (DGSM) labeled Jewish people as oppressors (demonization),31,32 and anti-Jewish hate graffiti appeared at University of California–San Francisco (UCSF).6 Jewish patients at UCSF hospitals feared revealing their identities, hospital staff shouted “intifada,” and social media of trainees and faculty rationalized terrorism against Jews.6,3335 A UCSF physician was quoted as saying “When that chant goes up and is heard in the patients’ rooms, …. it’s a violation of our professional obligations as health care providers.”34

Protesters outside academic medical centers in New York City shouted “we don’t want no Zionists here” and carried signs including “Abolish Israel,” “Right of Return,” and “There is only one solution—intifada, revolution.”36 Jewish students and practitioners in health professions described isolation and fear of retribution for speaking out and for their safety.2 Jewish trainees scrubbed resumes and hid their religious beliefs.37,38 A leader of a Jewish organization at Brown University commented, in reference to a demonstration during a medical school commencement ceremony (which included chants heard from outside of “From the River to the Sea,” a slogan delegitimizing and calling for the elimination of the State of Israel), that “Jewish students are unfairly expected to bear the burden of unchecked micro and macro aggressions directed at them by peers.”39

At UCLA DGSM, Jewish students experienced “hostility and fear … from peers, colleagues, and administrators,” and “their concerns were not addressed by the university.”6 A UCSF Professor of Medicine was dismissed, but only after nearly two years of repeated anti-Zionist libels, unfounded accusations, and targeting of an alleged Israeli-born medical student.6 An Icahn Mount Sinai School of Medicine faculty member was terminated for supporting terrorism and anti-Israel libel.40

In addition to physicians’ social media vilifying Israel, some physicians at the Faculty of Medicine, University of British Columbia (UBC, Canada) “asserted that Jewish faculty should not be allowed to adjudicate resident matching because the examining doctors were Jewish and might be racist,” and in November, 2023, “1/3 of all UBC medical students signed a petition endorsing this call. Jewish learners who refused to sign were harassed by staff and students.”25 Despite almost 300 Jewish physicians signing a letter expressing concern about tolerance of Jew hatred and hostile academic environment, antisemitism was not recognized by leadership.25 A valedictory speech for the 2024 class of the Max Rady College of Medicine, University of Manitoba included demonization of Israel, and the student who delivered it received a standing ovation from fellow graduating students.41

A UK tribunal suspended a physician for 15 months “after ruling her antisemitic and extremist social media posts fell far below professional standards and posed a high risk of re-offending.”42,43 But a medical journal termed these posts “allegations” of antisemitic remarks.43 The physician’s social media activity included three reported examples: (1) describing the temporary restriction of emergency department access in Manchester, which was intended to prioritize victims of a local synagogue attack, as evidence of “exceptionalism for Jews;” (2) sharing a social media post that characterized media coverage of the attack as “Jewish supremacism;” and (3) calling on Jews to denounce Israel or renounce Israeli citizenship. This physician was subsequently arrested after violating bail conditions and was charged with inviting support for Hamas.44

In a separate case in Belgium, a radiologist reportedly identified a patient as Jewish in the patient’s medical documentation, raising concerns about privacy and professional conduct. The physician was later suspended after antisemitic cartoons posted on his social-media account in 2023 came to light.45

Dentistry. Reports have described antisemitism in dental workplaces, academic institutions, and international dental organizations, including harassment and hostility directed at individuals because of their Jewish identity or support for Israel.46 “Some Jewish professionals are now hesitant to wear faith symbols or identity in their own workplaces, fearing retaliation, ostracism, or subtle professional retribution” and “quiet but persistent normalization of exclusion which occurs often under the radar but is just as damaging.”46 Dentists in Miami and Boston tore down posters of Israelis kidnapped by Hamas terrorists and were ultimately fired.47,48 A US congressman called for revoking the license of a Florida dentist who made antisemitic statements when preaching in his role as an imam after the October 7, 2023 terrorist attack by Hamas against Israel.49

Nursing. An Australian nurse and lifestyle influencer posted a video in which she appeared to perform a Nazi salute, then issued an apology.50 Australian nurses threatened Israeli patients during an online chat. One boasted she would refuse to treat Israeli patients and threatened to kill them. Another claimed he had sent Israeli patients to “Jahannam” (Arabic for hell).51 Both were dismissed from their positions and criminally charged, with their cases scheduled for trial in August 2026. An Oregon Health & Science University nurse was terminated for referring to advocates for Israel as “vermin,” writing she would “… not treat them.”52

Psychology. An open letter to the APA from Psychologists Against Antisemitism and others (4,000 signatories) documented the following: (1) “insensitivity toward Jews, a lack of concern regarding antisemitism, minimization of aggression towards the Jewish people, and outright hostility and prejudice toward Jews and Jewish heritage,” including “listservs containing antisemitic discourse, often masked as anti-Zionism;”53 and (2) the APA offering educational credits for members to attend conferences where speakers endorsed violence against Jews and Israelis, invoked antisemitic tropes, distorted the Holocaust, minimized Jewish experiences, and pathologized the Jewish people’s connection to their indigenous homeland.53

An article in the APA’s flagship journal American Psychologist showed “clear animus to Jewish people and Israel,” repeatedly labeled Israel a “settler-colonial” and “apartheid” state, distorted history, and advocated for “decolonial psychology practice,” which “politicizes the field of scientific psychology and falls drastically short of scholarly standards.”54 A psychologist who directs Villanova University’s Counseling Center associated Zionism with fascism and colonialism during a professional psychology conference in Philadelphia.55

The Brandeis Center and Physicians Against Antisemitism criticized Decolonizing Therapy for identifying Zionism as a root cause of mental illness.56 Marcus (of the Brandeis Center) argued that this practice equates Zionism—described as “an integral component of Jewish identity for many Jewish Americans” and as the belief that Jews have a right to self-determination in Israel, their ancestral homeland—with colonialism and oppression.57 Marcus elaborated that this “xenophobic hatred under the guise of therapy” delegitimizes Jewish historical, cultural, and ethnic connections to Israel and denies the Jewish people’s more than 3,000-year history with the land.57 Decolonial and liberation therapies incorporate antisemitic narratives including anti-Zionism and identity-based discrimination into cognitive behavioral therapy (CBT).58 Allowing such narratives “to shape theory and practice undermines the profession scientifically, ethically, and clinically.”58

The lack of meaningful response to these developments prompted a US congressional investigation,59 which one commentary described as evidence that the “APA’s antisemitism reckoning has finally arrived.”60 The state of Illinois formally reprimanded a therapist who had created a list of “Zionist” therapists and encouraged colleagues not to refer clients to those therapists.61

Social work. Responses to antisemitism within the social work profession have lacked action steps, such as encouraging social workers “to reflect on their own internalized anti-Semitic biases.”62 A survey of US social workers’ experiences with antisemitism in both education and the workplace revealed antisemitic comments from peers, office workers, and staff and identified the following themes: (1) being considered “white and privileged” to minimize and dismiss Jewish experiences, (2) “micro-aggressions” against Jews seldom addressed and often dismissed, and (3) merging antisemitism with anti-Zionism and the demonization of Israel, most prevalent in graduate schools.63 These researchers noted that antisemitism was seldom included in social work education or diversity and inclusion programs, inconsistent with its approach to social justice and maintaining a truly inclusive profession.63 Other researchers likewise noted its omission from institutional responses since October 7, 2023.64 This omission is inconsistent with the profession’s commitment to social justice and to maintaining a truly inclusive profession.62 They thus recommend including the topic of antisemitism in social work curricula and diversity and inclusion programs in accordance with the profession’s ethics and competencies through the Council on Social Work Education, the accrediting agency for social work education in the US and its territories. In 2024, an Ontario-based Jewish social worker was publicly labeled “racist’” and “anti-Arab” for challenging her colleague’s assertion that Zionism is a “genocidal ideology.”65

The Jewish Social Work Consortium report described the targeting of Jewish social workers on national listservs and antisemitic rhetoric in academic settings, with Jewish students studying social work termed “racist” and “white supremacists.”66 The report also raised serious concerns about the National Association of Social Workers, the largest membership organization of professional social workers (110,000 members), including its two-month delay in publicly addressing the massacre of October 7, 2023 and its allegedly inadequate response to antisemitism and inadequate efforts to counter it in the aftermath. Columbia University reached a settlement in a former School of Social Work student’s Title VI lawsuit alleging antisemitic discrimination.67

Occupational therapy. It has been deemed essential within the occupational therapy field for faculty to develop and implement programs for practitioners, students, and other professionals and create a culture of belonging in light of the sharp rise in antisemitism “to prevent occupational injustice among Jewish students.”68

In summary, the themes or patterns across these specific examples of antisemitism in the health professions are similar, if not identical. They encompass manifestations of antisemitism as outlined in the IHRA guidelines, ranging from outright threats of bodily harm against Jews to the use of antisemitic tropes and libels to demonize and delegitimize Israel and apply double standards to it—Israel being the ancestral homeland of the Jewish people and an integral component of the identity of most Jews.

Actionable Recommendations for Countering Antisemitism in the Health Professions
Countering antisemitism in medicine is a “moral imperative,”2 where the “4Es” serve as an action framework,2 i.e. Education, Engagement, Empathy, and Enforcement. These 4Es were recently endorsed by the Antisemitism Policy Trust of the UK in their Antisemitism in the Healthcare Sector Since October 7, 2023 report.69 A recent study found that people holding antisemitic attitudes and tropes were less educated on Jewish history,70 highlighting the importance of education in reducing antisemitic beliefs.15 Education in this framework includes history of medicine’s complicity in the Holocaust,2,71 with an important caveat on any Education component in this domain: “Honoring the memory of the Holocaust is a sacred obligation. Yet it cannot be done effectively or have any real meaning in a context divorced from the current struggle for Jewish survival against a rising tide of bigotry, hatred, and violence.”72 In other words, “Don’t mourn the Holocaust while supporting the genocide of living Jews.”72 Some reported patterns—particularly the dehumanization, exclusion, and professional targeting of Jewish healthcare workers—echo patterns documented in pre-Holocaust Nazi Germany. One contemporary example of such echoes in medicine is the Committee of Interns and Residents, the largest union of resident and fellow physicians in the US, representing more than 37,000 physicians, which has supported figures associated with anti-Israel terrorist organizations, recommended the exclusion of Israeli employees from hospitals, adopted resolutions with libelous claims of “apartheid” and “genocide” against Israel, supported the Boycott, Divestment, and Sanctions (BDS) movement, and required dues from federally funded trainees—actions that help perpetuate antisemitic bias in medicine.73,34 The Committee of Interns and Residents is currently the subject of a US Congressional investigation.73,34 This history underscores the need to recognize and address the broader implications of the dehumanization, exclusion, and persecution of Jewish health professionals, as well as the extent to which antisemitic hatred can escalate.2,71 It also demonstrates how antisemitic incitement can lead—and historically has led—to deadly violence. Actionable recommendations and actions taken based upon the narrative review are presented in Table 5.
Table 5Table 5
Actionable Recommendations and Examples of Actions Taken.

DISCUSSION

Our narrative review identified widespread reports of antisemitism in health professions education and practice across several countries, with multiple studies and surveys documenting significant increases after the Hamas terrorist attack of October 7, 2023, the largest massacre of Jewish civilians in a single day since the Holocaust. The Holocaust researcher Yehuda Bauer pointed out that antisemitism endangers all humanity.110 Hence, by interpretation, it is not only a danger to all Jewish people, but to all people worldwide.

While HPE and practice have identified and mitigated injustices because all bigotry, hatred, and discrimination cannot be tolerated, antisemitism as a form of bigotry, hatred, and discrimination has not been adequately addressed. This includes its absence from diversity and inclusion initiatives in medical and mental health professions training and practice.2,63 The relative paucity of literature on antisemitism in healthcare raises the question of whether we may be encountering yet another double standard manifestation of antisemitism, i.e. creating and enabling a hostile climate leading to fears of retribution for speaking up in publication format. Respondents in multiple surveys reported lack of support or mixed experiences from their institutions and lack of organizational support.15,23

Targeted review of references emerging from PubMed and ProQuest sources with rigorous application of search terms identifying antisemitism in healthcare education and practice reduced the number of extracted references. We, however, obtained a relatively robust number of relevant citations through “hand search” of citations within the extracted references from both PubMed and ProQuest sources. We noted that a considerable number of these had not been detected by PubMed or ProQuest due to their being books, government statistics, and database URLs, as well as inclusion of social work and psychology journals whose coverage in PubMed is limited. While our review described quantitative and qualitative data on the scourge of antisemitism in the health professions, what did not emerge is also significant. Aside from one letter to the editor81 and one personal essay of experienced antisemitism,38 there were no citations of medical education journals addressing this scourge in medical education journals (e.g. Academic Medicine, Medical Education, Medical Teacher), and no substantial body of empirical research or coordinated initiatives from medical associations or accrediting bodies emerged in the searches. Possible explanations include the recency of the phenomenon, the scope and limitations of the searches, publication practices, and reluctance to address a contentious subject; this narrative review cannot specify the reasons for the limited literature. Nevertheless, the relative absence of educational sources about Judaism, Jewish identity, and antisemitism within diversity and inclusion initiatives is notable. Anecdotally, the degree of manuscript rejections in this domain is problematic and the subject of a future analysis. While some publications on this issue were extracted for the mental health professions, these articles raised serious concerns about lack of appropriate action by professional organizations. Concerns in general regarding inadequate addressing of the antisemitism “virus” and its “mutation”3 persist in the health professions. These concerns persist even with governmental investigations into antisemitism in medical schools and into a professional psychology organization (US), as well as into the UK’s National Health Service.42

Qualitative reports documented antisemitism in healthcare impacting trainees and professionals with serious concerns for Jewish patients. Results were consistent with a “mutation” of contemporary antisemitism,3 or “transmutation,”111 with Jew hatred and bigotry manifesting substantially in anti-Israel libel and anti-Zionist forms.66 This manifests as demonization and delegitimization, and/or double standards applied to Israel111,112 within social media, commencement ceremonies, classes, panels, medical journal publications, and ostracizing and erasure of Jewish experience. Whether “antizionism” embraced in “dangerous ignorance”113 is a form of antisemitism19 “incontestably” so,114 or a distinct contemporary form of anti-Jewish hostility and hate, all forms of Jew hatred with “Othering” of Jews113 are unacceptable, inconsistent with professionalism, and deserve urgent action to prevent civil rights violations and negative impact on patient care. According to the ADL, “accompanying the IHRA definition are 11 examples that ‘may serve as illustrations’ of how antisemitism manifests contemporaneously, ranging from age-old anti-Jewish tropes, to Holocaust denial, to certain expressions of animus toward the Jewish State of Israel that may cross the line into antisemitism.”115 A recent exemplar is bias in a medical journal publication in the form of antisemitic Holocaust inversion, assertion that the “Holocaust damaged Jewish national identity,” use of trope-echoing antisemitic libels, as well as demonizing and delegitimizing Israel.89,116,117 Additional exemplars within medical journals more recently include demonizing Israel concerning the Hezbollah-terrorist group-sustained war in Lebanon,118 decontextualizing war (and resulting healthcare issues) from terrorist antecedents,119 and “selective mutism” in regard to assaults on hospitals and doctors by pro-regime Iranian forces.120

Particularly striking are the significant issues in psychology and social work with the irony of pervasive antisemitism in social work, e.g. noted by the Jewish Social Work Consortium as bias contradicting the profession’s ethical code that emphasizes “… social justice, dignity, worth of the person, and the significance of human relationships,” and “social justice” distorted to include “harmful stereotyping of Jewish and Israeli individuals”88 with increasing anti-Israel bias. Antisemitic prejudice under the guise of anti-Zionism or anti-Israel bias is not legitimate nor morally righteous. The joint statement of ADL, the Academic Engagement Network, and Psychologists Against Antisemitism captured it well—”A professional environment free from bias and bigotry of all forms including antisemitism” is needed.54

Moral responsibility in the health professions includes action when necessary, such as published replies to counter politicized agendas, contemporary libel, and one-sided perspectives appearing in medical journals, which has had impact.19,89 This includes a publication on unprofessional antisemitic displays at US medical school commencements picked up in major media outlets and cited in federal investigations of medical schools and healthcare institutions including Harvard Medical School, Alpert Medical School of Brown University, Columbia University Vagelos College of Physicians and Surgeons, Univer-sity of California, San Diego School of Medicine, UCSF, UCLA DGSM, Stanford University School of Medicine, and University of Illinois College of Medicine.24,121 Other examples include a journal theme issue addressing antisemitism and social work,64 and social workers’ organized opposition to an antisemitic motion brought by the International Federation of Social Workers leading to this motion being ultimately rejected.122

LIMITATIONS

This narrative review has several limitations. The searches were restricted to English-language sources published after October 7, 2023, and the ProQuest search focused on medicine, psychology, and social work. The included evidence was heterogeneous and comprised peer-reviewed studies, media reports, governmental and organizational documents, commentaries, and advocacy materials. Publication, reporting, and selection bias may have influenced the evidence identified. Differences in study design, sampling, and source type should therefore be considered when interpreting the findings. Nevertheless, the reported patterns and available evidence provide an indication of the current prevalence of antisemitism within the populations and professional settings studied.

CONCLUSION

This narrative review characterized the extent of antisemitism in health professions education and practice internationally and its dramatic increase since the Hamas massacre of October 7, 2023 in Israel. As such, it illustrates the moral imperative for education, engagement (for critical reflection), empathy, and enforcement,2 with educational topics of Judaism, Jewish identity, history of health professions’ complicity in the Holocaust, countering Holocaust inversion, and on origins and persistence of antisemitism. Mandatory inclusion in “diversity and inclusion” and/or cultural humility curricula as well as research on best practices and assessment of outcomes is called for in order to properly address and counter this scourge. Antisemitism is antithetical to and violates ethical oaths and charters of the health professions charged with assuring that clinical and learning environments are free of bias and hate.85 It also highlights the need for editorial vigilance to maintain journalistic integrity in medical/scientific journals to counter antisemitic anti-Israel bias which has appeared and can fuel antisemitic sentiment and actions. We must take firm action to counter all of this more broadly as a “malignant normality” which manifested in the ethical perversion and complicity of physicians in Nazism and the Holocaust.123 Today, antisemitic prejudice and associated forms of anti-Israel bias and anti-Zionism must be countered. It is our duty and moral responsibility within clinical care, research, teaching, systems policy, and administrative leadership in the health professions.

Supplementary Information
Acknowledgments

The authors acknowledge the assistance of Tina Griffin, Associate Professor, Information Services, and Liaison Librarian at University of Illinois at Chicago.

Abbreviations

ADL Anti-Defamation League
APA American Psychological Association
DGSM David Geffen School of Medicine
HPE Health Professions Education
IHRA International Holocaust Remembrance Alliance
PRISMA Preferred Reporting Items for Systematic Reviews and Meta-Analyses
UBC University of British Columbia
UCLA University of California, Los Angeles
UCSF University of California, San Francisco
UK United Kingdom
US United States

Footnotes

Conflict of interest Dr Wald is Commissioner, The Lancet Commission on Medicine, Nazism, and the Holocaust. The views presented in this article do not necessarily represent the other members of The Lancet Commission on Medicine, Nazism, and the Holocaust, but rather the views of the authors only. Dr Roth is on the board of directors of the University of Illinois Faculty for Academic Freedom and Against Antisemitism (Champaign-Urbana, IL), and the advisory board of the Center for Combating Antisemitism (Northbrook, IL).
Funding Dr Roth received funding for this research from the University of Chicago Emeriti Faculty Research Fund.

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