Steven McDonald ’04 -On the Power of Finding Your Voice

Doctor Steven McDonald ’04 had an old familiar feeling rush back as he pulled onto campus this past April.

“I thought I would never be racing to be on time for assembly ever again after my senior year, and that's not true. This morning was one of those mornings,” McDonald joked. 

As he approached the iconic Hopkins staircase en route to the Athletic Center, he was struck by something surprising.

“The steps didn’t seem as intimidating as they did when I was a student here,” said McDonald. 

An Assistant Professor of Emergency Medicine at Columbia University Irving Medical Center and a board-certified Emergency Room Physician, McDonald was returning to campus as the Hopkins Spring Fellow. Since its establishment in 2005, the Hopkins Fellows Program aims to enrich the Hopkins learning experience by exposing students to alumni who can inspire, challenge, engage, and educate them through their unique life experiences. The morning assembly presentations delivered by Hopkins Fellows have become a popular staple on the Hill.

Luckily for everyone in attendance, McDonald made it on time to deliver a powerful and poignant speech about managing failure and finding one’s voice in the face of adversity. His goal was to empower current students to embrace their identities and discover how they can use their own life experiences to be of service to others. 

He set about this goal by telling the story of a pivotal moment in his career when he decided to amplify his voice and share his perspectives on topics like physician wellness and the barriers that minority physicians and patients face in today’s healthcare system.

Embracing Your Identity

As students and staff looked on, McDonald couldn’t help but picture himself among the crowd two decades back when that Hopkins staircase loomed large. That’s because for him, as is typically the case with returning alumni, coming back to campus provides more than a trip down memory lane; it’s an opportunity to connect with who they once were as adolescents. 

McDonald was an exceptional and curious Hopkins student, a National Merit Scholar, and a well-known figure on campus. He sat on the Student Council and was a member of Habitat for Humanity, the Spanish Club, and the Razor staff, serving as an editor during his senior year. While he described himself as “not very athletic at the time,” he enjoyed playing on the soccer and lacrosse teams. 

For McDonald however, what stood out to him upon his return were not the areas he had focused on between seventh and twelfth grades, but rather the areas he hadn’t. As a person of color who identifies as gay, he did not join any clubs or take part in activities that addressed racial or sexual issues during his Hopkins tenure. 

“A question that I’ve come back to think about much later in my life is: Why was I not involved in those things?” McDonald asked himself during his presentation. “I think it’s because I didn’t want to be the ‘other.’ I wanted to pretend I was just like my peers, and so I didn’t join with student groups that embraced those differences,” he said.

From Self-Discovery to Advocacy

After graduating from Hopkins, McDonald earned his bachelor’s degree from Harvard University and his medical degree from Columbia University. He said his experience working as a resident at both Bellevue Hospital and Columbia University Medical Center in New York helped him gain “racial and class consciousness,” as he had a front-row seat to the inherent biases and inequality in medicine as well as the limitations people of color face in getting sufficient medical care. 

“It was going in between emergency rooms when I began to note some key differences and key problems with our public health system as it exists today,” said McDonald. “So at the same time I was learning medicine, I was also learning and absorbing some implicit lessons.” 

Often the only male physician of color attending, McDonald began to confront his own racial identity. In 2016, after reading a piece in The New York Times on trends that showed how men of color are more likely to fall in social class, McDonald wrote an op-ed to share his perspectives. Though the piece was ultimately rejected— a moment McDonald saw as a failure at the time— he remained undeterred and continued to write with the intention of shining a spotlight on the issues he was experiencing firsthand.

In June 2020, after four years’ worth of rejections, McDonald’s voice was finally amplified. With COVID-19 in its first wave, and as protests spread across the country in the wake of the murder of George Floyd, McDonald published an op-ed in The New York Times. In the piece, he shared his viewpoint on how the demonstrations were necessary to expose racial disparities not only in law enforcement or the justice system but in healthcare as well. He said the idea for the piece was sparked by a reporter asking him how he specifically felt about the demonstrations as a physician of color.

“To ask, ‘What do you think as a Black doctor about COVID-19 and the protests?’ is to ask me to choose my skin color or my health,” he wrote. A year later, VICE.com included McDonald in their piece that reflected on progress and ongoing challenges since the initial protests. 

McDonald has since continued to be an advocate for change. In April 2022, he joined a panel on PBS for a program called Eye of the Storm: A Town Hall with Healthcare Workers About Mental Health, which featured a deep discussion on how healthcare professionals combatted fatigue, pandemic disinformation, racial injustice, and other moral concerns during COVID-19.

Leaving a Lasting Impact

While McDonald said he never saw himself as an activist, he now finds himself turning his unique insights into a book while also continuing his medical career. He says he is no longer willing to be passive when his voice could make a difference. With this theme in mind, McDonald closed his assembly presentation with calls to action.

“Remember service. Remember that you’re in a broader community, even if you’re in an ivory tower within that community, and please change things for the better, as I know Hopkins is already teaching you to do,” he said.

Following the assembly presentation, McDonald’s jam-packed day featured visits to classes like African-American History & Literature, Hopkins Authentic Research Program in Science (HARPS), and the Spanish Honors Seminar. He also continued the conversation with students during extended question and answer sessions.

McDonald said he left Hopkins that day feeling impressed by the emotional intelligence of today’s students and felt hopeful that when they return to the Hill, those Hopkins stairs will also no longer loom large.

“I was speaking to students who were doing things that weren’t even possible when I was at Hopkins, and it makes me incredibly optimistic about the impact they will make on the world,” said McDonald.
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