The urgent need to address residency attrition rates among black physicians in internal medicine.

Abstract

This review examines the critical issue of residency attrition among Black physicians in internal medicine, highlighting systemic inequities and unconscious bias within training programs. Analysis of data from 2011 to 2019 shows that Black residents represent only 4.2 % of the internal medicine workforce and face disproportionately high rates of withdrawal and dismissal. The review synthesizes current literature to identify contributing factors such as subjective evaluations, inadequate mentorship, and pervasive racial bias. It proposes targeted interventions including structured one-on-one mentoring, objective and double-evaluation systems, robust feedback mechanisms, and comprehensive bias training for faculty. Implementing these strategies is essential for creating a more inclusive residency environment and advancing healthcare equity.