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

IF 2.3 4区医学 Q1 MEDICINE, GENERAL & INTERNAL

Journal of the National Medical Association Pub Date : 2025-07-25 DOI:10.1016/j.jnma.2025.06.006

Devaun Reid , Monica Khadka

引用次数: 0

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.

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迫切需要解决住院医师流失率在内科黑人医生。

本综述探讨了黑人内科医生住院医师流失的关键问题，强调了培训项目中的系统性不平等和无意识偏见。2011年至2019年的数据分析显示，黑人居民仅占内科劳动力的4.2%，并且面临着不成比例的高退出和解雇率。这篇综述综合了目前的文献，以确定诸如主观评价、指导不足和普遍的种族偏见等因素。它提出了有针对性的干预措施，包括结构化的一对一指导、客观和双重评估系统、健全的反馈机制以及对教师的全面偏见培训。实施这些战略对于创造更具包容性的住院医师环境和促进医疗公平至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of the National Medical Association 医学-医学：内科

CiteScore

4.80

自引率

3.00%

发文量

139

审稿时长

98 days

期刊介绍： Journal of the National Medical Association, the official journal of the National Medical Association, is a peer-reviewed publication whose purpose is to address medical care disparities of persons of African descent. The Journal of the National Medical Association is focused on specialized clinical research activities related to the health problems of African Americans and other minority groups. Special emphasis is placed on the application of medical science to improve the healthcare of underserved populations both in the United States and abroad. The Journal has the following objectives: (1) to expand the base of original peer-reviewed literature and the quality of that research on the topic of minority health; (2) to provide greater dissemination of this research; (3) to offer appropriate and timely recognition of the significant contributions of physicians who serve these populations; and (4) to promote engagement by member and non-member physicians in the overall goals and objectives of the National Medical Association.