黑人学术医生成功的障碍和促进因素。

IF 3.2 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Barbara Jerome, Magali Fassiotto, Yvonne Bonnie Maldonado, Tamara Dunn
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引用次数: 0

摘要

尽管美国努力招募和留住黑人医生,但黑人在医学界的代表性仍然不足。尽管有许多研究调查了来自医学领域代表性不足的种族/民族背景的学术医生的经历,但对可能面临更多独特挑战的黑人学术医生的经历的调查仍然不足。我们采用定性研究设计,通过对 30 名黑人教职员工进行访谈,调查了一家学术医学中心黑人教职员工成功和幸福的障碍和促进因素。总体而言,有十个主题成为教职员工成功和幸福的障碍或促进因素。重大障碍包括持续缺乏代表性;贬低社区健康和健康差异方面的研究以及其他与多样性相关的活动;公开和隐含的歧视,这些都造成了孤立感和不被尊重感。促进因素包括拥有一个可以保持归属感的社区、对健康差异和多样性相关贡献的财政支持以及与同行的合作。良好的指导和赞助以及支持包容的机构文化可以发挥重要的促进作用,而缺乏这些因素则会造成巨大的障碍。机构政策和外部社会政治因素对黑人教职员工的成功和福祉的障碍和促进因素都有重大影响。我们的研究更加明确地聚焦于黑人教职员工所特有的或更加明显的障碍,以及可能有助于减轻这些障碍的促进因素。这些发现可以为设计干预措施,招聘和留住医学界的黑人教师提供参考。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Barriers and Facilitators to the Success of Black Academic Physicians.

Despite efforts to recruit and retain Black physicians, Black individuals continue to be underrepresented in medicine in the USA. Although numerous studies have investigated the experiences of academic physicians from racial/ethnic backgrounds underrepresented in medicine, the experience of Black academic physicians, who may face additional unique challenges, remains underinvestigated. Using a qualitative research design, we investigate barriers to and facilitators of success and well-being of Black faculty at one academic medical center through interviews of 30 Black faculty members. Overall, ten themes emerged as barriers or facilitators to faculty success and well-being. Significant barriers include continued lack of representation; devaluing of research in community health and health disparities, as well as other diversity-related activities; and both overt and implicit discrimination, which contribute to feelings of isolation and disrespect. Facilitators include having a community to maintain sense of belonging, financial support for health disparities and diversity-related contributions, and collaboration with peers. Good mentorship and sponsorship as well as an institutional culture that supports inclusion can play significant roles as facilitators, whereas the lack of these factors can present substantial barriers. Institutional policies and external socio-political factors have a major influence on both the barriers and facilitators to the success and well-being of Black faculty. Our study has put a clearer focus on barriers that are unique to or more pronounced among Black faculty and the facilitators that may serve to mitigate these barriers. These findings can inform the design of interventions to recruit and retain Black faculty in medicine.

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来源期刊
Journal of Racial and Ethnic Health Disparities
Journal of Racial and Ethnic Health Disparities PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
7.30
自引率
5.10%
发文量
263
期刊介绍: Journal of Racial and Ethnic Health Disparities reports on the scholarly progress of work to understand, address, and ultimately eliminate health disparities based on race and ethnicity. Efforts to explore underlying causes of health disparities and to describe interventions that have been undertaken to address racial and ethnic health disparities are featured. Promising studies that are ongoing or studies that have longer term data are welcome, as are studies that serve as lessons for best practices in eliminating health disparities. Original research, systematic reviews, and commentaries presenting the state-of-the-art thinking on problems centered on health disparities will be considered for publication. We particularly encourage review articles that generate innovative and testable ideas, and constructive discussions and/or critiques of health disparities.Because the Journal of Racial and Ethnic Health Disparities receives a large number of submissions, about 30% of submissions to the Journal are sent out for full peer review.
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