An Institutional Approach to Fostering Inclusion and Addressing Racial Bias: Implications for Diversity in Academic Medicine

Díaz, Tomás; Navarro, Jonathan

doi:10.1080/10401334.2019.1670665

Cited by 83 publications

(79 citation statements)

References 30 publications

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“…18 Physicians from underrepresented groups are more likely to work in underserved areas, can provide different perspectives to their colleagues, and facilitate culturally competent care. [18][19][20] The ability to recruit minority medical students is significantly influenced by the visible evidence of the degree of diversity and inclusion to the mission of a department. Is this reflected on the program's website, seen in the choice of plaques on the walls of the department, articulated by those in leadership positions, observed in the composition of the faculty and those in positions of power?…”

Section: Trainees and Recruitmentmentioning

confidence: 99%

“…The importance of making a program accessible by advertising to minority groups at conferences and offering scholarships for external clinical rotations also can aid in recruitment efforts. 20 Programs also need to expand their methods for selecting resident applicants, as research has indicated that the traditional methods for selection have a negative impact on diversity within residency programs and are subject to bias. 20 Some programs have adopted a more holistic approach to resident application review, which considers factors such as demonstrated commitment to the underserved, life experiences or significant leadership roles in addition to traditional academic metrics.…”

Section: Trainees and Recruitmentmentioning

confidence: 99%

“…20 Programs also need to expand their methods for selecting resident applicants, as research has indicated that the traditional methods for selection have a negative impact on diversity within residency programs and are subject to bias. 20 Some programs have adopted a more holistic approach to resident application review, which considers factors such as demonstrated commitment to the underserved, life experiences or significant leadership roles in addition to traditional academic metrics. 18 Programs also should consider that certain personality traits, such as conscientiousness, have been shown to be equally predictive of academic success in medicine.…”

Section: Trainees and Recruitmentmentioning

confidence: 99%

“…21 Additionally, implicit bias training for faculty members involved in resident selection and interviews should be included as part of the overall strategy to increase the diversity in residency programs. 18,20…”

Section: Trainees and Recruitmentmentioning

confidence: 99%

See 3 more Smart Citations

Diversity, Inclusion and Leadership: Perspectives From an Academic Department

Jones

Thompson

Nicoara

et al. 2021

Journal of Cardiothoracic and Vascular Anesthesia

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Section: Trainees and Recruitmentmentioning

confidence: 99%

Section: Trainees and Recruitmentmentioning

confidence: 99%

Section: Trainees and Recruitmentmentioning

confidence: 99%

Section: Trainees and Recruitmentmentioning

confidence: 99%

See 2 more Smart Citations

Diversity, Inclusion and Leadership: Perspectives From an Academic Department

Jones

Thompson

Nicoara

et al. 2021

Journal of Cardiothoracic and Vascular Anesthesia

View full text Add to dashboard Cite

“…To avoid this outcome, skills contributed and the effort expended in such activities must be recognised in the hard currency of career advancement. 15 Measures of unconscious bias and indicators of toxic environments, such as high staff turnover or unequal progression, must be reported and scored as part of university assessments. 10 Safe spaces and procedures that allow staff to speak candidly about their experiences must be created; what they have to say must lead to concrete action.…”

mentioning

confidence: 99%

Equity in excellence or just another tax on Black skin?

Obasi

2020

The Lancet

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Improving Enrollment of Underrepresented Racial and Ethnic Populations in Heart Failure Trials

et al. 2022

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ome racial and ethnic populations, particularly Black and Hispanic individuals, have a greater burden of heart failure (HF), are less likely to receive optimal disease-modifying therapies, and are more likely to die from HF. [1][2][3][4][5] Despite this excess risk, these same populations are often the least studied in HF clinical trials. [6][7][8][9][10] The importance of addressing the systemic underenrollment of some racial and ethnic groups has been previously highlighted 11 and remains an important directive of the US Food and Drug Administration (FDA) Safety and Innovation Act as well as the Inclusion Policy of the National Institutes of Health (NIH). 12 The Heart Failure Collaboratory, a consortium of stakeholders convened to enhance therapeutic development and delivery to patients with HF, 13 has been dedicated to improving recruitment strategies for diverse patient populations. This article is the direct result of virtual and in-person discussions among Collaboratory stakeholders with the goal of proposing strategies to improve enrollment in HF clinical trials of underrepresented racial and ethnic groups. We focus on the US perspective in the HF clinical trial landscape (with specific attention to enrollment of Black and Hispanic participants) and highlight US federal policies and initiatives to promote improved racial and ethnic representation. We recognize the need as well for improving enrollment of other populations of interest, including women, older adults, and people in rural areas of the United States [14][15][16][17] ; however, this call to action focuses on building sustainable pathways to improve future diverse participation with respect to race and ethnicity. Barriers in Underrepresented HF Trial EnrollmentMany racial and ethnic populations continue to experience socioeconomic deprivation, chronic discrimination, and stress that worsen health outcomes across the lifespan. [18][19][20][21] The ability and willingness of patients with HF to actively participate in clinical trials is intricately tied to social determinants of health, such as access to health care, education, income equality, and food security as well as cultural and community values. 22 This underrepresentation likely results from limited access both to clinical care and the current clinical IMPORTANCE Despite bearing a disproportionate burden of heart failure (HF), Black and Hispanic individuals have been poorly represented in HF clinical trials. Underrepresentation in clinical trials limits the generalizability of the findings to these populations and may even introduce uncertainties and hesitancy when translating trial data to the care of people from underrepresented groups. The Heart Failure Collaboratory, a consortium of stakeholders convened to enhance HF therapeutic development, has been dedicated to improving recruitment strategies for patients from diverse and historically underrepresented groups.OBSERVATIONS Despite federal policies from the US Food and Drug Administration and National Institutes of Health aimed at i...

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An Institutional Approach to Fostering Inclusion and Addressing Racial Bias: Implications for Diversity in Academic Medicine

Cited by 83 publications

References 30 publications

Diversity, Inclusion and Leadership: Perspectives From an Academic Department

Diversity, Inclusion and Leadership: Perspectives From an Academic Department

Equity in excellence or just another tax on Black skin?

Improving Enrollment of Underrepresented Racial and Ethnic Populations in Heart Failure Trials

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