Diversity, Equity, and Inclusion in Endocrinology: A Survey and Vision for the Future

Objective To assess and understand the inclusion, diversity, and equity (IDE) needs of the Society of Breast Imaging (SBI) membership to guide development of a strategic plan and goals for the Inclusion, Diversity, Equity Alliance (IDEA) of SBI. Methods A 23-question survey developed by IDEA was distributed electronically to all SBI members in November 2020 to assess and understand the society’s IDE needs. Descriptive statistics were used to summarize the responses. Open-ended responses were reviewed by the authors and sorted into three categories: supportive, nonsupportive, or neutral suggestions. Results The response rate was 12% (453/3686). Only 55% (238/429) of respondents agreed that the diversity of SBI leadership reflected the diversity of the society, with stronger agreement that actions of SBI aligned with their core values of collaboration and collegiality (327/249,75%), and of respect for diversity and inclusiveness (303/429, 70%). Overall, 65% (172/264) of respondents were satisfied with the quality and diversity of speakers at the annual symposium; however, White respondents agreed more compared to non-Whites (P = 0.035), and those practicing greater than 20 years agreed more compared to those practicing 6 to 10 years (P = 0.023). Of 88 total suggestions, three common themes were: more resources for recruitment, retention, and education for a diverse staff; further increase in diversity among leadership and membership; and more patient care resources. Conclusion In addition to showing areas of agreement by SBI members, this survey also identified opportunities for SBI and IDEA to further incorporate IDE into our initiatives and organization.

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A Needs Assessment for Inclusion, Diversity, and Equity: Survey Results of the Society of Breast Imaging

Wahab

Oluyemi

Jackson

et al. 2023

Journal of Breast Imaging

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The Arduous Path Toward Equitable Access to Endocrinology Care

Romeo,

Caputo,

Stanescu

et al. 2024

Journal of the Endocrine Society

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Multiple factors contribute to the widening gap between supply and demand of endocrinology services. In addition to the inadequate growth of the workforce, the inefficient utilization of endocrinologists’ expertise coupled with the rising prevalence of endocrine conditions has generated a crisis in access to specialty care. This mismatch is magnified in underserved communities and among certain racial/ethnic groups that carry a disproportionate burden of chronic diseases, like diabetes and osteoporosis, thus perpetuating the cycle of health disparities in vulnerable populations. Reorienting the framework of endocrine care toward more effective and equitable access will require comprehensive changes in operational processes, system-based policies, and in the diversity of our workforce. Specifically, the progressive transition to outcome-driven, team-based models of care can extend Endocrinology services beyond the traditional boundaries of in-office referrals and promote job satisfaction. Further, the implementation of policies that directly tackle structural determinants of health is a prerequisite to a more precise and equitable deployment of specialty care. In this view, the recruitment and professional growth of clinicians underrepresented in medicine along the career ladder, including leadership roles, is a key conduit to revitalize our field and to innovate the delivery of endocrine care across all communities.

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Diversity, Equity, and Inclusion in Endocrinology: A Survey and Vision for the Future

Cited by 2 publications

References 17 publications

A Needs Assessment for Inclusion, Diversity, and Equity: Survey Results of the Society of Breast Imaging

A Needs Assessment for Inclusion, Diversity, and Equity: Survey Results of the Society of Breast Imaging

The Arduous Path Toward Equitable Access to Endocrinology Care

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