Equity in excellence or just another tax on Black skin?

Obasi, Angela

doi:10.1016/s0140-6736(20)31536-1

Cited by 9 publications

(25 citation statements)

References 7 publications

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“…This service burden for URM researchers at academic medical centers is known as the "minority tax" (24). Somewhat ironically at the expense of their other career goals, URM researchers have experienced an increase in this "tax" in the wake of the killing of George Floyd in May 2020, as many have felt compelled or been asked to take on roles related to helping direct the responses of their institutions to calls for increased diversity, equity, inclusion, and antiracism (25,26). URM women researchers are especially affected by the minority tax, because they experience an even greater obligation to fulfill service roles (27).…”

Section: A Disproportionate Impact On Urm Researchersmentioning

confidence: 99%

Academic careers and the COVID-19 pandemic: Reversing the tide

et al. 2021

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The COVID-19 pandemic halted research operations at academic medical centers. This shutdown has adversely affected research infrastructure, the current research workforce, and the research pipeline. We discuss the impact of the pandemic on overall research operations, examine its disproportionate effect on underrepresented minority researchers, and provide concrete strategies to reverse these losses.

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Section: A Disproportionate Impact On Urm Researchersmentioning

confidence: 99%

Academic careers and the COVID-19 pandemic: Reversing the tide

et al. 2021

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“…Black, Indigenous, and other people of colour should be included in (and rewarded for their contributions to) decision making processes to reform disease management guide lines. 45 Some forward-thinking societies have already made strides to advance such resolutions. Finally, clinical research should be used to examine structural barriers, rather than using race as a proxy for biology.…”

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confidence: 99%

From race-based to race-conscious medicine: how anti-racist uprisings call us to act

2020

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and countless others-coupled with horrifying statistics about the dispro portionate burden of COVID-19 on Black and Brown communities-have forced the USA and the world to reckon with how structural racism conditions survival. Although clinicians often imagine themselves as benef cent caregivers, it is increasingly clear that medicine is not a stand-alone institution immune to racial inequities, but rather is an institution of structural racism. A pervasive example of this participation is race-based medicine, the system by which research charac terising race as an essential, biological variable, translates into clinical practice, leading to inequitable care. In this Viewpoint, we discuss examples of race-based medicine, how it is learned, and how it perpetuates health-care disparities. We introduce raceconscious medicine as an alternative approach that emphasises racism, rather than race, as a key determinant of illness and health, encouraging providers to focus only on the most relevant data to mitigate health inequities.Research in clinical medicine and epidemiology requires explicit hypotheses; however, hypotheses involving race are frequently implicit and circular, relying on conventional wisdom that Black and Brown people are genetically distinct from White people. 1 This common knowledge descends from European colonialisation, at which time race was developed as a tool to divide and control populations worldwide. Race is thus a social and power construct, with meanings that have shifted over time to suit political goals, including to assert biological inferiority of dark-skinned populations. 2 In fact, race is a poor proxy for human variation. Physical characteristics used to identify racial groups vary with geography and do not correspond to underlying biological traits. Genetic research shows that humans cannot be divided into biologically distinct subcategories. 3,4 Furthermore, ongoing overlap and mixture between populations erodes any meaningful genetic difference. 5 Despite the absence of meaningful correspondence between race and genetics, race is repeatedly used as a shortcut in clinical medicine. For instance, Black patients are presumed to have greater muscle mass than patients of other races and estimates of their renal function are accordingly adjusted. 6 On the basis of the understanding that Asian patients have higher visceral body fat than do people of other races, they are considered to be at risk for diabetes at lower bodymass indices. 7 Angiotensin-converting enzyme (ACE) inhibitors are considered less effec tive in Black patients than in White patients, and they might not be prescribed to Black patients with hypertension (table ). 1, We argue

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“…Instead of bean-counting publications and grant dollars when making hiring and promotion decisions, imagine if your department, faculty, or university created metrics and judgments to assess quality of process in a scholar's contributions to a complex and collective system of science. For example, a candidate statement could directly address inclusive processes in research, teaching, and mentoring, and hiring and promotion committees could specifically assess them, in order to reward the skills and effort required to advance inclusive excellence with the "hard currency of career advancement"(Obasi, 2020). Similarly, candidate statements could directly address, and committees could specifically evaluate, the extent to which the candidate has directly engaged in work that increases transparency, replicability, and generalizability, as well as how the candidate has contributed to systems and infrastructure that help good science flourish (e.g., building new and inclusive collaborative networks; collecting and sharing valuable datasets, creating apps that help other researchers analyze their data, creating and sharing effective and engaging teaching resources).…”

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confidence: 99%

The Pandemic as a Portal: Reimagining Psychological Science as Truly Open and Inclusive

Ledgerwood¹,

Stj²,

Na³

et al. 2021

Preprint

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Psychological science is at an inflection point: The COVID-19 pandemic has already begun to exacerbate inequalities that stem from our historically closed and exclusive culture. Meanwhile, reform efforts to change the future of our science are too narrow in focus to fully succeed. In this paper, we call on psychological scientists—focusing specifically on those who use quantitative methods in the United States as one context in which such a conversation can begin—to reimagine our discipline as fundamentally open and inclusive. First, we discuss who our discipline was designed to serve and how this history produced the inequitable reward and support systems we see today. Second, we highlight how current institutional responses to address worsening inequalities are inadequate, as well as how our disciplinary perspective may both help and hinder our ability to craft effective solutions. Third, we take a hard look in the mirror at the disconnect between what we ostensibly value as a field and what we actually practice. Fourth and finally, we lead readers through a roadmap for reimagining psychological science in whatever roles and spaces they occupy, from an informal discussion group in a department to a formal strategic planning retreat at a scientific society.

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Equity in excellence or just another tax on Black skin?

Cited by 9 publications

References 7 publications

Academic careers and the COVID-19 pandemic: Reversing the tide

Academic careers and the COVID-19 pandemic: Reversing the tide

From race-based to race-conscious medicine: how anti-racist uprisings call us to act

The Pandemic as a Portal: Reimagining Psychological Science as Truly Open and Inclusive

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