Lightfoote Johnson B, Fielding Julia R, Deville Curtiland, Gunderman Richard B, Morgan Gail N, Pandharipande Pari V, Duerinckx Andre J, Wynn Raymond B, Macura Katarzyna J
Department of Radiology, Pomona Valley Hospital Medical Center, Pomona, California.
Department of Radiology, University of North Carolina, Chapel Hill, North Carolina.
J Am Coll Radiol. 2014 Jul;11(7):673-80. doi: 10.1016/j.jacr.2014.03.007.
The ACR Commission for Women and General Diversity is committed to identifying barriers to a diverse physician workforce in radiology and radiation oncology (RRO), and to offering policy recommendations to overcome these barriers. In Part 1 of a 2-part position article from the commission, diversity as a concept and its dimensions of personality, character, ethnicity, biology, biography, and organization are introduced. Terms commonly used to describe diverse individuals and groups are reviewed. The history of diversity and inclusion in US society and health care are addressed. The post-Civil Rights Era evolution of diversity in medicine is delineated: Diversity 1.0, with basic awareness, nondiscrimination, and recruitment; Diversity 2.0, with appreciation of the value of diversity but inclusion as peripheral or in opposition to other goals; and Diversity 3.0, which integrates diversity and inclusion into core missions of organizations and their leadership, and leverages its potential for innovation and contribution. The current states of diversity and inclusion in RRO are reviewed in regard to gender, race, ethnicity, sexual orientation, and gender identity. The lack of representation and unchanged demographics in these fields relative to other medical specialties are explored. The business case for diversity is discussed, with examples of successful models and potential application to the health care industry in general and to RRO. The moral, ethical, and public health imperative for diversity is also highlighted.
美国放射学会女性与总体多样性委员会致力于找出放射学和放射肿瘤学（RRO）领域中多元化医师队伍面临的障碍，并提供政策建议以克服这些障碍。在该委员会的一篇分两部分的立场文章的第一部分中，介绍了多样性这一概念及其在个性、性格、种族、生物学、个人经历和组织等方面的维度。回顾了常用于描述不同个体和群体的术语。探讨了美国社会和医疗保健领域中多样性与包容性的历史。阐述了民权运动后医学领域多样性的演变：多样性1.0，具备基本意识、无歧视和招聘；多样性2.0，认识到多样性的价值，但将包容性视为次要或与其他目标相悖；以及多样性3.0，将多样性和包容性融入组织及其领导层的核心使命，并发挥其创新和贡献的潜力。从性别、种族、民族、性取向和性别认同等方面审视了RRO领域当前的多样性和包容性状况。探讨了这些领域相对于其他医学专业而言代表性不足和人口结构未变的情况。讨论了多样性的商业案例，并列举了成功模式及其在整个医疗保健行业以及RRO领域的潜在应用。还强调了多样性在道德、伦理和公共卫生方面的必要性。
