住院医师培训中的反种族主义：一项增加社区住院医师培训项目种族多样性的多方法干预措施。
Antiracism in Residency: A Multimethod Intervention to Increase Racial Diversity in a Community-Based Residency Program.
作者信息
Guh Jessica, Harris Collette R, Martinez Patricia, Chen Frederick M, Gianutsos L Paul
机构信息
Swedish Family Medicine Residency, Cherry Hill, Family Medicine Residency Network at University of Washington, Seattle, WA.
Swedish Cherry Hill Family Medicine Residency, Seattle, WA.
出版信息
Fam Med. 2019 Jan;51(1):37-40. doi: 10.22454/FamMed.2019.987621.
BACKGROUND AND OBJECTIVES
In order to address racial health inequity, it is imperative to create diverse physician workforce and leadership. We describe and report on the outcomes of a comprehensive diversity initiative at our residency with the goal of increasing the racial diversity of residents and faculty.
METHODS
At a community-based family medicine residency program, we instituted a multifaceted diversity initiative. The four components were mission statement revision, a diversity task force, an antiracism curriculum, and an ongoing system to evaluate progress.
RESULTS
From 2014 to 2017, the proportion of persons of color among the residents increased from 28% (10/36) to 68% (27/40). Faculty diversity increased from 9% to 27% over the same period.
CONCLUSIONS
This multimethod diversity initiative dramatically increased the proportion of underrepresented and other minorities in the residency program. The intervention succeeded due to the commitment of leadership and resources to addressing racism and making diversity a top priority on an institutional level.
背景与目标
为解决种族健康不平等问题，创建多元化的医生队伍和领导层势在必行。我们描述并报告了我们住院医师培训项目中一项全面的多元化倡议的成果，目标是增加住院医师和教职员工的种族多样性。
方法
在一个以社区为基础的家庭医学住院医师培训项目中，我们开展了一项多方面的多元化倡议。四个组成部分是使命宣言修订、一个多元化特别工作组、一门反种族主义课程以及一个持续评估进展的系统。
结果
从2014年到2017年，住院医师中有色人种的比例从28%（10/36）增至68%（27/40）。同期教职员工的多样性从9%增至27%。
结论
这项多方法的多元化倡议显著提高了住院医师培训项目中代表性不足群体和其他少数群体的比例。由于领导层致力于投入资源解决种族主义问题，并将多元化作为机构层面的首要任务，该干预措施取得了成功。
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