A.N. Haggins is assistant clinical professor, Department of Emergency Medicine, University of Michigan, Ann Arbor, Michigan.
Acad Med. 2020 Oct;95(10):1507-1510. doi: 10.1097/ACM.0000000000003553.
Lingering unconscious biases and daily cues continue to permeate and persist in academic medicine environments in the form of the exclusion of physicians who are women or racially/ethnically underrepresented in medicine. Academic medicine environments must change so that women and underrepresented in medicine racial/ethnic groups are seen, heard, and valued. A shared awareness among faculty, administrators, and trainees can inform the development of intentional strategies to alter individual behaviors, academic spaces, and institutional processes to cultivate a sense of belonging. Shifting the norms in medicine and the course of historical exclusion will require professional development in areas of inclusive teaching practices, skills to cultivate mentoring relationships with diverse trainees, and fostering discussions about the relevance of personal identity, as well as attention to the symbolism and imagery in institutional messages (e.g., portraits on the walls, website, marketing campaigns) and to the value of including community involvement in productivity metrics.
医学学术环境中挥之不去的无意识偏见和日常暗示仍然以排斥女性或医学领域代表性不足的少数族裔医生的形式存在。医学学术环境必须改变，让女性和医学领域代表性不足的少数族裔群体得到重视。教职员工、行政人员和学员之间的共同认识，可以为制定有针对性的战略提供信息，以改变个人行为、学术空间和机构流程，培养归属感。改变医学领域的规范和历史排斥的进程，需要在包容性教学实践、与不同背景的学员培养指导关系的技能以及促进关于个人身份相关性的讨论等方面进行专业发展，同时还需要关注机构信息（例如，墙上的肖像、网站、营销活动）中的象征意义和形象，以及将社区参与纳入生产力指标的价值。
