K.B. Oliver is assistant professor, Department of Internal Medicine, University of Texas Southwestern, Dallas, Texas.
M.V. Nadamuni is a third-year resident, Department of Internal Medicine and Pediatrics, University of Texas Southwestern, Dallas, Texas.
Acad Med. 2020 Dec;95(12S Addressing Harmful Bias and Eliminating Discrimination in Health Professions Learning Environments):S77-S81. doi: 10.1097/ACM.0000000000003685.
In recent years, there have been multiple publications about the dearth of Black men in medicine. Appreciating the fact that underrepresented minority physicians disproportionately care for America's underserved communities, the lack of diversity in health care is particularly disturbing. Of imminent concern is the critical shortage of Black men doctors. In this Perspective, the authors contend that while mentoring is often considered among the most important strategies to increase the number of Black men in medicine, unique challenges in this demographic can diminish its effectiveness. Among these challenges are below average primary school educational experiences and a general mistrust of society on the part of Black men, as well as difficulties overcoming stereotypes and social biases that others hold against them. Furthermore, acknowledging that mentorship is paramount in achieving success in the medical field, the authors provide a framework to assist mentors in recognizing and addressing situations and obstacles that may disrupt the mentoring relationship and hinder its potential to best serve Black men pursuing advancement in medicine. This framework is represented by the acronym RACE: Reluctance to discuss race, Access to mentors, Cultural mistrust and racial concordance, and Empathy.
近年来，有多项关于医学领域缺乏黑人男性的出版物。值得注意的是，代表性不足的少数族裔医生不成比例地照顾美国服务不足的社区，医疗保健领域缺乏多样性尤其令人不安。迫在眉睫的问题是黑人男性医生的严重短缺。在本文观点中，作者认为，尽管指导通常被认为是增加医学领域黑人男性数量的最重要策略之一，但这一人群中存在的独特挑战可能会降低其效果。这些挑战包括平均水平以下的小学教育经历和黑人男性对社会的普遍不信任，以及克服他人对他们的刻板印象和社会偏见的困难。此外，作者承认在医学领域取得成功的首要因素是指导，他们提供了一个框架，以帮助指导者识别和解决可能破坏指导关系并阻碍其为追求医学进步的黑人男性提供最佳服务的潜在问题和障碍。这个框架由首字母缩写 RACE 表示：不愿讨论种族、获得导师、文化不信任和种族一致性以及同理心。
