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耳鼻喉头颈外科学中的多样性优先:开启对话。

Prioritizing Diversity in Otolaryngology-Head and Neck Surgery: Starting a Conversation.

机构信息

Department of Otolaryngology-Head and Neck Surgery, Medical School, University of Michigan, Ann Arbor, Michigan, USA.

College of Medicine and Life Sciences, University of Toledo, Toledo, Ohio, USA.

出版信息

Otolaryngol Head Neck Surg. 2021 Feb;164(2):229-233. doi: 10.1177/0194599820960722. Epub 2020 Oct 13.

DOI:10.1177/0194599820960722
PMID:33045901
Abstract

Academic centers embody the ideals of otolaryngology and are the specialty's port of entry. Building a diverse otolaryngology workforce-one that mirrors society-is critical. Otolaryngology continues to have an underrepresentation of racial and ethnic minorities. The specialty must therefore redouble efforts, becoming more purposeful in mentoring, recruiting, and retaining underrepresented minorities. Many programs have never had residents who are Black, Indigenous, or people of color. Improving narrow, leaky, or absent pipelines is a moral imperative, both to mitigate health care disparities and to help build a more just health care system. Diversity supports the tripartite mission of patient care, education, and research. This commentary explores diversity in otolaryngology with attention to the salient role of academic medical centers. Leadership matters deeply in such efforts, from culture to finances. Improving outreach, taking a holistic approach to resident selection, and improving mentorship and sponsorship complement advances in racial disparities to foster diversity.

摘要

学术中心体现了耳鼻喉科的理想,是该专业的入口。建立一个多元化的耳鼻喉科劳动力队伍——反映社会的多样性——至关重要。耳鼻喉科继续存在少数族裔和少数民族代表性不足的问题。因此,该专业必须加倍努力,在指导、招聘和留住少数族裔方面更加有针对性。许多项目从未有过黑人、原住民或有色人种的住院医师。改善狭窄、渗漏或缺失的人才管道是一项道德使命,既是为了减轻医疗保健方面的差距,也是为了帮助建立一个更加公正的医疗保健系统。多样性支持患者护理、教育和研究的三重使命。本评论探讨了耳鼻喉科的多样性,特别关注学术医疗中心的重要作用。领导力在这些努力中至关重要,从文化到财务。改善外展活动,采取整体方法选拔住院医师,以及改善指导和赞助,这些都可以补充在减少种族差异方面的进展,以促进多样性。

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