M. Fassiotto is associate dean, Office of Faculty Development and Diversity, Stanford University School of Medicine, Stanford, California.
H. Valantine is professor, Department of Medicine, Stanford University School of Medicine, Stanford, California, and former chief officer for scientific workforce diversity, National Institutes of Health, Bethesda, Maryland.
Acad Med. 2021 Oct 1;96(10):1389-1392. doi: 10.1097/ACM.0000000000003905.
Health care professionals and the institutions in which they work are being stretched to their limits amidst the current COVID-19 pandemic. At the same time, a second longstanding pandemic has been brought to the fore: the entrenched system of racial injustice and oppression. The first pandemic is new, and to date, substantial resources have been allocated to urgently addressing its mitigation; the second has a long history with inconsistent attention and resources but has recently been spotlighted more intensely than at any time in the nation's recent past. The authors contend that these 2 simultaneous pandemics have brought forth the need for institutions in the United States to make a renewed commitment to respect, wellness, diversity, and inclusion. While investment and leadership in these domains have always been essential, these have largely been viewed as a "nice-to-have" option. The events of much of 2020 (most notably) have illustrated that committing to and investing in policies, programs, centers, and leadership to drive change in these domains are essential and a "need-to-have" measure. The authors outline the necessity of investing in the promotion of cultures of inclusive excellence at both individual and organizational levels to coordinate a united response to the simultaneous pandemics. It is in the interests of health care systems to consider the wellness of the workforce to overcome the longer-term economic, systemic, and social trauma that will likely occur for years to come at both the individual and institutional levels. Maintaining or augmenting investment is necessary despite the economic challenges the nation faces. Now is the time to cultivate resilience and wellness through a renewed commitment to cultures of respect, diversity, and inclusion. This commitment is urgently needed to support and sustain the health care workforce and maintain outstanding health care systems for future generations.
在当前的 COVID-19 大流行中,医疗保健专业人员及其所在机构正面临着前所未有的压力。与此同时,另一场长期存在的大流行也浮出水面:根深蒂固的种族不公正和压迫制度。第一场大流行是新出现的,迄今为止,已经投入了大量资源来紧急应对其缓解措施;第二场大流行历史悠久,虽然也得到了一些关注和资源,但最近却比美国近代历史上的任何时候都更加受到关注。作者认为,这两场同时发生的大流行促使美国的医疗机构重新承诺尊重、健康、多样性和包容性。虽然在这些领域进行投资和领导一直是至关重要的,但这些一直被视为“可有可无”的选择。2020 年的大部分事件(尤其是)表明,致力于并投资于推动这些领域变革的政策、项目、中心和领导力是必不可少的,也是“必须要做”的措施。作者概述了在个人和组织层面上投资于促进包容性卓越文化的必要性,以协调对这两场同时发生的大流行的联合应对。考虑到劳动力的健康状况,以克服个人和机构层面在未来几年可能会长期存在的经济、制度和社会创伤,这符合医疗保健系统的利益。尽管国家面临经济挑战,但保持或增加投资是必要的。现在是通过重新承诺尊重、多样性和包容性文化来培养韧性和健康的时候了。这种承诺迫切需要支持和维持医疗保健劳动力,并为子孙后代维护卓越的医疗保健系统。