Spartanburg Regional Family Medicine Residency Program, Medical University of South Carolina, Charleston, SC, United States.
Department of Family and Community Medicine, Thomas Jefferson University at the Sidney Kimmel Medical College, Philadelphia, PA, United States.
J Natl Med Assoc. 2021 Oct;113(5):517-521. doi: 10.1016/j.jnma.2021.04.002. Epub 2021 May 13.
There have been ongoing efforts to increase the presence of underrepresented minorities in medicine (URMM), including faculty development initiatives, mentoring programs and outreach efforts. However, URMM faculty face unique challenges that are crucial for academic institutions and leaders to recognize in order to improve retention of this group and allow for meaningful advancement in the field. This paper introduces the concept of gate blocking, defined as what happens to minority faculty as a result of the consequences of the minority tax and systems designed to advantage some and disadvantage others. In addition to defining gate blocking, the authors make recommendations to address this concern in academic medicine and promote the advancement and retention of URMM faculty.
一直以来，人们都在努力增加医学领域代表性不足的少数族裔（URMM）的数量，包括开展教师发展计划、指导计划和外展工作。然而，URMM 教师面临着独特的挑战，这些挑战对于学术机构和领导者来说至关重要，只有认识到这些挑战，才能提高这一群体的保留率，并在该领域取得有意义的进展。本文介绍了门控阻塞的概念，即少数族裔教师由于少数族裔税的后果和旨在使一些人受益而使另一些人处于不利地位的制度而产生的情况。除了定义门控阻塞之外，作者还提出了一些建议，以解决学术医学领域的这一问题，并促进 URMM 教师的进步和保留。
