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放射科的多样性:正确的选择,明智的选择。

Diversity in radiology: the right thing to do, the smart thing to do.

机构信息

UCLA Department of Radiology, Section of Pediatric Imaging, 757 Westwood Plaza, Los Angeles, CA, 90095, USA.

UCLA Department of Radiology, Section of Cardiothoracic Imaging, Los Angeles, CA, USA.

出版信息

Pediatr Radiol. 2022 Aug;52(9):1711-1718. doi: 10.1007/s00247-022-05416-5. Epub 2022 Jun 23.

DOI:10.1007/s00247-022-05416-5
PMID:35732842
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9217720/
Abstract

In the 10-year period between the last two U.S. population censuses there have been significant changes in the U.S. population demography. The changes in self-reporting of racial and ethnic identity afforded by the most recent U.S. population census in 2020 have given citizens the opportunity to be represented in ways that truly reflect how they wish to be identified. At the same time, the diversity of the health care workforce in radiology has not reflected a similar change. While there have been small incremental changes for underrepresented groups (African Americans/Blacks, Hispanic ethnicity, and the group American Indian/Alaska Native/Native Hawaiian/Pacific Islander), these changes have not kept pace with the ever-changing demographics of the U.S. population. Part of the answer for these very modest gains must lie with our selection processes for identifying potential candidates from underrepresented in medicine groups (URiM) for acceptance to our medical schools, residency programs and employment opportunities as practicing physicians and faculty members. While the strategies employed have had some measure of success, our best efforts to increase diversity in our specialty, and in medicine in general, are being undermined by our biases and our traditional methods for identifying talents.

摘要

在最近两次美国人口普查之间的 10 年期间,美国人口结构发生了重大变化。2020 年美国人口普查中自我报告种族和族裔身份的变化,使公民有机会以真正反映他们希望被认同的方式得到代表。与此同时,放射科医疗保健人员的多样性并没有反映出类似的变化。虽然代表性不足的群体(非裔美国人/黑人、西班牙裔和美洲印第安人/阿拉斯加原住民/夏威夷原住民/太平洋岛民群体)已经有了微小的渐进变化,但这些变化并没有跟上美国人口不断变化的人口结构的步伐。这些非常适度的增长部分原因必须在于我们从医学领域代表性不足的群体(URiM)中确定潜在候选人的选择过程,以接受我们的医学院、住院医师培训计划和作为执业医生和教职员工的就业机会。虽然所采用的策略取得了一定程度的成功,但我们在增加专业和医学领域多样性方面的最大努力,正受到我们的偏见和我们识别人才的传统方法的破坏。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f842/9360110/e325402cc869/247_2022_5416_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f842/9360110/3adf6cd2d8b9/247_2022_5416_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f842/9360110/9ffc64568404/247_2022_5416_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f842/9360110/e325402cc869/247_2022_5416_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f842/9360110/3adf6cd2d8b9/247_2022_5416_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f842/9360110/9ffc64568404/247_2022_5416_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f842/9360110/e325402cc869/247_2022_5416_Fig3_HTML.jpg

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本文引用的文献

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Physician-patient racial concordance and disparities in birthing mortality for newborns.医患种族一致性与新生儿分娩死亡率的差异。
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Current status of diversity by race, Hispanic ethnicity, and sex in diagnostic radiology.诊断放射学中种族、西班牙裔和性别多样性的现状。
Radiology. 2014 Jan;270(1):232-40. doi: 10.1148/radiol.13130101. Epub 2013 Oct 28.