Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Stein Eye Institute, David Geffen School of Medicine at University of California, Los Angeles, Los Angeles, California.
Ophthalmology. 2022 Oct;129(10):e127-e136. doi: 10.1016/j.ophtha.2022.06.033. Epub 2022 Sep 1.
Health care teams are most effective at addressing complex problems and improving health outcomes for underserved populations when team members bring diverse life experiences and perspectives to the effort. With rates of visual impairment expected to increase in the United States by 2050, especially among minority populations, diversification of the ophthalmology workforce will be critical in reducing disparities in access to and quality of vision health care. Currently, ophthalmology is less diverse with respect to race, ethnicity, and gender than graduating medical classes and other medical specialties, as well as the general US population. In addition, data on diversity in sexual orientation and gender identity, socioeconomic status, and disability are lacking in ophthalmology. The Minority Ophthalmology Mentoring and Rabb-Venable Excellence in Ophthalmology Programs are examples of initiatives to increase racial and ethnic diversity in the workforce and can serve as models for increasing other aspects of inclusiveness. Other strategies for improving vision health care for all Americans include continuing to support existing diversity programs and creating new ones; addressing unconscious and implicit bias in medical school, residency, and faculty selections; conducting holistic reviews of medical school and residency applications; diversifying selection committees and leadership; and encouraging faculty development of underrepresented groups.
医疗团队在解决复杂问题和改善服务不足人群的健康结果方面最为有效,当团队成员将不同的生活经验和观点带到工作中时。随着美国视力障碍率预计到 2050 年将上升,尤其是在少数族裔中,眼科劳动力的多样化对于减少视力保健服务获取和质量方面的差距至关重要。目前,与毕业的医学班级和其他医学专业以及美国一般人口相比,眼科在种族、族裔和性别方面的多样性较少。此外,眼科在性取向和性别认同、社会经济地位和残疾方面的数据也缺乏多样性。少数族裔眼科指导和 Rabb-Venable 眼科卓越计划是增加劳动力中种族和族裔多样性的举措的范例,可以作为增加其他包容性方面的模式。改善所有美国人的视力保健的其他策略包括继续支持现有的多样性计划和创建新的计划;解决医学院、住院医师和教师选拔中的无意识和隐含偏见;对医学院和住院医师申请进行全面审查;使选拔委员会和领导层多样化;并鼓励教师培养代表性不足的群体。