Gerald Kayingo is assistant dean, executive director, and a professor in the Physician Assistant Leadership and Learning Academy at the University of Maryland Baltimore. Carolyn Bradley-Guidry is interim associate dean for student affairs and diversity, inclusion, and equity in the School of Health Professions and an associate professor in the PA program at the University of Texas Southwestern Medical Center in Dallas, Tex. Nicole Burwell is director of preclerkship education and a clinical associate professor of medicine at the Stanford (Calif.) University School of Medicine. Sumihiro Suzuki is a professor in the Department of Family and Preventive Medicine and director of the Section of Biostatistics and Epidemiology and the data management center at Rush University Medical Center in Chicago, Ill. Ramona Dorough is an assistant professor at the University of Texas Southwestern Medical Center and interim associate dean of academic affairs and faculty development for the School of Health Professions. Vanessa Bester is an assistant professor and program director of the PA program at Augsburg University in Minneapolis, Minn. The authors have disclosed no potential conflicts of interest, financial or otherwise.
JAAPA. 2022 Nov 1;35(11):51-54. doi: 10.1097/01.JAA.0000885184.50730.94.
Healthcare professions are among the fastest growing careers in the United States, but the issues of equity, diversity, and inclusion remain a challenge. The percentage of underrepresented minority groups is disproportionately small despite many efforts to increase workforce diversity over the past several decades. As the demographics in our nation are rapidly changing, increasing racial, ethnic, and cognitive diversity is crucial to achieving a workforce with the capacity to provide accessible and equitable healthcare. Given the growing evidence that a diverse workforce improves healthcare outcomes, fosters unique perspectives (cognitive diversity), and helps to reduce health disparities, there is an urgent need to address perennial barriers such as structural racism, biases, and stereotypes. Educational institutions should be held accountable to integrate equity, diversity, and inclusion in all aspects of healthcare professions education and practice. This article discusses potential areas for innovation and opportunities that can be leveraged in assessing and benchmarking equity, diversity, and inclusion in healthcare professions. The ability to thoroughly assess the PA profession's culture in relationship to diversity, equity, and inclusion provides an opportunity to determine how well the profession is performing, and to strategically plan for what else need to be done.
医疗保健专业是美国发展最快的职业之一,但公平、多样性和包容性问题仍然是一个挑战。尽管过去几十年来一直在努力增加劳动力多样性,但代表性不足的少数群体的比例仍然不成比例地较小。随着我国人口结构的迅速变化,增加种族、民族和认知多样性对于建立一个有能力提供可及和公平的医疗保健的劳动力至关重要。鉴于越来越多的证据表明多样化的劳动力可以改善医疗保健结果、培养独特的观点(认知多样性)并有助于减少健康差距,因此迫切需要解决结构性种族主义、偏见和刻板印象等长期存在的障碍。教育机构应该承担责任,将公平、多样性和包容性纳入医疗保健专业教育和实践的各个方面。本文讨论了在评估和基准测试医疗保健专业中的公平、多样性和包容性方面的创新和机会的潜在领域。彻底评估 PA 专业在多样性、公平性和包容性方面的文化的能力为确定该专业的表现提供了机会,并为需要做些什么提供了战略规划。