Tucker Edmonds Brownsyne, Sharp Sacha, Walker Valencia P
Departments of Obstetrics & Gynecology and Pediatrics, Indiana University School of Medicine.
Department of Medicine, Indiana University of Medicine, Indianapolis, Indiana.
Clin Obstet Gynecol. 2023 Mar 1;66(1):14-21. doi: 10.1097/GRF.0000000000000768. Epub 2022 Nov 29.
As Obstetrics and Gynecology begins to recognize how structural racism drives inequitable health outcomes, it must also acknowledge the effects of structural racism on its workforce and culture. Black physicians comprise ~5% of the United States physician population. Unique adversities affect Black women physicians, particularly during residency training, and contribute to the lack of equitable workforce representation. Eliminating racialized inequities in clinical care requires addressing these concerns. By applying historical context to present-day realities and harms experienced by Black women (ie, misogynoir), Obstetrics and Gynecology can identify interventions, such as equity-focused recruitment and retention strategies, that transform the profession.
随着妇产科开始认识到结构性种族主义如何导致不公平的健康结果，它也必须承认结构性种族主义对其劳动力和文化的影响。黑人医生约占美国医生总数的5%。独特的逆境影响着黑人女医生，尤其是在住院医师培训期间，这也是导致劳动力代表性不平等的原因之一。消除临床护理中的种族化不平等需要解决这些问题。通过将历史背景与黑人女性目前所经历的现实和伤害（即厌女症）相结合，妇产科可以确定一些干预措施，比如以公平为重点的招聘和留用策略，从而改变这一职业。
