Wiley Zanthia, Hanna Jasmah, Kobaidze Ketino, Franks Nicole
Infectious Diseases Clinic - Emory University Hospital Midtown, Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, 7th Floor of Medical Office Tower, 550 Peachtree Street NE, Atlanta, GA 30308, USA.
Division of Hospital Medicine, Department of Medicine, Emory University School of Medicine, Atlanta, GA, USA.
Ther Adv Infect Dis. 2023 Mar 21;10:20499361231159501. doi: 10.1177/20499361231159501. eCollection 2023 Jan-Dec.
Innovative discovery begins with diverse perspectives; research teams should harness this model. Black, Indigenous, and other People of Color (BIPOC) and women are underrepresented as researchers. Team science leverages collaborative and cross-disciplinary approaches to diversify the research workforce, and introduces academic (and non-academic) faculty with limited research exposure/experience to clinical research.
In 2020, two Black women academic physicians implemented an academic collaborative - COVID-19 Characteristics, Readmissions, Outcomes, and Social Determinants of Health (CROSS) - to investigate COVID-19 health inequities, with intentional recruitment of BIPOC and women. The 37 CROSS team members were of diverse races, ethnicities, sex, specialties, and disciplines, and represented eight hospitals. Team members were electronically surveyed to determine their interest, desired activities, and level of participation in research activities; concurrently, self-identified demographics (including race, ethnicity, sex, and language(s) spoken) were obtained.
All team members completed the survey: 78.4% ( = 29) were BIPOC and 78.4% ( = 29) were women. Team members spoke 18 languages (including English). Academic medical ranks included Assistant Professor (32.4%; = 12), Associate Professor (16.2%; = 6), and Full Professor (2.7%; = 1). Each member identified desired activities (data collection, data analytics, manuscript development, abstract development/poster presentation, serving as a consultant) and the percentage of time they intended to allocate to each. Between June 2020 and February 2023, the team produced five original peer-reviewed manuscripts (including this article); five members served as first or senior authors. Twenty-one abstracts were presented at local conferences, and 10 at national and regional conferences. Five members achieved academic promotion, and team members were awarded three intramural grants resulting directly from team collaborations.
Intentional recruitment and assessment of team members' desired levels of participation in an integrated clinical research team is an effective strategy to engage BIPOC and women. The CROSS Collaborative is a model for diversity and inclusion in team science and clinical research.
创新发现始于多元视角;研究团队应采用这种模式。黑人、原住民及其他有色人种(BIPOC)和女性在研究人员中所占比例较低。团队科学利用协作和跨学科方法使研究人员多元化,并让研究经验有限的学术(和非学术)教员参与临床研究。
2020年,两名黑人女性学术医生开展了一项学术合作项目——COVID-19特征、再入院情况、结局及健康的社会决定因素(CROSS),以调查COVID-19健康不平等问题,并特意招募了BIPOC和女性。CROSS团队的37名成员来自不同的种族、民族、性别、专业和学科,代表了八家医院。通过电子方式对团队成员进行调查,以确定他们对研究活动的兴趣、期望开展的活动以及参与程度;同时,获取他们自我认定的人口统计学信息(包括种族、民族、性别和所讲语言)。
所有团队成员都完成了调查:78.4%(n = 29)为BIPOC,78.4%(n = 29)为女性。团队成员会说18种语言(包括英语)。学术医学职称包括助理教授(32.4%;n = 12)、副教授(16.2%;n = 6)和正教授(2.7%;n = 1)。每位成员都明确了期望开展的活动(数据收集、数据分析、论文撰写、摘要撰写/海报展示、担任顾问)以及打算分配给每项活动的时间百分比。在2020年6月至2023年2月期间,该团队发表了五篇经同行评审的原创论文(包括本文);五名成员担任第一作者或资深作者。21篇摘要在当地会议上展示,10篇在全国和地区会议上展示。五名成员获得了学术晋升,团队成员因团队合作直接获得了三项校内资助。
有意招募并评估团队成员在综合临床研究团队中的期望参与水平是吸引BIPOC和女性参与的有效策略。CROSS合作项目是团队科学和临床研究中实现多样性和包容性的典范。