From the Department of Neurology (D.L.B.), Uniformed Services University of the Health Sciences; National Institute of Neurological Disorders and Stroke (D.L.B., R.F.G., Z.M.K.), NIH, Bethesda, MD; Departments of Biology and Psychology (G.G.), Hope College, Holland, MI; Department of Neurology (D.T.L.), Medical University of South Carolina, Charleston; Department of Neurology (G.L.), Johns Hopkins University, Baltimore, MD; and Departments of Neurology and Oncology (N.M.), University of Rochester Medical Center, NY.
Neurology. 2023 Aug 15;101(7 Suppl 1):S59-S66. doi: 10.1212/WNL.0000000000207567.
In 2020, the National Institute of Neurological Disorders and Stroke (NINDS) leadership asked its Advisory Council to review NINDS efforts in the domains of diversity, equity, inclusion, and health inequities. Part of these efforts involved a focus on health equity training and health equity research workforce diversification activities. The objective of this article was to summarize the findings and make recommendations regarding these training activities.
A subgroup of the National Advisory Neurological Disorders and Stroke Council Working Group for Health Disparities and Inequities in Neurological Disorders was engaged to advise NINDS leadership in the domain of diversity in health equity training. Activities included video teleconference meetings, multiple consultations with experienced leaders in the field, independent writing assignments, and an open public discussion as part of the NINDS HEADWAY workshop held on September 22-24, 2021.
The working group recommends support for 2 distinct types of training activities: one designed for scientists from historically under-represented backgrounds and the second designed for scientists of all backgrounds performing health inequities research. Support for grant writing workshops and establishment of multi-institutional mentorship networks are recommended as potentially especially high-yield activities. The working group recommends that all NINDS-supported investigators should have sufficient diversity, equity, and inclusion training to be prepared and qualified to mentor trainees from under-represented backgrounds and mentor trainees engaged in health disparities research; there should be no "diversity tax" placed on established investigators from under-represented backgrounds to shoulder all the mentorship responsibilities. Among other recommendations, training in health disparities research should include a focus on interventional studies to alleviate inequities as well as social science and qualitative methods.
There is a great deal of work to do in the field of diversity, equity, inclusion, and health inequities training, but we are optimistic that the activities outlined here, if fully implemented, will set us on the right track.
2020 年，美国国立神经病学与卒中研究院（NINDS）领导层要求其顾问委员会审查 NINDS 在多样性、公平性、包容性和健康公平领域的努力。这些工作的一部分涉及专注于健康公平培训和健康公平研究人员队伍多元化活动。本文的目的是总结这些培训活动的发现并提出建议。
国家神经病学和卒中顾问委员会工作组中一个从事神经学疾病健康差异和不平等问题的小组被邀请就健康公平培训领域的多样性问题向 NINDS 领导层提供建议。活动包括视频电话会议、与该领域经验丰富的领导者进行多次磋商、独立撰写任务以及作为 NINDS HEADWAY 研讨会的一部分进行公开讨论，该研讨会于 2021 年 9 月 22 日至 24 日举行。
工作组建议支持两种不同类型的培训活动：一种是为历史上代表性不足的背景的科学家设计的，另一种是为所有背景的从事健康不公平研究的科学家设计的。建议支持资助写作研讨会和建立多机构指导网络作为潜在的高收益活动。工作组建议，所有 NINDS 资助的研究人员都应接受足够的多样性、公平性和包容性培训，以做好准备并具备资格指导来自代表性不足背景的受训人员和从事健康差异研究的受训人员；不应对来自代表性不足背景的既定研究人员征收“多样性税”，让他们承担所有指导责任。在其他建议中，健康差异研究培训应包括关注干预性研究以减轻不公平现象，以及社会科学和定性方法。
在多样性、公平性、包容性和健康公平培训领域还有很多工作要做，但我们乐观地认为，如果全面实施这里概述的活动，将使我们走上正确的轨道。
