Department of Oncology, Wayne State University, Detroit, MI.
Family Medicine Residency Network, Department of Family Medicine, University of Washington, Seattle, WA.
Fam Med. 2024 Sep;56(8):476-484. doi: 10.22454/FamMed.2024.121883. Epub 2024 Jul 10.
Increasing diversity among medical educators is a vital step toward diversifying the physician workforce. This study examined how gender, race, and other attributes affect family medicine department chairs' experiences with sponsoring, mentoring, and coaching (SMC). We identified strategies at multiple levels to enhance SMC for faculty from underrepresented groups (URGs).
Our qualitative study employed semistructured interviews with the chairs of departments of family medicine in the United States. We used inductive and deductive thematic analysis approaches to describe the experience and name usable strategies organized along the social-ecological model.
We interviewed 20 family medicine department chairs between December 2020 and May 2021. Many participants continued to be alarmed that leaders and role models from URGs have been rare. Participants described incidents of aggression in White- and male-dominated atmospheres. Such experiences left some feeling not at home. Some White male leaders appeared oblivious to the experiences of URG faculty, many of whom were burdened with a minority tax. For some URGs, surviving meant moving to a more supportive institution. Building spaces for resiliency and connecting with others to combat discrimination gave meaning to some participants. Participant responses helped identify multilevel strategies for empowerment and support for URG faculty.
Understanding the experiences of URG faculty is paramount to improving the environment in academic medicine-paving the way to enhancing diversity in the health care sector. Institutions and individuals need to develop multilevel strategies for empowerment and support to actively make diverse faculty feel at home.
增加医学教育者的多样性是使医生队伍多样化的重要一步。本研究调查了性别、种族和其他属性如何影响家庭医学系主任在赞助、指导和辅导（SMC）方面的经验。我们确定了在多个层面上增强代表性不足群体（URG）教师 SMC 的策略。
我们采用半结构化访谈的方法对美国的家庭医学系主任进行了定性研究。我们采用归纳和演绎主题分析方法来描述经验，并根据社会生态模型命名可用的策略。
我们在 2020 年 12 月至 2021 年 5 月期间采访了 20 位家庭医学系主任。许多参与者仍然对 URG 领导者和榜样的稀缺感到震惊。参与者描述了在白人主导和男性主导的环境中发生的侵略事件。这些经历让一些人感到不自在。一些白人男性领导者似乎对 URG 教师的经历一无所知，许多人承受着少数族裔税的负担。对于一些 URG 来说，生存意味着转移到一个更支持他们的机构。为一些参与者建立弹性空间并与他人联系以打击歧视赋予了意义。参与者的回应有助于确定增强 URG 教师权力和支持的多层次策略。
了解 URG 教师的经历对于改善学术医学环境至关重要——为增强医疗保健部门的多样性铺平道路。机构和个人需要制定多层次的赋权和支持策略，让多元化的教师感到宾至如归。
