Perchik Jordan D, Maxfield Charles M, Mills Megan, Agarwal Atul, Hull Nate C, Darrow Anne, Wang Morlie, Cooke Erin, Seekins Jayne, Marx Mary, Wassef Heidi, Gould Jennifer, Grimm Lars J
Assistant Professor, Department of Radiology, University of Alabama at Birmingham, Birmingham, Alabama.
Professor of Radiology, Department of Radiology; and the Vice Chair of Education, Department of Diagnostic Radiology, Duke University, Durham, North Carolina.
J Am Coll Radiol. 2025 Jan;22(1):108-115. doi: 10.1016/j.jacr.2024.08.008. Epub 2024 Aug 30.
An inclusive residency program is crucial to the recruitment and retention of competitive and diverse applicants. The radiology lesbian, gay, bisexual, transgender, queer or questioning, or another diverse gender identity (LGBTQ+) inclusion audit was published in 2022, which provided a road map for assessing the inclusivity of a program's policies, facilities, culture, and engagement. In this multi-institutional trial, we detail the results of the LGBTQ+ inclusion audit for nine US radiology residency programs.
A volunteer cohort of academic radiology programs was recruited through the Radiology Residency Education Research Alliance. The LGBTQ+ inclusion audit was modified to apply to a multi-institutional study. Participating programs performed the audit from December 2023 to February 2024. Pre- and postaudit surveys were distributed to capture participants subjective assessment of inclusivity at their programs.
Nine US radiology residency programs completed the audit. Audit scores ranged from 6 out of 10 to 9 out of 10; no program received a perfect 10 out of 10 score. Inclusive facilities and institutional culture scored highly, with eight of nine programs reporting all milestones met in these areas. The lowest-performing areas were department culture and community engagement with only three of nine and four of nine programs reporting "all milestones met." After the audit, programs overall reported improved self-perceived inclusivity, with postaudit survey scores increasing in areas related to department policy, inclusive facilities, and LGBTQ+ community outreach.
Participating radiology residency programs demonstrated an overall high level of LGBTQ+ inclusivity; however, all programs identified inclusion shortcomings in department policy and practice. Intentional review of a department can be a helpful tool to promote a welcoming and healthy environment for a diverse radiology practice.
一个包容性的住院医师培训项目对于招募和留住有竞争力的多元化申请者至关重要。2022年发布了放射科女同性恋、男同性恋、双性恋、跨性别、酷儿或疑问者，或其他多元性别认同（LGBTQ+）包容性审计报告，该报告为评估项目政策、设施、文化和参与度的包容性提供了路线图。在这项多机构试验中，我们详细介绍了美国九个放射科住院医师培训项目的LGBTQ+包容性审计结果。
通过放射科住院医师教育研究联盟招募了一个学术放射科项目的志愿者队列。对LGBTQ+包容性审计进行了修改，以适用于多机构研究。参与项目在2023年12月至2024年2月期间进行了审计。分发了审计前和审计后的调查问卷，以获取参与者对其项目包容性的主观评估。
九个美国放射科住院医师培训项目完成了审计。审计分数从10分中的6分到10分中的9分不等；没有一个项目获得满分10分。包容性设施和机构文化得分较高，九个项目中有八个报告在这些领域所有里程碑均已达成。表现最差的领域是科室文化和社区参与度，九个项目中只有三个和四个报告“所有里程碑均已达成”。审计后，各项目总体报告自我感知的包容性有所提高，审计后调查问卷在与科室政策、包容性设施和LGBTQ+社区外展相关的领域得分有所增加。
参与的放射科住院医师培训项目总体上表现出较高水平的LGBTQ+包容性；然而，所有项目都发现了科室政策和实践中的包容性不足。对科室进行有意审查可能是促进多元化放射科实践营造一个友好和健康环境的有用工具。
