David Geffen School of Medicine at UCLA (S Gustafson), The Lundquist Institute at Harbor-UCLA, Charles R Drew University of Medicine and Science, Torrance, Calif.
Division of Pediatric Hospital Medicine (C Gilliam), Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Ohio.
Acad Pediatr. 2024 Sep-Oct;24(7S):S189-S195. doi: 10.1016/j.acap.2023.08.009.
This narrative review examines the impact of racism in academic pediatrics. We begin with our challenges in diversifying the pediatric physician workforce and the downstream impact of selection and recruitment practices compounded by disparities in resident dismissal rates. We present best practices in recruitment and resources from academic societies and institutions, including examples of successful holistic review processes. We then shift our focus to the effect of racism on the clinical learning environment and the use of race in curricular materials, clinical research reports, and practice guidelines. We discuss the need to create new guidelines for the inclusion of race in teaching materials and strategies to teach residents to critically interrogate clinical practice guidelines. Ultimately, we examine how racism impacts retention for faculty. We present the demographics of underrepresented in medicine faculty, the impact of racism in the work environment on attrition and mentorship, and where national programs are working to fill the gaps.
这篇叙述性评论探讨了种族主义对儿科学术的影响。我们首先探讨了使儿科医生队伍多样化的挑战，以及在住院医师解雇率存在差异的情况下，选择和招聘实践的后续影响。我们介绍了学术协会和机构在招聘方面的最佳实践和资源，包括成功的整体审查流程示例。然后，我们将重点转移到种族主义对临床学习环境的影响，以及在课程材料、临床研究报告和实践指南中使用种族的问题。我们讨论了在教学材料中纳入种族的新准则的必要性，以及教导住院医师批判性地审查临床实践指南的策略。最终，我们研究了种族主义如何影响教师的留任。我们介绍了医学领域代表性不足的教职员工的人口统计学特征，工作环境中的种族主义对离职和指导的影响，以及国家计划在哪些方面努力填补这些空白。
