Ajibade Fareedat O, Smyre Christopher L, Perkins Latasha S, Cordon-Duran Arianne, Campbell Kendall M
Department of Family Medicine, Charles Drew University of Medicine and Science, Los Angeles, CA.
Department of Family Medicine, Southern Illinois University School of Medicine, Springfield, IL.
Fam Med. 2025 Jun;57(6):403-409. doi: 10.22454/FamMed.2025.224099. Epub 2025 May 23.
The current political and social climate is directly and indirectly impacting the work-life wellness of family medicine faculty who are underrepresented in medicine (URiM). Furthermore, issues of social justice are an intimate part of the lived experience of URiM faculty physicians and cannot be ignored. Institutional programs and offices that have traditionally served to support URiM faculty-namely diversity, equity, and inclusion (DEI) offices and programs-are actively being dismantled through anti-DEI legislation across the country. Where do such changes leave URiM faculty in terms of career advancement and support? Studies show that mentorship is necessary and effective in URiM faculty development. Despite the gains through mentorship, gaps in the support of URiM faculty are obstacles to their reaching their highest potential. Obstacles such as pseudoleadership, scholarship delay, minority taxation, and income inequality make succeeding at their institution more difficult for these faculty members. These hurdles confound the reality that URiM faculty physicians tend to have value systems surrounding their own self-actualization, family structure, and professional development that differ from institutional priorities. Lack of awareness of these differences in mentorship needs has negative consequences for the growth and advancement of both URiM faculty and their institutions. Prioritization of effective mentorship strategies is necessary to bridge the value differences and overcome the obstacles that will ultimately benefit both the institutions and their URiM faculty. This article defines the gaps in mentorship of URiM faculty, introduces strategies for closing the mentorship gaps, and summarizes how doing so produces gains on a systemic level.
当前的政治和社会环境正在直接或间接地影响着医学领域代表性不足的家庭医学教员(URiM)的工作与生活健康状况。此外,社会正义问题是URiM教员医生生活经历中不可分割的一部分,不容忽视。传统上用于支持URiM教员的机构项目和办公室,即多元化、公平和包容(DEI)办公室及项目,正通过全国各地的反DEI立法被积极拆除。这些变化在职业发展和支持方面会让URiM教员处于何种境地?研究表明,导师指导在URiM教员的发展中是必要且有效的。尽管通过导师指导取得了一些进展,但对URiM教员支持方面的差距仍是他们发挥最大潜力的障碍。诸如伪领导、学术延迟、少数群体负担和收入不平等之类的障碍,使这些教员在所在机构取得成功变得更加困难。这些障碍混淆了这样一个现实,即URiM教员医生往往拥有围绕自身自我实现、家庭结构和职业发展的价值体系,这些体系与机构的优先事项不同。在导师指导需求方面缺乏对这些差异的认识,对URiM教员及其所在机构的成长和发展都会产生负面影响。优先考虑有效的导师指导策略对于弥合价值差异和克服最终将使机构及其URiM教员都受益的障碍是必要的。本文界定了URiM教员在导师指导方面的差距,介绍了弥合导师指导差距的策略,并总结了这样做如何在系统层面产生收益。