Rust G, Taylor V, Morrow R, Everett J
Department of Family Medicine, Morehouse School of Medicine, Atlanta, USA.
Fam Med. 1998 Mar;30(3):162-7.
Faculty development is an established method for increasing the number and effectiveness of faculty in family medicine. However, few published studies focus specifically on the use of faculty development to increase minority representation among faculty. Underrepresented minorities comprise 20% of the nation's population but only 3% of medical school faculty. In the entire nation, only 52 full-time teachers of family medicine are African-Americans. Morehouse School of Medicine has developed an effective model for training large numbers of underrepresented minority physicians to become academic family physicians. From 1993-1996, we trained 23 community-based physicians, three new faculty, six existing faculty, and three full-time fellows as teachers of family medicine. Of 35 participants, 33 were underrepresented minorities. Cultural issues in teaching and communication are an integral part of the curriculum. Seventy-three percent of graduates now teach medical students or residents either full-time or part-time. Further studies are needed to test the replicability of this model in non-minority institutions, as well as to achieve greater cost-effectiveness and improve academic outcomes such as publications and research. Significant faculty diversity is necessary and achievable, if institutions are willing to commit significant resources and network with minority health professionals and institutions.
教师发展是增加家庭医学教师数量和提高其效能的既定方法。然而,很少有已发表的研究专门关注利用教师发展来增加教师队伍中的少数族裔代表性。未被充分代表的少数族裔占全国人口的20%,但在医学院教师中仅占3%。在全国范围内,只有52名家庭医学全职教师是非洲裔美国人。莫尔豪斯医学院已经开发出一种有效的模式,用于培训大量未被充分代表的少数族裔医生成为学术家庭医生。从1993年到1996年,我们培训了23名社区医生、3名新教师、6名在职教师和3名全职研究员作为家庭医学教师。在35名参与者中,33名是未被充分代表的少数族裔。教学和交流中的文化问题是课程的一个组成部分。现在,73%的毕业生全职或兼职教授医学生或住院医师。需要进一步研究来测试这种模式在非少数族裔机构中的可复制性,以及实现更高的成本效益并改善诸如发表论文和开展研究等学术成果。如果各机构愿意投入大量资源并与少数族裔健康专业人员及机构建立联系,显著的教师多样性是必要且可实现的。