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Updated: Nov 5, 2025

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Addressing the gate blocking of minority faculty.

Octavia Amaechi1, Krys E Foster2, Dmitry Tumin3

  • 1Spartanburg Regional Family Medicine Residency Program, Medical University of South Carolina, Charleston, SC, United States.

Journal of the National Medical Association
|May 16, 2021
PubMed
Summary

Underrepresented minorities in medicine (URMM) face unique challenges like "gate blocking," hindering career advancement. Addressing these systemic issues is crucial for URMM faculty retention and success in academic medicine.

Keywords:
FacultyGate blockingPhysicianURMURMM

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Area of Science:

  • Medical Education
  • Health Equity
  • Academic Medicine

Background:

  • Ongoing initiatives aim to increase underrepresented minorities in medicine (URMM) faculty.
  • URMM faculty encounter distinct challenges impacting retention and advancement.
  • Existing systems may inadvertently disadvantage URMM faculty.

Purpose of the Study:

  • Introduce and define "gate blocking" as a concept affecting URMM faculty.
  • Identify consequences of the "minority tax" and systemic disadvantages.
  • Provide recommendations for academic institutions to improve URMM faculty retention and advancement.

Main Methods:

  • Conceptual paper introducing "gate blocking."
  • Analysis of systemic factors contributing to faculty challenges.
  • Development of recommendations based on identified issues.

Main Results:

  • "Gate blocking" is defined as a consequence of the "minority tax" and biased systems.
  • These factors create barriers to advancement and retention for URMM faculty.
  • Systemic issues require recognition and intervention by academic leaders.

Conclusions:

  • Academic institutions must recognize and address "gate blocking" to support URMM faculty.
  • Implementing proposed recommendations can foster a more equitable environment.
  • Improving retention and advancement of URMM faculty is essential for academic medicine.