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Increasing Pediatric Residency Class Diversity to Improve Patient Outcomes and Address Structural Racism.

Enrique Escalante1, Yael Smiley2, Dewesh Agrawal3

  • 1E. Escalante is assistant program director, Diversity, Equity, and Inclusion, Pediatric Residency Program, Children's National Hospital, and assistant professor, Department of Pediatrics, The George Washington University School of Medicine and Health Sciences, Washington, DC. He was Director of Diversity, Recruitment, and Inclusion, Children's National Hospital, Washington, DC, at the time this work was completed.

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Summary
This summary is machine-generated.

Children's National Hospital increased physician diversity by implementing targeted recruitment and support programs for underrepresented in medicine (UIM) students. These initiatives successfully boosted UIM intern representation and interest in academic pediatrics.

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Area of Science:

  • Medical Education
  • Health Equity
  • Diversity and Inclusion in Medicine

Background:

  • Physician demographics in the U.S. do not mirror the patient populations they serve, highlighting a significant disparity.
  • Addressing this diversity gap is crucial for improving patient outcomes and combating systemic inequities in healthcare.
  • Racial and ethnic disparities in the medical field persist, necessitating targeted interventions.

Purpose of the Study:

  • To increase racial and ethnic diversity within a pediatric residency program to better reflect the community served.
  • To implement and evaluate initiatives aimed at improving the recruitment, retention, and success of underrepresented in medicine (UIM) residents.
  • To foster an inclusive environment that supports the professional development of all residents.

Main Methods:

  • Implementation of the Minority Senior Scholarship Program (MSSP) to engage medical students from underrepresented backgrounds.
  • Development of an enhanced recruitment strategy specifically targeting UIM applicants for the pediatric residency program.
  • Establishment of support mechanisms, such as a diversity dinner series, to aid UIM residents' integration and success.

Main Results:

  • The MSSP has successfully engaged 73 participants since 2015, with a notable percentage matching into the hospital's residency program.
  • Participation in the MSSP significantly increased medical students' interest in pursuing academic pediatrics.
  • Targeted recruitment efforts led to a substantial rise in UIM interns, from 5% in 2014 to 51% in 2021.

Conclusions:

  • Deliberate strategies can effectively enhance racial and ethnic diversity in medical residency programs.
  • Pipeline programs and targeted recruitment are vital for increasing the representation of underrepresented physicians.
  • Continued efforts to expand diversity dimensions and implement antiracism initiatives are planned.