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Taking Our Own Temperature: Using a Residency Climate Survey to Support Minority Voices.
Riley Smith1, Allison Johnson1, Alexandra Targan2
1Denver Health and Hospital Authority, Denver, CO.
Family Medicine
|February 10, 2022
Summary
A diversity, equity, and inclusion (DEI) climate survey revealed that underrepresented minority (URM) residents and faculty reported lower satisfaction and higher burnout. This data informs DEI initiatives to address health inequities.
Area of Science:
- Medical Education
- Health Equity Research
- Diversity and Inclusion Studies
Background:
- Addressing health inequities requires increasing underrepresented minority (URM) recruitment in medicine.
- Understanding the lived experiences of URM residents within their programs is crucial but often overlooked.
- Diversity, Equity, and Inclusion (DEI) efforts need data-driven insights into program climate.
Purpose of the Study:
- To develop and implement a DEI climate survey within an academic family medicine residency program.
- To gather data on resident and faculty experiences regarding diversity, discrimination, and burnout.
- To inform and guide ongoing DEI initiatives within the program.
Main Methods:
- Collaborative development of an 81-item anonymous questionnaire by a resident-faculty work group.
- Annual administration of the survey from 2018-2021 to all residents and faculty.
- Survey content covered general climate, group-specific climate, discrimination, recruitment, burnout, and curriculum.
Main Results:
- Achieved high response rates: 84% for residents and 50% for faculty.
- Identified low satisfaction with resident and faculty diversity.
- Revealed higher burnout rates for URM, persons of color (POC), and LGBTQ+ individuals.
- Showcased racial and gender disparities in experiences of discrimination and sexual harassment.
Conclusions:
- An annual internal climate survey provides critical data to inform DEI initiatives.
- The survey highlighted specific areas of concern for URM, POC, and LGBTQ+ individuals.
- This introspective approach can serve as a model for other programs seeking meaningful DEI action and continuous improvement.
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