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The giant triplets impeding black academic physician workforce diversity
Shearwood McClelland1, Ulysses G Gardner2
1Departments of Radiation Oncology; Neurological Surgery, University Hospitals Seidman Cancer Center, Case Western Reserve University, Cleveland, OH.
Journal of the National Medical Association
|October 28, 2022
Summary
Black physicians remain underrepresented in academic medicine due to funding disparities, lack of mentorship, and the "minority tax." Addressing these barriers requires a multifaceted approach to promote racial equity in medicine.
Area of Science:
- Medical Education
- Health Equity
- Physician Workforce Diversity
Background:
- Racial disparities in healthcare disproportionately affect Black patients.
- Black academic physicians are significantly underrepresented across all faculty ranks (less than 4% vs. 13% in the US census).
Purpose of the Study:
- To review the persistent barriers impeding the advancement of Black academic physicians.
- To elucidate common obstacles within the Black academic physician workforce.
Main Methods:
- This review synthesizes findings from multiple studies spanning several decades.
- Analysis focuses on identifying and categorizing barriers faced by Black academic physicians.
Main Results:
- Key barriers include disparities in National Institutes of Health (NIH) grant funding, a lack of mentorship opportunities, and the burden of additional service activities without promotion (the "minority tax").
Conclusions:
- A comprehensive strategy is necessary to overcome longstanding racial disparities.
- Solutions include targeted funding for junior faculty, increased mentorship, and integrating diversity work into promotion criteria.
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