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An Upstream Reparative Justice Framework for Improving Diversity in Radiology.

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  • 1Department of Radiology, University of California, San Diego, San Diego, California; RSNA Health Equity Committee Resident member, ACR Representative to the Radiology Health Equity Coalition.

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Summary
This summary is machine-generated.

Improving diversity in radiology requires addressing upstream educational barriers for underrepresented groups. Sustainable solutions must tackle systemic obstacles to achieve true equity and inclusion in the radiology workforce.

Keywords:
Health equityreparative justicesocio-ecological frameworkupstreamworkforce diversity

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Area of Science:

  • Medical Education
  • Health Equity
  • Radiology Workforce Development

Background:

  • Health care workforce diversity is crucial for reducing health disparities.
  • Despite efforts, diversity in radiology has stagnated, with limited focus on upstream barriers.
  • Marginalized and minoritized groups face significant obstacles in pursuing radiology careers.

Purpose of the Study:

  • To identify and highlight the obstacles faced by underrepresented students and trainees in radiology.
  • To propose concrete programmatic solutions to address these barriers.
  • To advocate for tailored programs promoting justice, equity, diversity, and inclusion (JEDI) in radiology.

Main Methods:

  • Utilizing a reparative justice framework to address historical injustices.
  • Applying the socioecological model to understand systemic influences on career pathways.
  • Reviewing existing literature and identifying key challenges in radiology education.

Main Results:

  • Identified multifaceted upstream barriers in medical education impacting radiology career entry.
  • Highlighted the need for race- and gender-conscious interventions.
  • Emphasized the influence of historical and ongoing power systems on individual choices.

Conclusions:

  • Sustainable diversity in radiology necessitates a shift from downstream recruitment to upstream educational reform.
  • Tailored programs informed by reparative justice and socioecological principles are vital.
  • Addressing systemic barriers is essential for achieving true equity and inclusion in the radiology profession.