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An Upstream Reparative Justice Framework for Improving Diversity in Radiology
Peter Abraham1, Tonuka Chatterjee2, Efren J Flores3
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.
Journal of the American College of Radiology : JACR
|May 20, 2023
Summary
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.
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.
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