工商管理:代表性不足还是认可不足? 一个黑人儿科重症监护医生的案例研究
April Edwell1, Sandrijn Van Schaik2, Arianne Teherani3
1A. Edwell is assistant professor of pediatrics, Department of Pediatrics, Division of Critical Care Medicine, University of California, San Francisco, San Francisco, California.
概括
黑人医生利用独特的优势和性在学术医学中取得成功,挑战基于赤字的方法. 承认他们的贡献,而不是专注于感知不足,是促进多样性的关键.
科学领域:
- 医学教育 医学教育
- 健康 公平 卫生 公平
- 医学社会学 医学社会学
背景情况:
- 系统性种族主义在学术医学中越来越多地得到承认.
- 为代表性不足的医生提供基于赤字的解决方案未能解决系统性问题.
- 现有的方法往往以同化为目标,而不是重视不同的优势.
研究的目的:
- 为了探索黑人医生的经验,使用反赤字镜头.
- 确定在学术医学中推进少数派医生的战略.
- 挑战医学教育中基于赤字的框架.
主要方法:
- 涉及15名黑人医生和儿科重症监护医学 (PCCM) 的学员的定性研究.
- 半结构面试在全国范围内进行.
- 采用了主题和叙事分析,包括修复故事.
主要成果:
- 参与者确定了成功的内在,人际和系统性推动因素.
- 黑人身份是力量的源泉,使领导和未经书面规则的导航成为可能.
- 成功是通过不同的个人旅程和背景来理解的.
结论:
- 这项研究突显了黑人医生在克服系统性种族主义方面的聪明才智.
- 学术医学应该从基于缺陷的观点转变为承认黑人医生的专业知识.
- 建议将这个问题从代表性不足转变为承认不足.
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