'Flying below the radar': a qualitative study of minority experience and management of discrimination in academic medicine
'Flying below the radar': a qualitative study of minority experience and management of discrimination in academic medicine
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DOI：
10.1111/j.1365-2923.2007.02771.x
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发表时间：
2007-06-01
影响因子：
6
通讯作者：
Inui, Thomas
中科院分区：
文献类型：
--
作者：
Carr, Phyllis L.;Palepu, Anita;Inui, Thomas
本文旨在表达在学术生涯中遇到种族或民族歧视的教师的生活经历。它着眼于他们如何描述少数民族的环境，他们如何管理歧视和什么机构和多数成员的教师可以做，以提高医疗promise为少数members.METHODS定性技术被用于半结构化，深入个人电话采访，这是录音，转录和分析的评论家。由多名教师表达的主题进行了研究的连接模式，并分为更广泛的类别。教师样本的描述，受访者排名的重要性，歧视阻碍学术进步，并使用李克特量表来评估歧视的影响。样本来自12个24个学术医疗中心在全国教师调查，包括18个少数民族成员的教职员工分层的性别，职级和学位谁经历过，或可能经历过，与工作有关的discrimination.Results少数民族教师描述的需要强烈自力更生，反复证明自己，发展强有力的支持，并获得广泛的学术技能，以取得成功。建议对歧视问题采取谨慎、冷静和知情的对策。坐下来与同事和提高认识的水平，面对歧视性的行动是处理这种情况的重要方法。CONCLUSIONS学术医疗中心可能需要作出更大的努力，以支持少数民族教师和提高认识，这些教师所面临的挑战，以防止损失和/或利用不足的重要人才。
OBJECTIVES This paper aims to give voice to the lived experience of faculty members who have encountered racial or ethnic discrimination in the course of their academic careers. It looks at how they describe the environment for minorities, how they manage discrimination and what institutions and majority-member faculty can do to improve medical academe for minority members.METHODS Qualitative techniques were used for semi-structured, in-depth individual telephone interviews, which were audiotaped, transcribed and analysed by reviewers. Themes expressed by multiple faculty members were studied for patterns of connection and grouped into broader categories. A description of the faculty sample is provided, in which respondents ranked the importance of discrimination in hindering academic advancement and used Likert scales to evaluate effects of discrimination. The sample was drawn from 12 of 24 academic medical centres in the National Faculty Survey and included 18 minority-member faculty staff stratified by gender, rank and degree who had experienced, or possibly experienced, work-related discrimination.RESULTS Minority faculty described the need to be strongly self-reliant, repeatedly prove themselves, develop strong supports and acquire a wide range of academic skills to succeed. Suggested responses to discrimination were to be cautious, level-headed and informed. Confronting discriminatory actions by sitting down with colleagues and raising the level of awareness were important methods of dealing with such situations.CONCLUSIONS Academic medical centres may need to make greater efforts to support minority faculty and improve understanding of the challenges confronting such faculty in order to prevent the loss and/or under-utilisation of important talent.