Addressing disparities in academic medicine: what of the minority tax?

Addressing disparities in academic medicine: what of the minority tax?
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DOI:
10.1186/s12909-015-0290-9
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发表时间:
2015-02-01
影响因子:
3.6
通讯作者:
Pololi LH
Pololi LH
中科院分区:
医学3区
文献类型:
--
作者:
Rodríguez JE;Campbell KM;Pololi LH

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在过去的20年里,美国学术医疗中心的黑人、拉丁裔和美洲原住民教师的比例几乎没有变化。一些作者认为这是“少数族裔税”--以多样性的名义强加给少数族裔教师的额外责任负担。这种税收实际上非常复杂,是学术医学不公平的主要来源。“少数民族税”更好地描述为医学(URMM)教师责任差距代表性不足的少数民族。这种差异在许多领域都很明显:多样性努力,种族主义,孤立,指导,临床责任和推广。作者研究了URMM责任差距的组成部分,并使用医学文献和人力资源的信息,提出学术领导者和政策制定者可以采取的实际步骤,以建立教师公平,从而增加黑人,拉丁美洲人和美洲原住民教师的数量。
The proportion of black, Latino, and Native American faculty in U.S. academic medical centers has remained almost unchanged over the last 20 years. Some authors credit the "minority tax"—the burden of extra responsibilities placed on minority faculty in the name of diversity. This tax is in reality very complex, and a major source of inequity in academic medicine. The “minority tax” is better described as an Underrepresented Minority in Medicine (URMM) faculty responsibility disparity. This disparity is evident in many areas: diversity efforts, racism, isolation, mentorship, clinical responsibilities, and promotion. The authors examine the components of the URMM responsibility disparity and use information from the medical literature and from human resources to suggest practical steps that can be taken by academic leaders and policymakers to move toward establishing faculty equity and thus increase the numbers of black, Latino, and Native American faculty in academic medicine.
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