The Diversity Snowball Effect: The Quest to Increase Diversity in Emergency Medicine: A Case Study of Highland's Emergency Medicine Residency Program
The Diversity Snowball Effect: The Quest to Increase Diversity in Emergency Medicine: A Case Study of Highland's Emergency Medicine Residency Program
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DOI：
10.1016/j.annemergmed.2019.01.039
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发表时间：
2019-06-01
影响因子：
6.2
通讯作者：
Lee, Tammy
中科院分区：
文献类型：
--
作者：
Garrick, Jocelyn Freeman;Perez, Berenice;Lee, Tammy
黑人，西班牙裔/拉丁美洲人，美洲印第安人，太平洋岛民，阿拉斯加原住民和夏威夷原住民占美国人口的33%。这些群体在医学界的代表性不足。2013年，医生劳动力中有4.1%是黑人，4.4%是西班牙裔/拉丁裔，0.4%是美洲印第安人或阿拉斯加原住民，11.7%是亚洲人，48.9%是白色。只有9.9%的急诊医生认为自己是代表性不足的少数民族（4.5%的黑人，4.8%的西班牙裔/拉丁美洲人和0.6%的美洲印第安人/阿拉斯加原住民）。努力增加代表性不足的少数民族医生的数量是很重要的，因为以前的研究表明，当病人和医生有相同的种族/民族背景时，结果会有所改善。从2006年开始，加州奥克兰高地EM居住计划的教师开始了一项多元化计划，以增加代表性不足的少数民族居民的数量。其目标是密切反映美国人口，并将30%代表性不足的少数民族与每个新生班级相匹配。在该倡议之后，代表性不足的少数民族居民人数增加了两倍（从12%增加到27%）。本文是对高地EM居住计划多样化策略的回顾。大多数组件可以应用于整个急诊医学计划，以增加代表性不足的少数民族居民的数量，并可能改善不同人群的健康结果。
Blacks, Hispanics/Latinos, American Indians, Pacific Islanders, Alaska Natives, and Native Hawaiians make up 33% of the US population. These same groups are underrepresented in medicine. In 2013, the physician workforce was 4.1% black, 4.4% Hispanic/Latino, 0.4% American Indian or Alaska Native, 11.7% Asian, and 48.9% white. Only 9.9% of emergency physicians identify as underrepresented minority (4.5% black, 4.8% Hispanic/Latino, and 0.6% American Indian/Alaska Native). Efforts to increase the number of underrepresented minority physicians are important because previous studies show improved outcomes when the patient and physician share the same racial/ethnic background. Starting in 2006, the faculty at the Highland EM Residency Program in Oakland, CA, began a diversification initiative to increase the number of underrepresented minority residents. The goal was to closely mirror the US population and match 30% underrepresented minorities with each incoming class. After the initiative, there was a 2-fold increase in the number of underrepresented minority residents (from 12% to 27%). This article is a review of the strategies used to diversify the Highland EM Residency Program. Most components can be applied across emergency medicine programs to increase the number of underrepresented minority residents and potentially improve health outcomes for diverse populations.