No Taxation Without Representation: Addressing the "Deaf Tax" in Academic Medicine.
No Taxation Without Representation: Addressing the "Deaf Tax" in Academic Medicine.
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没有代表就不征税：解决学术医学中的“聋人税”。
DOI：
10.1097/acm.0000000000004685
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发表时间：
2022
期刊：
影响因子：
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通讯作者：
DeAndrea-Lazarus,IanA
中科院分区：
文献类型：
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作者：
Aldalur,Aileen;Hall,WyatteC;DeAndrea-Lazarus,IanA
少数族裔教师和受训者经历了一些独特的因素，这些因素可能会阻碍他们在学术医学上的成功——统称为“少数族裔税”。作者认为，类似的“聋人税”的独特障碍，经验和责任不成比例地负担聋人学员和教师。这些聋人税收经历的累积效应对学术医学中的聋人专业人员来说是一个显著的劣势。通过结合相关文献和作者作为聋人专业人士的个人经历，概述了聋人税收的几个原因领域，包括争取合理住宿，偏见和歧视，培训和多样性障碍，以及缺乏聋人指导。此外，本文还提出了一些切实可行的步骤，供机构领导人考虑实施，以提高学术医学的公平性和包容性，包括促进语言公平和沟通渠道，实施聋人意识培训，培养有效的聋人导师，以及促进聋人专业人员担任领导职务。解决这些问题将有助于消除造成高耳聋税负的障碍，降低耳聋专业人士进入、晋升和保留学术医学领域几乎不可逾越的障碍。
Minority faculty and trainees experience unique factors that can hinder their success in academic medicine—collectively referred to as “minority tax.” The authors argue that a similar “deaf tax” of unique barriers, experiences, and responsibilities disproportionately burdens deaf trainees and faculty. The cumulative effects of these deaf tax experiences represent a significant disadvantage for deaf professionals in academic medicine. Through a combination of relevant literature and the authors’ personal experiences as deaf professionals, several causative domains of deaf tax are outlined, including the fight for reasonable accommodations, prejudice and discrimination, training and diversity barriers, and a lack of deaf mentorship. In addition, a number of practical steps are offered for institutional leaders to consider implementing to improve equity and inclusion in academic medicine, including facilitating language equity and communication access, implementing deaf awareness training, fostering effective deaf mentorship, and promoting deaf professionals into leadership positions. Addressing these issues would help remove the obstacles that create the high deaf tax burden and lower the near-insurmountable barrier of entry, advancement, and retention in academic medicine for deaf professionals.