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Narayan AK, Boone N, Monga N, McFarlane N, Mango VL, Seifert M, Smith A, Woods RW, Weissman IA. Fostering Organizational Excellence through Inclusive Leadership: Practical Guide for Radiology Leaders. Radiographics 2024; 44:e230162. [PMID: 39146206 DOI: 10.1148/rg.230162] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/17/2024]
Abstract
Inclusive leadership styles value team members, invite diverse perspectives, and recognize and support the contributions of employees. The authors provide guidance to radiology leaders interested in developing inclusive leadership skills and competencies to improve workforce recruitment and retention and unlock the potential of a rapidly diversifying health care workforce. As health care organizations look to attract the best and brightest talent, they will be increasingly recruiting millennial and Generation Z employees, who belong to the most diverse generations in American history. Additionally, radiology departments currently face critical workforce shortages in radiologists, radiology technicians, staff, and advanced practice providers. In the context of these shortages, the costs of employee turnover have emphasized the need for radiology leaders to develop leadership behaviors that promote recruitment and retention. Radiology department leaders who perceive and treat valued employees as replaceable commodities will be forced to deal with the extremely high costs associated with recruitment and training, decreased morale, and increased burnout. The authors review inclusive versus exclusive leadership styles, describe key attributes and skills of inclusive leaders, provide radiology leaders with concrete methods to make their organizations more inclusive, and outline key steps in change management. By adopting and implementing inclusive leadership strategies, radiology groups can position themselves to succeed in rapidly diversifying health care environments. ©RSNA, 2024 See the invited commentary by Siewert in this issue.
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Affiliation(s)
- Anand K Narayan
- From the Department of Radiology, University of Wisconsin-Madison School of Medicine and Public Health, 600 Highland Ave, F6/178C, Madison, WI 53792-3252 (A.K.N., N.B., R.W.W.); Memorial Sloan Kettering Cancer Center, New York, NY (N. Monga, V.L.M.); Medical College of Wisconsin, Milwaukee, Wis (N. McFarlane); University of Wisconsin-Madison School of Business, Madison, Wis (M.S., A.S.); and Clement J. Zablocki Veterans Affairs Medical Center, Milwaukee, Wis (I.A.W.)
| | - Nicole Boone
- From the Department of Radiology, University of Wisconsin-Madison School of Medicine and Public Health, 600 Highland Ave, F6/178C, Madison, WI 53792-3252 (A.K.N., N.B., R.W.W.); Memorial Sloan Kettering Cancer Center, New York, NY (N. Monga, V.L.M.); Medical College of Wisconsin, Milwaukee, Wis (N. McFarlane); University of Wisconsin-Madison School of Business, Madison, Wis (M.S., A.S.); and Clement J. Zablocki Veterans Affairs Medical Center, Milwaukee, Wis (I.A.W.)
| | - Natasha Monga
- From the Department of Radiology, University of Wisconsin-Madison School of Medicine and Public Health, 600 Highland Ave, F6/178C, Madison, WI 53792-3252 (A.K.N., N.B., R.W.W.); Memorial Sloan Kettering Cancer Center, New York, NY (N. Monga, V.L.M.); Medical College of Wisconsin, Milwaukee, Wis (N. McFarlane); University of Wisconsin-Madison School of Business, Madison, Wis (M.S., A.S.); and Clement J. Zablocki Veterans Affairs Medical Center, Milwaukee, Wis (I.A.W.)
| | - Natasha McFarlane
- From the Department of Radiology, University of Wisconsin-Madison School of Medicine and Public Health, 600 Highland Ave, F6/178C, Madison, WI 53792-3252 (A.K.N., N.B., R.W.W.); Memorial Sloan Kettering Cancer Center, New York, NY (N. Monga, V.L.M.); Medical College of Wisconsin, Milwaukee, Wis (N. McFarlane); University of Wisconsin-Madison School of Business, Madison, Wis (M.S., A.S.); and Clement J. Zablocki Veterans Affairs Medical Center, Milwaukee, Wis (I.A.W.)
| | - Victoria L Mango
- From the Department of Radiology, University of Wisconsin-Madison School of Medicine and Public Health, 600 Highland Ave, F6/178C, Madison, WI 53792-3252 (A.K.N., N.B., R.W.W.); Memorial Sloan Kettering Cancer Center, New York, NY (N. Monga, V.L.M.); Medical College of Wisconsin, Milwaukee, Wis (N. McFarlane); University of Wisconsin-Madison School of Business, Madison, Wis (M.S., A.S.); and Clement J. Zablocki Veterans Affairs Medical Center, Milwaukee, Wis (I.A.W.)
| | - Mark Seifert
- From the Department of Radiology, University of Wisconsin-Madison School of Medicine and Public Health, 600 Highland Ave, F6/178C, Madison, WI 53792-3252 (A.K.N., N.B., R.W.W.); Memorial Sloan Kettering Cancer Center, New York, NY (N. Monga, V.L.M.); Medical College of Wisconsin, Milwaukee, Wis (N. McFarlane); University of Wisconsin-Madison School of Business, Madison, Wis (M.S., A.S.); and Clement J. Zablocki Veterans Affairs Medical Center, Milwaukee, Wis (I.A.W.)
| | - Artell Smith
- From the Department of Radiology, University of Wisconsin-Madison School of Medicine and Public Health, 600 Highland Ave, F6/178C, Madison, WI 53792-3252 (A.K.N., N.B., R.W.W.); Memorial Sloan Kettering Cancer Center, New York, NY (N. Monga, V.L.M.); Medical College of Wisconsin, Milwaukee, Wis (N. McFarlane); University of Wisconsin-Madison School of Business, Madison, Wis (M.S., A.S.); and Clement J. Zablocki Veterans Affairs Medical Center, Milwaukee, Wis (I.A.W.)
| | - Ryan W Woods
- From the Department of Radiology, University of Wisconsin-Madison School of Medicine and Public Health, 600 Highland Ave, F6/178C, Madison, WI 53792-3252 (A.K.N., N.B., R.W.W.); Memorial Sloan Kettering Cancer Center, New York, NY (N. Monga, V.L.M.); Medical College of Wisconsin, Milwaukee, Wis (N. McFarlane); University of Wisconsin-Madison School of Business, Madison, Wis (M.S., A.S.); and Clement J. Zablocki Veterans Affairs Medical Center, Milwaukee, Wis (I.A.W.)
| | - Ian A Weissman
- From the Department of Radiology, University of Wisconsin-Madison School of Medicine and Public Health, 600 Highland Ave, F6/178C, Madison, WI 53792-3252 (A.K.N., N.B., R.W.W.); Memorial Sloan Kettering Cancer Center, New York, NY (N. Monga, V.L.M.); Medical College of Wisconsin, Milwaukee, Wis (N. McFarlane); University of Wisconsin-Madison School of Business, Madison, Wis (M.S., A.S.); and Clement J. Zablocki Veterans Affairs Medical Center, Milwaukee, Wis (I.A.W.)
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Averill SL, Woods RW, Desoky SM, Alexandre Frigini L, Chetlen AL, Oliveira AM, Desperito E, Belfi LM. NAM National Plan for Health Workforce Well-being: Applications for Radiology. Acad Radiol 2024; 31:2097-2108. [PMID: 38042622 DOI: 10.1016/j.acra.2023.10.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2023] [Revised: 10/08/2023] [Accepted: 10/10/2023] [Indexed: 12/04/2023]
Abstract
The National Academy of Medicine Plan for Health Workforce Well-Being identifies seven priority areas, including creating positive work environments, addressing burnout and stress, promoting transparency and equity in compensation, providing education and training to promote resilience, enhancing community and social support systems, addressing the stigma associated with seeking help for mental health and substance use disorders and fostering leadership commitment and accountability for workforce well-being. This paper will explore the National Plan for Health Workforce Well-Being, providing an overview of the seven priority areas and offering strategies for implementation in radiology.
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Affiliation(s)
- Sarah L Averill
- Associate Professor of Oncology and Radiology, Roswell Park Comprehensive Cancer Center, 665 Elm St, Buffalo, New York, USA (S.L.A.).
| | - Ryan W Woods
- Associate Professor of Radiology, University of Wisconsin School of Medicine and Public Health, Wisconsin, USA (R.W.W.)
| | - Sarah M Desoky
- Associate Professor of Diagnostic Radiology, OHSU, Portland, Oregon, USA (S.M.D.)
| | - L Alexandre Frigini
- Professor of Radiology, Baylor College of Medicine, Houston, Texas, USA (L.A.F.)
| | - Alison L Chetlen
- Professor of Radiology, Penn State Hershey Medical Center, Pennsylvania, USA (A.L.C.)
| | - Amy M Oliveira
- Associate Professor of Radiology, UMass Chan Medical School-Baystate, Musculoskeletal Radiology Division, Baystate Health System, Worcester, Massachusetts, USA (A.M.O.)
| | - Elise Desperito
- Associate Professor of Radiology, Columbia University, New York, New York, USA (E.D.)
| | - Lily M Belfi
- Associate Professor of Clinical Radiology, Director of Medical Student Education, Division of Emergency/ Musculoskeletal Radiology, Weill Cornell Medicine, New York, New York, USA (L.M.B.)
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Obeng K. Diversity, Equity, and Inclusion in Healthcare and Academic Radiology: A Critical Examination of Demographic Disparities in 2023. Semin Ultrasound CT MR 2024; 45:170-177. [PMID: 38401828 DOI: 10.1053/j.sult.2024.02.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/26/2024]
Abstract
Diversity, equity, and inclusion (DEI) are fundamental to a just healthcare system, yet academic radiology continues to grapple with the underrepresentation of women and underrepresented minorities (URMs). This study investigates demographic disparities within academic radiology and proposes strategies to enhance DEI. Through analysis of demographic data and a review of successful DEI initiatives, I identified a severe underrepresentation of URMs and women throughout every stage of the radiology pipeline. Challenges such as implicit bias, financial barriers, and lack of mentorship contribute to this disparity. However, promising initiatives like the Radiology Leadership Institute and the Association of University Radiologists Mentorship Program offer examples of progress in diversifying the field. To achieve true DEI in academic radiology, a multifaceted approach is essential, encompassing early outreach, financial aid, mentorship, inclusive recruitment, and a commitment to fostering a welcoming environment. Continuous evaluation and adaptation of these initiatives will pave the way for a more equitable and inclusive future in radiology.
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Affiliation(s)
- Kwaku Obeng
- Diagnostic Radiology, Department of Radiology, University of Kentucky, Lexington, KY.
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Hassankhani A, Amoukhteh M, Valizadeh P, Jannatdoust P, Walker DK, Gholamrezanezhad A. Diversity Patterns in Radiology Residency Applicants: A Comparative Study of Demographics (2013-2022). Acad Radiol 2024; 31:830-832. [PMID: 38320945 DOI: 10.1016/j.acra.2024.01.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2023] [Revised: 11/29/2023] [Accepted: 01/01/2024] [Indexed: 02/08/2024]
Affiliation(s)
- Amir Hassankhani
- Department of Radiology, Keck School of Medicine, University of Southern California (USC), Los Angeles, CA; Department of Radiology, Mayo Clinic, Rochester, MN
| | - Melika Amoukhteh
- Department of Radiology, Keck School of Medicine, University of Southern California (USC), Los Angeles, CA; Department of Radiology, Mayo Clinic, Rochester, MN
| | - Parya Valizadeh
- School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
| | - Payam Jannatdoust
- School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
| | - Daphne K Walker
- Department of Radiology, Keck School of Medicine, University of Southern California (USC), Los Angeles, CA
| | - Ali Gholamrezanezhad
- Department of Radiology, Keck School of Medicine, University of Southern California (USC), Los Angeles, CA.
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Katz S, Insogna I, Tomblinson C, Dave P, Matalon SA. Supporting Physicians through Infertility and Assisted Reproductive Technology. Radiographics 2024; 44:e230187. [PMID: 38206832 DOI: 10.1148/rg.230187] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2024]
Affiliation(s)
- Sydney Katz
- From the Department of General Internal Medicine, Division of Hospital Medicine, Weill Cornell Medical College, New York, NY (S.K.); Department of Obstetrics and Gynecology, Section of Reproductive Endocrinology and Infertility, Columbia University Medical Center, New York, NY (I.I.); Department of Radiology, Vanderbilt University Medical Center, Nashville, Tenn (C.T.); Department of Internal Medicine, Mount Sinai Health System, New York, NY (P.D.); and Department of Radiology, Division of Abdominal Imaging and Intervention, Brigham and Women's Hospital, Harvard Medical School, 75 Francis St, Boston, MA 02115 (S.A.M.)
| | - Iris Insogna
- From the Department of General Internal Medicine, Division of Hospital Medicine, Weill Cornell Medical College, New York, NY (S.K.); Department of Obstetrics and Gynecology, Section of Reproductive Endocrinology and Infertility, Columbia University Medical Center, New York, NY (I.I.); Department of Radiology, Vanderbilt University Medical Center, Nashville, Tenn (C.T.); Department of Internal Medicine, Mount Sinai Health System, New York, NY (P.D.); and Department of Radiology, Division of Abdominal Imaging and Intervention, Brigham and Women's Hospital, Harvard Medical School, 75 Francis St, Boston, MA 02115 (S.A.M.)
| | - Courtney Tomblinson
- From the Department of General Internal Medicine, Division of Hospital Medicine, Weill Cornell Medical College, New York, NY (S.K.); Department of Obstetrics and Gynecology, Section of Reproductive Endocrinology and Infertility, Columbia University Medical Center, New York, NY (I.I.); Department of Radiology, Vanderbilt University Medical Center, Nashville, Tenn (C.T.); Department of Internal Medicine, Mount Sinai Health System, New York, NY (P.D.); and Department of Radiology, Division of Abdominal Imaging and Intervention, Brigham and Women's Hospital, Harvard Medical School, 75 Francis St, Boston, MA 02115 (S.A.M.)
| | - Priya Dave
- From the Department of General Internal Medicine, Division of Hospital Medicine, Weill Cornell Medical College, New York, NY (S.K.); Department of Obstetrics and Gynecology, Section of Reproductive Endocrinology and Infertility, Columbia University Medical Center, New York, NY (I.I.); Department of Radiology, Vanderbilt University Medical Center, Nashville, Tenn (C.T.); Department of Internal Medicine, Mount Sinai Health System, New York, NY (P.D.); and Department of Radiology, Division of Abdominal Imaging and Intervention, Brigham and Women's Hospital, Harvard Medical School, 75 Francis St, Boston, MA 02115 (S.A.M.)
| | - Shanna A Matalon
- From the Department of General Internal Medicine, Division of Hospital Medicine, Weill Cornell Medical College, New York, NY (S.K.); Department of Obstetrics and Gynecology, Section of Reproductive Endocrinology and Infertility, Columbia University Medical Center, New York, NY (I.I.); Department of Radiology, Vanderbilt University Medical Center, Nashville, Tenn (C.T.); Department of Internal Medicine, Mount Sinai Health System, New York, NY (P.D.); and Department of Radiology, Division of Abdominal Imaging and Intervention, Brigham and Women's Hospital, Harvard Medical School, 75 Francis St, Boston, MA 02115 (S.A.M.)
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6
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Deville C, Charles-Obi K, Santos PMG, Mattes MD, Hussaini SMQ. Oncology Physician Workforce Diversity: Rationale, Trends, Barriers, and Solutions. Cancer J 2023; 29:301-309. [PMID: 37963363 DOI: 10.1097/ppo.0000000000000687] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2023]
Abstract
ABSTRACT This chapter will discuss (1) the rationale for physician workforce diversity and inclusion in oncology; (2) current and historical physician workforce demographic trends in oncology, including workforce data at various training and career levels, such as graduate medical education and as academic faculty or practicing physicians; (3) reported barriers and challenges to diversity and inclusion in oncology, such as exposure, access, preparation, mentorship, socioeconomic burdens, and interpersonal, structural, systemic bias; and (4) potential interventions and evidence-based solutions to increase diversity, equity, and inclusion and mitigate bias in the oncology physician workforce.
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Affiliation(s)
- Curtiland Deville
- From the Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Baltimore, MD
| | | | - Patricia Mae G Santos
- Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY
| | - Malcolm D Mattes
- Department of Radiation Oncology, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ
| | - Syed M Qasim Hussaini
- Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, Baltimore, MD
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Camargo A. Developing strategies to improve the sense of belonging and mitigate tokenism. Clin Imaging 2023; 103:109987. [PMID: 37742412 DOI: 10.1016/j.clinimag.2023.109987] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2023] [Revised: 08/30/2023] [Accepted: 09/15/2023] [Indexed: 09/26/2023]
Abstract
Despite the increase in DEI initiatives and the rising social awareness, diversity, equity, and inclusiveness are still scarce in many work environments. In the process of implementing a diverse group in the workplace and training programs, retention efforts should always follow recruitment strategies; it is crucial to establish an environment that offers recruited women and minorities a sense of belonging and inclusiveness. Literature shows that diversity and belonging benefit not only the individual, but also the organization, society, and health care system. Many strategies to foster a sense of belonging in the workplace have been suggested, including, but not limited to, mentorship, sponsorship, affinity groups, dashboards, and surveys. Leaderships should acknowledge DEI initiatives, promoting efforts to enhance inclusiveness and mitigate tokenism. Amid DEI criticism and backlash, it is important to continue to promote education and positive discussions and aim for cultural changes targeting rooted systemic racism and discrimination, which continue to impose an obstacle to DEIB achievements.
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Affiliation(s)
- Aline Camargo
- Department of Radiology and Imaging Sciences, Emory University School of Medicine, 1364 Clifton Road NE, Atlanta, GA 30322, USA.
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Beltrán Ponce S, Franco I, Paradis KC, Mattes MD. Challenges and Solutions for Establishing Robust Diversity, Equity, and Inclusion Efforts in US Academic Radiation Oncology Departments. Adv Radiat Oncol 2023; 8:101182. [PMID: 36941954 PMCID: PMC10024140 DOI: 10.1016/j.adro.2023.101182] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2023] [Accepted: 01/09/2023] [Indexed: 01/22/2023] Open
Affiliation(s)
- Sara Beltrán Ponce
- Department of Radiation Oncology, Medical College of Wisconsin, Milwaukee, Wisconsin
- Corresponding author: Sara Beltrán Ponce, MD
| | - Idalid Franco
- Department of Radiation Oncology, Brigham and Women's Hospital, Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts
| | - Kelly C. Paradis
- Department of Radiation Oncology, Michigan Medicine, Ann Arbor, Michigan
| | - Malcolm D. Mattes
- Department of Radiation Oncology, Rutgers Cancer Institute of New Jersey, New Brunswick, New Jersey
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Deville C. Perspectives on Diversity and Inclusion in Radiation Oncology: A Decade Later. Int J Radiat Oncol Biol Phys 2023; 116:203-206. [PMID: 37179078 DOI: 10.1016/j.ijrobp.2023.01.057] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2023] [Accepted: 01/30/2023] [Indexed: 05/15/2023]
Affiliation(s)
- Curtiland Deville
- Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland.
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Change Management Strategies Towards Dismantling Race-Based Structural Barriers in Radiology. Acad Radiol 2023; 30:658-665. [PMID: 36804171 DOI: 10.1016/j.acra.2023.01.035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2022] [Revised: 01/25/2023] [Accepted: 01/26/2023] [Indexed: 02/21/2023]
Abstract
Political momentum for antiracist policies grew out of the collective trauma highlighted during the COVID pandemic. This prompted discussions of root cause analyses for differences in health outcomes among historically underserved populations, including racial and ethnic minorities. Dismantling structural racism in medicine is an ambitious goal that requires widespread buy-in and transdisciplinary collaborations across institutions to establish systematic, rigorous approaches that enable sustainable change. Radiology is at the center of medical care and renewed focus on equity, diversity, and inclusion (EDI) provides an opportune window for radiologists to facilitate an open forum to address racialized medicine to catalyze real and lasting change. The framework of change management can help radiology practices create and maintain this change while minimizing disruption. This article discusses how change management principles can be leveraged by radiology to lead EDI interventions that will encourage honest dialogue, serve as a platform to support institutional EDI efforts, and lead to systemic change.
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Practical Approaches to Advancing Health Equity in Radiology, From the AJR Special Series on DEI. AJR Am J Roentgenol 2023:1-10. [PMID: 36629307 DOI: 10.2214/ajr.22.28783] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
Abstract
Despite significant advances in healthcare, many patients from medically underserved populations are impacted by existing healthcare disparities. Radiologists are uniquely positioned to decrease health disparities and advance health equity efforts in their practices. However, literature on practical tools for advancing radiology health equity efforts applicable to a wide variety of patient populations and care settings is lacking. Therefore, this article seeks to equip radiologists with an evidence-based and practical knowledge toolkit of health equity strategies, presented in terms of four pillars of research, clinical care, education, and innovation. For each pillar, equity efforts across diverse patient populations and radiology practice settings are examined through the lens of existing barriers, current best practices, and future directions, incorporating practical examples relevant to a spectrum of patient populations. Health equity efforts provide an opportune window to transform radiology through personalized care delivery that is responsive to diverse patient needs. Guided by compassion and empathy as core principles of health equity, leveraging the four pillars provides a helpful framework to advance health equity efforts as a step towards social justice in health.
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