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Cole HA, Grimm LJ, Omofoye TS, Cooke EA, Heitkamp DE, Mills MK, Wang M, Maxfield CM, Chapman T. Women in leadership matters: Achieving diversity in radiology residency recruitment. Clin Imaging 2024; 111:110144. [PMID: 38749319 DOI: 10.1016/j.clinimag.2024.110144] [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: 01/25/2024] [Revised: 03/26/2024] [Accepted: 04/03/2024] [Indexed: 06/01/2024]
Abstract
RATIONALE AND OBJECTIVES To assess whether academic radiology departments and residency programs with efforts toward supporting and augmenting Diversity, Equity, and Inclusion (DEI) are associated with a higher proportion of residents from diverse backgrounds. MATERIALS AND METHODS Program Directors within the Radiology Residency Education Research Alliance were surveyed to gather information about program characteristics, incorporation of diversity in resident recruitment, the sponsoring department's commitment to efforts at expanding diversity, and a summary of their current and past residents, staff and faculty members (academic years 2020 and 2023) with respect to a list of diversity characteristics. RESULTS Survey response rate was 51 %. Sixty-three percent (15/24) of participating programs have departmental committees dedicated to DEI work; 46 % (11/24) of programs' departments have a Vice Chair for DEI. Sixty percent (15/24) of programs use their social media accounts to advertise their DEI programming efforts. Ninety-six percent (23/24) of programs participating in the survey use diversity factors to select candidates for their program. Women Leadership was associated with above-median diversity of residents and faculty. CONCLUSION This study of radiology residency programs encourages a more prominent role for women in leadership positions within academic radiology departments to drive diversity and inclusion efforts.
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Affiliation(s)
- Heather A Cole
- Department of Radiology and Radiologic Sciences, Vanderbilt University Medical Center, 1161 21st Ave S, Nashville, TN 37232, USA.
| | - Lars J Grimm
- Department of Radiology, Duke University School of Medicine, 40 Duke Medicine Circle, Duke South, Durham, NC 27710, USA.
| | - Toma S Omofoye
- Department of Breast Imaging, Division of Diagnostic Imaging, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 1350, Houston, TX 77030, USA.
| | - Erin A Cooke
- Department of Radiology and Radiologic Sciences, Vanderbilt University Medical Center, 1161 21st Ave S, Nashville, TN 37232, USA.
| | - Darel E Heitkamp
- Department of Radiology, AdventHealth Medical Group, 2501 North Orange Avenue, Orlando, FL 32804, USA.
| | - Megan K Mills
- Department of Radiology and Imaging Sciences, University of Utah School of Medicine, 30 N Mario Capecchi Dr., Salt Lake City, UT 84112, USA.
| | - Morlie Wang
- Department of Radiology, Cook County Health, John H. Stroger, Jr. Hospital of Cook County, 1969 W. Odgen Ave., Chicago, IL 60612, USA.
| | - Charles M Maxfield
- Department of Radiology, Duke University School of Medicine, 40 Duke Medicine Circle, Duke South, Durham, NC 27710, USA.
| | - Teresa Chapman
- Department of Radiology, University of Wisconsin School of Medicine and Public Health, 600 Highland Ave, Madison, WI 53792, USA.
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Muller WJ, Jhaveri R, Heald-Sargent T, Macy ML, Heard-Garris N, Shah S, Paquette E. A pilot recruitment strategy to enhance ethical and equitable access to Covid-19 pediatric vaccine trials. Clin Trials 2024; 21:390-396. [PMID: 38140914 DOI: 10.1177/17407745231217299] [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] [Indexed: 12/24/2023]
Abstract
BACKGROUND/AIMS The SARS-CoV-2 pandemic disproportionately impacted communities with lower access to health care in the United States, particularly before vaccines were widely available. These same communities are often underrepresented in clinical trials. Efforts to ensure equitable enrollment of participants in trials related to treatment and prevention of Covid-19 can raise concerns about exploitation if communities with lower access to health care are targeted for recruitment. METHODS To enhance equity while avoiding exploitation, our site developed and implemented a three-part recruitment strategy for pediatric Covid-19 vaccine studies. First, we publicized a registry for potentially interested participants. Next, we applied public health community and social vulnerability indices to categorize the residence of families who had signed up for the registry into three levels to reflect the relative impact of the pandemic on their community: high, medium, and low. Finally, we preferentially offered study participation to interested families living in areas categorized by these indices as having high impact of the Covid-19 pandemic on their community. RESULTS This approach allowed us to meet goals for study recruitment based on public health metrics related to disease burden, which contributed to a racially diverse study population that mirrored the surrounding community demographics. While this three-part recruitment strategy improved representation of minoritized groups from areas heavily impacted by the Covid-19 pandemic, important limitations were identified that would benefit from further study. CONCLUSION Future use of this approach to enhance equitable access to research while avoiding exploitation should test different methods to build trust and communicate with underserved communities more effectively.
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Affiliation(s)
- William J Muller
- Division of Infectious Diseases, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA
- Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
- Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
| | - Ravi Jhaveri
- Division of Infectious Diseases, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA
- Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
- Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
| | - Taylor Heald-Sargent
- Division of Infectious Diseases, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA
- Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
- Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
| | - Michelle L Macy
- Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
- Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
- Division of Emergency Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA
| | - Nia Heard-Garris
- Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
- Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
- Division of Advanced General Pediatrics & Primary Care, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA
- Mary Ann & J. Milburn Smith Child Health Outcomes, Research and Evaluation Center, Stanley Manne Children's Research Institute, Chicago, IL, USA
| | - Seema Shah
- Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
- Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
- Division of Advanced General Pediatrics & Primary Care, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA
- Mary Ann & J. Milburn Smith Child Health Outcomes, Research and Evaluation Center, Stanley Manne Children's Research Institute, Chicago, IL, USA
| | - Erin Paquette
- Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
- Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
- Division of Pediatric Critical Care Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA
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Crews DC. The Future of the US Nephrology Workforce following the End of Affirmative Action. Clin J Am Soc Nephrol 2024; 19:01277230-990000000-00363. [PMID: 38449079 PMCID: PMC11254018 DOI: 10.2215/cjn.0000000000000455] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2023] [Accepted: 03/04/2024] [Indexed: 03/08/2024]
Affiliation(s)
- Deidra C Crews
- Division of Nephrology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland; Johns Hopkins Center for Health Equity, Johns Hopkins University, Baltimore, Maryland; and Welch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins University, Baltimore, Maryland
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Persad-Paisley EM, Uriarte SA, Kuruvilla AS, Menville JE, Baranwal N, Francalancia SC, Lou MY, Zeyl VG, Rivera Perla KM, Rao V, Kalliainen LK. Examining Racial and Gender Diversity in the Plastic Surgery Pipeline: Where is the Leak? PLASTIC AND RECONSTRUCTIVE SURGERY-GLOBAL OPEN 2024; 12:e5552. [PMID: 38274104 PMCID: PMC10810573 DOI: 10.1097/gox.0000000000005552] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2023] [Accepted: 11/27/2023] [Indexed: 01/27/2024]
Abstract
Background There is limited information about minority representation throughout the plastic and reconstructive surgery (PRS) pipeline. The aim of this study was to examine trends in representation among minorities at different stages of the PRS training pathway, starting with potential candidates in high school through practicing physicians. Methods The PRS pipeline was defined as high school; college; medical school applicants, matriculants, and graduates; PRS residency applicants, matriculants, and active residents; and PRS practicing physicians. Racial data for each stage were obtained from the US Census and Association of American Medical Colleges. The proportion of races at each stage were divided by their US population counterpart proportions to produce representation quotients (RQs). Medians and interquartile ranges (IQRs) are reported. Mann-Whitney U tests compared RQ values within identities between successive stages. Results Black students had high representation in high school (RQ = 1.26 [IQR: 1.21-1.29]) but had significant, stepwise decreases in representation in subsequent stages. A similar trend was observed for Hispanic individuals, who had their highest representation in high school (1.43 [1.37-1.50]), followed by significant decreases in RQ at nearly every subsequent stage up to and including practicing physicians (0.30 [0.28-0.31). Asian individuals were overrepresented at every stage (high school RQ: 1.01 [1.00-1.03]; practicing physician RQ: 2.30 [2.27-2.32]). White individuals were underrepresented before residency but had an RQ that approximated 1 in subsequent stages. Conclusions Racial minorities experienced decreases in representation at each successive stage in the PRS pipeline following high school. Ongoing diversity efforts should focus on premedical recruitment and professional support for minority students.
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Affiliation(s)
| | - Sarah A. Uriarte
- From The Warren Alpert Medical School of Brown University, Providence, R.I
| | - Annet S. Kuruvilla
- From The Warren Alpert Medical School of Brown University, Providence, R.I
| | - Jesse E. Menville
- From The Warren Alpert Medical School of Brown University, Providence, R.I
| | - Navya Baranwal
- From The Warren Alpert Medical School of Brown University, Providence, R.I
| | | | - Mary Y. Lou
- From The Warren Alpert Medical School of Brown University, Providence, R.I
| | - Victoria G. Zeyl
- Division of Plastic and Reconstructive Surgery, University of Minnesota, Minneapolis, Minn
| | | | - Vinay Rao
- Division of Plastic Surgery, University of Pennsylvania, Philadelphia, Pa
| | - Loree K. Kalliainen
- Division of Plastic Surgery, The Warren Alpert Medical School of Brown University, Providence, R.I
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Ong MK, Norris KC. Advancing equity research in the quality of and access to health care in a post-affirmative action era. Health Serv Res 2023; 58 Suppl 3:281-283. [PMID: 38015864 PMCID: PMC10684033 DOI: 10.1111/1475-6773.14249] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2023] Open
Affiliation(s)
- Michael K. Ong
- Division of General Internal Medicine & Health Services Research, Department of Medicine, David Geffen School of MedicineUniversity of California Los AngelesLos AngelesCaliforniaUSA
- Department of Health Policy and Management, Fielding School of Public HealthUniversity of California Los AngelesLos AngelesCaliforniaUSA
- Center for the Study of Healthcare Innovation, Implementation, and Policy, Veteran Affairs Greater Los Angeles Healthcare SystemLos AngelesCaliforniaUSA
| | - Keith C. Norris
- Division of General Internal Medicine & Health Services Research, Department of Medicine, David Geffen School of MedicineUniversity of California Los AngelesLos AngelesCaliforniaUSA
- Office of Equity, Diversity, Inclusion, Department of Medicine, David Geffen School of MedicineUniversity of California Los AngelesLos AngelesCaliforniaUSA
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Hammad N, Ginsburg O. Investing in gender equality and equitable access improves outcomes. Lancet Oncol 2023; 24:1302-1304. [PMID: 37924820 DOI: 10.1016/s1470-2045(23)00521-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2023] [Accepted: 10/04/2023] [Indexed: 11/06/2023]
Affiliation(s)
- Nazik Hammad
- St. Michael's Hospital Department of Medicine, University of Toronto, Toronto, ON M5B 1W8, Canada.
| | - Ophira Ginsburg
- Centre for Global Health, US National Cancer Institute, Rockville, MD, USA
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