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Sharma S, Hillier T, Parsons M, Glanc P, Miller E, Nguyen ET, Doria AS, Dhillon S, Seely JM, Borgaonkar J, Yong-Hing CJ. Promoting Equity, Diversity, and Inclusion in Medicine: A Comprehensive Toolkit for Change in Radiology. Can Assoc Radiol J 2024; 75:323-329. [PMID: 38063367 DOI: 10.1177/08465371231214232] [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: 12/21/2023] Open
Abstract
This toolkit presents a comprehensive framework for a toolkit intended to increase equity, diversity, and inclusion (EDI) within the medical field and recommendations. We advocate for clear, comprehensive definitions and interpretations of fundamental EDI terms, laying the groundwork necessary for initiating and maintaining EDI initiatives. Furthermore, we offer a systematic approach to establishing EDI committees within medical departments, accentuating the pivotal role these committees play as they drive and steer EDI strategies. This toolkit also explores strategies tailored for the recruitment of a diverse workforce. This includes integral aspects such as developing inclusive job advertisements, implementing balanced search methods for candidates, conducting unbiased appraisals of applications, and structuring diverse hiring committees. The emphasis on these strategies not only augments the diversity within medical institutions but also sets the stage for a more holistic approach to healthcare delivery. Therefore, by adopting the recommended strategies and guidelines outlined in this framework, medical institutions and specifically radiology departments can foster an environment that embodies inclusivity and equity, thereby enhancing the quality of patient care and overall health outcomes.
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Affiliation(s)
- Sonali Sharma
- Department of Radiology, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada
| | - Tracey Hillier
- Department of Radiology and Diagnostic Imaging, University of Alberta, Edmonton, AB, Canada
| | - Marlee Parsons
- Department of Diagnostic Radiology, McGill University Health Center, Montreal, QC, Canada
| | - Phyllis Glanc
- University of Toronto, Toronto, ON, Canada
- Obstetrical Ultrasound Centre at Sunnybrook, Department of Medical Imaging, Sunnybrook Health Sciences Centre, Toronto, ON, Canada
| | - Elka Miller
- Department of Medical Imaging, University of Ottawa, CHEO, Ottawa, ON, Canada
| | - Elsie T Nguyen
- Joint Department of Medical Imaging, 33540 Toronto General Hospital, University of Toronto, Toronto, ON, Canada
| | - Andrea S Doria
- Department of Diagnostic Imaging, Research Institute, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada
| | - Sukhvinder Dhillon
- Department of Radiology and Diagnostic Imaging, University of Alberta, Edmonton, AB, Canada
| | - Jean M Seely
- Department of Radiology, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada
- Ottawa Hospital Research Institute, Ottawa, ON, Canada
| | - Joy Borgaonkar
- Department of Diagnostic Radiology, Dalhousie University, Halifax, NS, Canada
| | - Charlotte J Yong-Hing
- Department of Radiology, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada
- Diagnostic Imaging, BC Cancer, Vancouver, BC, Canada
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Khounsarian F, Abu-Omar A, Emara A, Marinescu D, Yong-Hing CJ, Ali IT, Khosa F. A trend, analysis, and solution on women's representation in diagnostic radiology in North America: a narrative review. Clin Imaging 2024; 109:110135. [PMID: 38547670 DOI: 10.1016/j.clinimag.2024.110135] [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: 12/05/2023] [Revised: 03/05/2024] [Accepted: 03/14/2024] [Indexed: 04/17/2024]
Abstract
Despite the demonstrated benefits of gender diversity in medicine, women in Radiology in North America are still underrepresented. We reviewed the literature to highlight the current status of women in Radiology in North America, identify the underlying causes of the gender gap, and provide potential strategies to close this gap. We conducted a narrative literature review using the terms ("Gender Disparity" OR "Gender Inequality") AND ("Radiology Department" OR "Radiology Residency"), searching data from April 2000 to April 2022 in Ovid Medline, Embase, PubMed, and Scopus. Our results indicate that Radiology in North America lacks gender diversity in its subspecialties, academic leadership, and research productivity, which the COVID-19 pandemic has further exacerbated. Challenges stemming from a dearth of women role models, limited preclinical contact, and a high rate of burnout contribute to the current gender inequality. Several complementary and supplementary steps can enhance gender diversity in Radiology. These include increasing education and exposure to Radiology at earlier stages and optimizing mentorship opportunities to attract a more diverse pool of talent to the discipline. In addition, supporting resident parents and enhancing the residency program's culture can decrease the rate of burnout and encourage women to pursue careers and leadership positions in Radiology.
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Affiliation(s)
| | - Ahmad Abu-Omar
- Department of Radiology, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
| | - Aida Emara
- Health Education England North East, United Kingdom
| | | | - Charlotte J Yong-Hing
- Clinical Associate Professor, Department of Radiology, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada
| | - Ismail Tawakol Ali
- Clinical Associate Professor, Department of Radiology, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada
| | - Faisal Khosa
- Clinical Associate Professor, Department of Radiology, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
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Buh A, Kang R, Kiska R, Fung SG, Solmi M, Scott M, Salman M, Lee K, Milone B, Wafy G, Syed S, Dhaliwal S, Gibb M, Akbari A, Brown PA, Hundemer GL, Sood MM. Effect and outcome of equity, diversity and inclusion programs in healthcare institutions: a systematic review protocol. BMJ Open 2024; 14:e085007. [PMID: 38637131 PMCID: PMC11029496 DOI: 10.1136/bmjopen-2024-085007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/02/2024] [Accepted: 04/02/2024] [Indexed: 04/20/2024] Open
Abstract
BACKGROUND Equity, diversity and inclusion (EDI) in the healthcare field are crucial in meeting the healthcare needs of a progressively diverse society. In fact, a diverse healthcare workforce enables culturally sensitive care, promotes health equity and enhances the understanding of various needs and patients' viewpoints, potentially resulting in more effective patient treatment and improved patient outcomes. Despite this, information on the effectiveness of policies or programmes promoting EDI in health institutions is scarce. The objective of this systematic review is to assess the effects and outcomes of EDI programmes in healthcare institutions. METHODS We will conduct Preferred Reporting Items for Systematic Reviews and Meta-Analyses-compliant systematic review of studies on EDI programmes and describe their effects and outcomes in healthcare institutions. We will search PubMed, Scopus, Web of Science, CINAHL and PsycINFO databases. Selected studies will include randomised control trials (RCTs), non-RCTs and cross-sectional studies published either in English or French. Quality appraisal of studies and a narrative synthesis of extracted data will be conducted as well as a meta-analysis if possible. The quality of evidence in this review will be assessed by the Grades of Recommendation, Assessment, Development and Evaluation. ANTICIPATED RESULTS We anticipate that this systematic review will reveal information on the effect of EDI programmes and their outcomes in healthcare institutions. We expect this information will provide insights that will lead to improvements in designing EDI policies and programmes in healthcare institutions. ETHICS AND DISSEMINATION No ethical clearance is required for this study as no primary data will be collected. The final manuscript will be submitted to a journal for publication. In addition to this, the results of the study will also be disseminated through conference presentations to inform the research and clinical practice. REVIEW REGISTRATION This protocol has been registered with the International Prospective Register of Systematic Reviews; registration number CRD42024502781.
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Affiliation(s)
- Amos Buh
- Ottawa Hospital Research Institute, Ottawa, Ontario, Canada
| | - Rachel Kang
- Ottawa Hospital Research Institute, Ottawa, Ontario, Canada
- Faculty of Health Sciences University of Ottawa, Ottawa, Ontario, Canada
| | - Rohan Kiska
- Ottawa Hospital Research Institute, Ottawa, Ontario, Canada
- Faculty of Science, Carleton University, Ottawa, Ontario, Canada
| | | | - Marco Solmi
- Ottawa Hospital Research Institute, Ottawa, Ontario, Canada
- Department of Child and Adolescent Psychiatry, Charité Universitätsmedizin, Berlin, Germany
- Department of Psychiatry, University of Ottawa, Ottawa, Ontario, Canada
- Department of Mental Health, The Ottawa Hospital, Ottawa, Ontario, Canada
| | - Mekaylah Scott
- Ottawa Hospital Research Institute, Ottawa, Ontario, Canada
- Faculty of Health Sciences University of Ottawa, Ottawa, Ontario, Canada
| | - Maria Salman
- Ottawa Hospital Research Institute, Ottawa, Ontario, Canada
- Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada
| | - Kathryn Lee
- Ottawa Hospital Research Institute, Ottawa, Ontario, Canada
- Faculty of Science, McMaster University, Hamilton, Ontario, Canada
| | - Benjamin Milone
- Ottawa Hospital Research Institute, Ottawa, Ontario, Canada
- Faculty of Science, McMaster University, Hamilton, Ontario, Canada
| | - Gamal Wafy
- Ottawa Hospital Research Institute, Ottawa, Ontario, Canada
| | - Sarah Syed
- Ottawa Hospital Research Institute, Ottawa, Ontario, Canada
- Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada
| | - Shan Dhaliwal
- Ottawa Hospital Research Institute, Ottawa, Ontario, Canada
- Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada
| | - Maya Gibb
- Ottawa Hospital Research Institute, Ottawa, Ontario, Canada
| | - Ayub Akbari
- Ottawa Hospital Research Institute, Ottawa, Ontario, Canada
| | - Pierre A Brown
- Ottawa Hospital Research Institute, Ottawa, Ontario, Canada
| | | | - Manish M Sood
- Ottawa Hospital Research Institute, Ottawa, Ontario, Canada
- Department of Medicine, University of Ottawa at The Ottawa Hospital, Ottawa, Ontario, Canada
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