An Assessment of Diversity,Inclusion, and Health Equity Training in Endocrinology Fellowship Programs in the United States |
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Affiliation: | 1. Division of Endocrinology, Diabetes, and Nutrition, University of Maryland School of Medicine, Baltimore, Maryland;2. Division of Endocrinology, Diabetes and Metabolism, University of Iowa Carver College of Medicine, Iowa City, Iowa;3. Division of Endocrinology, Metabolism and Diabetes, University of Arizona College of Medicine, Phoenix, Arizona;4. Division of Endocrinology, Metabolism and Molecular Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois;5. Division of Endocrinology, Cooper University Hospital, Cooper Medical School of Rowan University, Camden, New Jersey;6. Division of Endocrinology, Diabetes and Metabolism, UConn Health, Farmington, Connecticut;7. Division of Endocrinology, Diabetes and Metabolism, Lewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania;8. Division of Endocrinology, The Lundquist Research Institute at Harbor-UCLA Medical Center, Torrance, California;9. David Geffen School of Medicine, University of California - Los Angeles, Los Angeles, California;10. Division of Endocrinology, Diabetes & Metabolism, David Geffen School of Medicine at UCLA, Los Angeles, California;11. Division of Endocrine and Metabolic Conditions, Department of Internal Medicine, Eastern Virginia Medical School, Norfolk, Virginia;12. Division of Endocrinology, Metabolism and Lipids, Emory University School of Medicine, Atlanta, Georgia;13. Division of Endocrinology, Metabolism and Diabetes, University of Colorado School of Medicine, Aurora, Colorado |
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Abstract: | ContextThe Accreditation Council for Graduate Medical Education has instituted common program requirements related to diversity, equity, and inclusion (DEI) for postgraduate trainees in the United States; however, the extent to which DEI training is being incorporated across endocrinology fellowship programs is unknown.ObjectivesTo describe the sociodemographic representation and DEI training experiences within endocrinology fellowship programs.Design, setting, and participantsNational cross-sectional survey study of fellows and fellowship program leaders in the United States whose fellowships were members of the Association of Program Directors in Endocrinology and Metabolism.Main outcome measures(1) Demographics of fellows and program leaders and (2) programs’ experience, confidence, and interest in formal DEI training.ResultsA total of 108 and 106 fellow and faculty responded to the survey, respectively. The majority of fellows and faculty are female. Less than 3% of fellows and 3.7% of faculty identify as Black. More than 90% of fellows/faculty are heterosexual and no respondents identified as transgender/nonbinary; however, 5% and 2% of all respondents preferred not to disclose their sexual orientation and gender identity, respectively. While 85% of faculty received institutional diversity and inclusion training, 67.6% of fellows did. Fellows are more likely to have received training in health equity than program leaders. Both fellows and program leaders express a high interest in health equity curriculum.ConclusionsWithin the diversity of endocrinology training programs, Black physicians are underrepresented in medicine, which persists in endocrinology fellowships. Fellowship programs express enthusiasm for national diversity and health equity curricula, with the majority of programs reporting institutional DEI training. |
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Keywords: | endocrinology fellowship diversity health equity medical education AAMC" },{" #name" :" keyword" ," $" :{" id" :" kwrd0035ab" }," $$" :[{" #name" :" text" ," _" :" Association of American Medical Colleges ACGME" },{" #name" :" keyword" ," $" :{" id" :" kwrd0035ad" }," $$" :[{" #name" :" text" ," _" :" Accreditation Council for Graduate Medical Education APD" },{" #name" :" keyword" ," $" :{" id" :" kwrd0035aff" }," $$" :[{" #name" :" text" ," _" :" associate program director APDEM" },{" #name" :" keyword" ," $" :{" id" :" kwrd0035ahh" }," $$" :[{" #name" :" text" ," _" :" Association of Program Directors in Endocrinology and Metabolism DEI" },{" #name" :" keyword" ," $" :{" id" :" kwrd003kk5a" }," $$" :[{" #name" :" text" ," _" :" diversity, equity, inclusion IMG" },{" #name" :" keyword" ," $" :{" id" :" kwrd0035ooa" }," $$" :[{" #name" :" text" ," _" :" International Medical Graduates LGB" },{" #name" :" keyword" ," $" :{" id" :" kwrd0035qqa" }," $$" :[{" #name" :" text" ," _" :" lesbian, gay, or bisexual LGBTQ" },{" #name" :" keyword" ," $" :{" id" :" kwrd0035ssa" }," $$" :[{" #name" :" text" ," _" :" lesbian, gay, bisexual, transgender, queer PD" },{" #name" :" keyword" ," $" :{" id" :" kwrd0035auu" }," $$" :[{" #name" :" text" ," _" :" program director SDoH" },{" #name" :" keyword" ," $" :{" id" :" kwrd0035axxx" }," $$" :[{" #name" :" text" ," _" :" Social Determinants of Health URM" },{" #name" :" keyword" ," $" :{" id" :" kwrd0035zzzza" }," $$" :[{" #name" :" text" ," _" :" under-represented minority |
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