Race, disadvantage and faculty experiences in academic medicine.

Abstract:

BACKGROUND:Despite compelling reasons to draw on the contributions of under-represented minority (URM) faculty members, US medical schools lack these faculty, particularly in leadership and senior roles. OBJECTIVE:The study's purpose was to document URM faculty perceptions and experience of the culture of academic medicine in the US and to raise awareness of obstacles to achieving the goal of having people of color in positions of leadership in academic medicine. DESIGN:The authors conducted a qualitative interview study in 2006-2007 of faculty in five US medical schools chosen for their diverse regional and organizational attributes. PARTICIPANTS:Using purposeful sampling of medical faculty, 96 faculty were interviewed from four different career stages (early, plateaued, leaders and left academic medicine) and diverse specialties with an oversampling of URM faculty. APPROACH:We identified patterns and themes emergent in the coded data. Analysis was inductive and data driven. RESULTS:Predominant themes underscored during analyses regarding the experience of URM faculty were: difficulty of cross-cultural relationships; isolation and feeling invisible; lack of mentoring, role models and social capital; disrespect, overt and covert bias/discrimination; different performance expectations related to race/ethnicity; devaluing of research on community health care and health disparities; the unfair burden of being identified with affirmative action and responsibility for diversity efforts; leadership's role in diversity goals; and financial hardship. CONCLUSIONS:Achieving an inclusive culture for diverse medical school faculty would help meet the mission of academic medicine to train a physician and research workforce that meets the disparate needs of our multicultural society. Medical school leaders need to value the inclusion of URM faculty. Failure to fully engage the skills and insights of URM faculty impairs our ability to provide the best science, education or medical care.

journal_name

J Gen Intern Med

authors

Pololi L,Cooper LA,Carr P

doi

10.1007/s11606-010-1478-7

subject

Has Abstract

pub_date

2010-12-01 00:00:00

pages

1363-9

issue

12

eissn

0884-8734

issn

1525-1497

journal_volume

25

pub_type

杂志文章
  • Strengthening academic generalist departments and divisions.

    abstract::Academic departments of family medicine and divisions of general internal medicine and general pediatrics exist in the majority of medical schools in the United States and have important roles in generalist medical education. The major organizational issues facing these units concern institutional influence, faculty d...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,评审

    doi:10.1007/BF02598123

    authors: Friedman RH,Alpert JJ,Green LA

    更新日期:1994-04-01 00:00:00

  • A Summary Report from the Research Partnership on Women in Science Careers.

    abstract:BACKGROUND:In response to the landmark report "Beyond Bias and Barriers: Fulfilling the Potential of Women in Academic Science and Engineering," the NIH Office of Research on Women's Health issued a request for applications that funded 14 R01 grants to investigate causal factors to career success for women in STEM. Fol...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,评审

    doi:10.1007/s11606-018-4547-y

    authors: Carr PL,Helitzer D,Freund K,Westring A,McGee R,Campbell PB,Wood CV,Villablanca A

    更新日期:2019-03-01 00:00:00

  • Cost effectiveness of HemoQuant versus Hemoccult for colorectal cancer screening.

    abstract::Initial reports on HemoQuant, a new quantitative test for occult gastrointestinal bleeding, suggest it is more sensitive than Hemoccult. Increased detection of upper gastrointestinal tract bleeding and dietary hemoglobin may reduce HemoQuant's specificity in the screening setting. The authors performed a cost effectiv...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/BF02596117

    authors: Joseph AM,Crowson TW,Rich EC

    更新日期:1988-03-01 00:00:00

  • Surviving and Thriving as Physicians in General Internal Medicine Fellowship in the Twenty-First Century.

    abstract::General internal medicine (GIM) fellowships play an important role in the development of physician scientists and clinical educators, as well as leaders in academic medicine. Nevertheless, the challenges of developing another novel aspect to one's career, along with balancing coursework, research productivity, clinica...

    journal_title:Journal of general internal medicine

    pub_type: 社论

    doi:10.1007/s11606-020-05837-8

    authors: Essien UR,Tipirneni R,Leung LB,Sterling MR

    更新日期:2020-12-01 00:00:00

  • Communication factors in the follow-up of abnormal mammograms.

    abstract:OBJECTIVE:To identify the communication factors that are significantly associated with appropriate short-term follow-up of abnormal mammograms. DESIGN:Prospective longitudinal study involving medical record review and patient survey. SETTING:Ten academically affiliated ambulatory medical practices in the Boston metro...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1525-1497.2004.30357.x

    authors: Poon EG,Haas JS,Louise Puopolo A,Gandhi TK,Burdick E,Bates DW,Brennan TA

    更新日期:2004-04-01 00:00:00

  • Nicotine dependence: a preventable risk factor for other diseases.

    abstract::Nicotine meets all critical criteria for an addictive drug. Furthermore, there is no evidence that there would be widespread compulsive use of tobacco without nicotine. These findings have led to consideration of the cigarette as a contaminated vehicle for an addictive drug (nicotine). Nevertheless, nicotine itself ma...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,评审

    doi:10.1007/BF02600847

    authors: Cohen C,Henningfield JE

    更新日期:1990-09-01 00:00:00

  • Barriers to excellent end-of-life care for patients with dementia.

    abstract::While great strides have been made recently in improving end-of-life care in the United States, people with dementia often die with inadequate pain control, with feeding tubes in place, and without the benefits of hospice care. In this paper, we discuss the most important and persistent challenges to providing excelle...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,评审

    doi:10.1111/j.1525-1497.2004.30329.x

    authors: Sachs GA,Shega JW,Cox-Hayley D

    更新日期:2004-10-01 00:00:00

  • Chaperone use by residents during pelvic, breast, testicular, and rectal exams.

    abstract::We designed a questionnaire survey to study internal medicine residents' plans to use a chaperone during the pelvic, breast, rectal, and testicular examinations. We found chaperone use by male and female residents differed markedly, and neither group planned to use chaperones universally. When examining female patient...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1046/j.1525-1497.2000.10006.x

    authors: Ehrenthal DB,Farber NJ,Collier VU,Aboff BM

    更新日期:2000-08-01 00:00:00

  • The impact of an ambulatory rotation on medical student interest in internal medicine. The Society of General Internal Medicine Task Force on Career Choice in Internal Medicine.

    abstract:OBJECTIVE:To determine whether students who take ambulatory rotations in internal medicine are more likely to choose internal medicine careers. DESIGN:National survey. SETTING AND PARTICIPANTS:The intended sample was 1,650 senior U.S. medical students from 16 medical schools, of whom 1,244 (76%) responded. Representa...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1007/BF02640362

    authors: Schwartz MD,Linzer M,Babbott D,Divine GW,Broadhead WE

    更新日期:1995-10-01 00:00:00

  • Provider Attitudes and Screening Practices Following Changes in Breast and Cervical Cancer Screening Guidelines.

    abstract:BACKGROUND:Changes to national guidelines for breast and cervical cancer screening have created confusion and controversy for women and their primary care providers. OBJECTIVE:To characterize women's primary health care provider attitudes towards screening and changes in practice in response to recent revisions in gui...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s11606-015-3449-5

    authors: Haas JS,Sprague BL,Klabunde CN,Tosteson AN,Chen JS,Bitton A,Beaber EF,Onega T,Kim JJ,MacLean CD,Harris K,Yamartino P,Howe K,Pearson L,Feldman S,Brawarsky P,Schapira MM,PROSPR (Population-based Research Optimizing Screen

    更新日期:2016-01-01 00:00:00

  • Impact of Pregnancy and Gender on Internal Medicine Resident Evaluations: A Retrospective Cohort Study.

    abstract:BACKGROUND:Pregnancy and its impact on graduate medical training are not well understood. OBJECTIVE:To examine the effect of gender and pregnancy for Internal Medicine (IM) residents on evaluations by peers and faculty. DESIGN:This was a retrospective cohort study. SUBJECTS:All IM residents in training from July 1, ...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-017-4010-5

    authors: Krause ML,Elrashidi MY,Halvorsen AJ,McDonald FS,Oxentenko AS

    更新日期:2017-06-01 00:00:00

  • Impact of echocardiography on the management of patients with mitral valve prolapse.

    abstract:OBJECTIVE:To determine whether echocardiography affects the decisions to use beta blockers or to recommend bacterial endocarditis prophylaxis in patients suspected of having mitral valve prolapse (MVP). DESIGN:Retrospective review of echocardiograms and clinical records. SETTING:Military tertiary care hospital. PATI...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/BF02600871

    authors: Olive KE,Grassman ED

    更新日期:1990-11-01 00:00:00

  • Decreasing disparities in breast cancer screening in refugee women using culturally tailored patient navigation.

    abstract:BACKGROUND:Patient navigator (PN) programs can improve breast cancer screening in low income, ethnic/racial minorities. Refugee women have low breast cancer screening rates, but it has not been shown that PN is similarly effective. OBJECTIVE:Evaluate whether a PN program for refugee women decreases disparities in brea...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-013-2491-4

    authors: Percac-Lima S,Ashburner JM,Bond B,Oo SA,Atlas SJ

    更新日期:2013-11-01 00:00:00

  • Relationship between conflicts of interest and research results.

    abstract:CONTEXT:To date, research regarding the influence of conflicts of interest on the presentation of findings by researchers has been limited. OBJECTIVE:To evaluate the sources of funding for published manuscripts, and association between reported findings and conflicts of interest. METHODS:Data from both print and elec...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1111/j.1525-1497.2004.30617.x

    authors: Friedman LS,Richter ED

    更新日期:2004-01-01 00:00:00

  • Medical risks for women who drink alcohol.

    abstract:OBJECTIVE:To summarize for clinicians recent epidemiologic evidence regarding medical risks of alcohol use for women. METHODS:MEDLINE and PsychINFO, 1990 through 1996, were searched using key words "women" or "woman," and "alcohol." MEDLINE was also searched for other specific topics and authors from 1980 through 1996...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,评审

    doi:10.1046/j.1525-1497.1998.cr187.x

    authors: Bradley KA,Badrinath S,Bush K,Boyd-Wickizer J,Anawalt B

    更新日期:1998-09-01 00:00:00

  • Provider Misinterpretation, Documentation, and Follow-Up of Definitive Urine Drug Testing Results.

    abstract:BACKGROUND:Urine drug testing (UDT) is an essential tool to monitor opioid misuse among patients on chronic opioid therapy. Inaccurate interpretation of UDT can have deleterious consequences. Providers' ability to accurately interpret and document UDT, particularly definitive liquid chromatography-tandem mass spectrome...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-019-05514-5

    authors: Chua I,Petrides AK,Schiff GD,Ransohoff JR,Kantartjis M,Streid J,Demetriou CA,Melanson SEF

    更新日期:2020-01-01 00:00:00

  • The Role of Primary Care in Improving Access to Medication-Assisted Treatment for Rural Medicaid Enrollees with Opioid Use Disorder.

    abstract:BACKGROUND:The opioid epidemic has disproportionately affected rural areas, where a limited number of health care providers offer medication-assisted treatment (MAT), the mainstay of treatment for opioid use disorder (OUD). Rural residents with OUD may face multiple barriers to engagement in MAT including long travel d...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-019-04943-6

    authors: Cole ES,DiDomenico E,Cochran G,Gordon AJ,Gellad WF,Pringle J,Warwick J,Chang CH,Kim JY,Kmiec J,Kelley D,Donohue JM

    更新日期:2019-06-01 00:00:00

  • Community volunteerism of US physicians.

    abstract:BACKGROUND:Many physicians and professional leaders agree that community participation is an important professional role for physicians. Volunteerism has also received increasing attention in the national agenda for social change. Yet little is known about physicians' community volunteer activities. OBJECTIVE:To measu...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-008-0811-x

    authors: Grande D,Armstrong K

    更新日期:2008-12-01 00:00:00

  • Clinician Referrals for Non-opioid Pain Care Following Discontinuation of Long-term Opioid Therapy Differ Based on Reasons for Discontinuation.

    abstract:BACKGROUND:Little is known about pain care offered to patients discontinued from long-term opioid therapy (LTOT) by their prescriber due to aberrant behaviors versus other reasons. OBJECTIVE:This study aimed to compare rates of non-opioid analgesic pharmacotherapy initiation and clinician referrals for non-pharmacolog...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-018-4329-6

    authors: Lovejoy TI,Morasco BJ,Demidenko MI,Meath THA,Dobscha SK

    更新日期:2018-05-01 00:00:00

  • The average lifespan of patients discharged from hospital with heart failure.

    abstract:BACKGROUND:There are no life-tables quantifying the average life-spans of post-hospitalized heart failure populations across various strata of risk. OBJECTIVE:To quantify the life-expectancies (i.e., average life-spans) of heart failure patients at the time of hospital discharge according to age, gender, predictive 30...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s11606-012-2072-y

    authors: Alter DA,Ko DT,Tu JV,Stukel TA,Lee DS,Laupacis A,Chong A,Austin PC

    更新日期:2012-09-01 00:00:00

  • Utilization and dosing of angiotensin-converting enzyme inhibitors for heart failure. Effect of physician specialty and patient characteristics.

    abstract::To determine if physician specialty is associated with underutilization and underdosing of angiotensin-converting enzyme inhibitors among patients with heart failure, we reviewed the charts of 214 outpatients with decreased systolic function at an urban academic medical center. Regardless of whether patients were care...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1046/j.1525-1497.1997.07110.x

    authors: Chin MH,Wang JC,Zhang JX,Lang RM

    更新日期:1997-09-01 00:00:00

  • Improving the nutritional resource environment for healthy living through community-based participatory research.

    abstract:OBJECTIVES:To build health promotion capacity among community residents through a community-based participatory model, and to apply this model to study the nutritional environment of an urban area to better understand the role of such resources in residents' efforts to live a healthy life. DESIGN:A multiphase collabor...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1046/j.1525-1497.2003.21022.x

    authors: Sloane DC,Diamant AL,Lewis LB,Yancey AK,Flynn G,Nascimento LM,McCarthy WJ,Guinyard JJ,Cousineau MR,REACH Coalition of the African American Building a Legacy of Health Project.

    更新日期:2003-07-01 00:00:00

  • Why Aren't More Primary Care Residents Going into Primary Care? A Qualitative Study.

    abstract:BACKGROUND:Workforce projections indicate a potential shortage of up to 31,000 adult primary care providers by the year 2025. Approximately 80 % of internal medicine residents and nearly two-thirds of primary care internal medicine residents do not plan to have a career in primary care or general internal medicine. OB...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-016-3825-9

    authors: Long T,Chaiyachati K,Bosu O,Sircar S,Richards B,Garg M,McGarry K,Solomon S,Berman R,Curry L,Moriarty J,Huot S

    更新日期:2016-12-01 00:00:00

  • Middle-aged Women's Experiences of Intimate Partner Violence Screening and Disclosure: "It's a private matter. It's an embarrassing situation".

    abstract:BACKGROUND:National guidelines indicate that healthcare providers should routinely screen women of reproductive age for experience of intimate partner violence. We know little about intimate partner violence (IPV) screening and disclosure experience among women older than reproductive age. OBJECTIVE:To examine the per...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-020-05947-3

    authors: Dichter ME,Makaroun L,Tuepker A,True G,Montgomery AE,Iverson K

    更新日期:2020-09-01 00:00:00

  • Isolated renal relapse of sarcoidosis under low-dose glucocorticoid therapy.

    abstract::Sarcoidosis is a multisystem disease of unknown etiology. Renal manifestation is rare and usually caused by hypercalcemia and nephrocalcinosis. Moreover, renal disease can occur as granulomatous interstitial nephritis (GIN), which is a histological diagnosis. We describe a case of sarcoidosis first presenting with mul...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-008-0603-3

    authors: Mayer C,Müller A,Halbritter J,Wirtz H,Stumvoll M

    更新日期:2008-06-01 00:00:00

  • Overnight Hospital Experiences for Medical Students: Results of the 2014 Clerkship Directors in Internal Medicine National Survey.

    abstract:BACKGROUND:Since the 2011 Accreditation Council of Graduate Medical Education (ACGME) work hour rules for residents were implemented, 24-30 h call for interns has been replaced by shift work, including night-float. The impact of these changes on undergraduate medical education experiences in internal medicine has not b...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-015-3405-4

    authors: Goren EN,Leizman DS,La Rochelle J,Kogan JR

    更新日期:2015-09-01 00:00:00

  • Chapter 2: medical tests guidance (2) developing the topic and structuring systematic reviews of medical tests: utility of PICOTS, analytic frameworks, decision trees, and other frameworks.

    abstract::Topic development and structuring a systematic review of diagnostic tests are complementary processes. The goals of a medical test review are to identify and synthesize evidence to evaluate the impacts alternative testing strategies on health outcomes and to promote informed decision making. A common challenge is that...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-012-2007-7

    authors: Samson D,Schoelles KM

    更新日期:2012-06-01 00:00:00

  • Impact of prospective payment and discharge location on the outcome of hip fracture.

    abstract:OBJECTIVE:To determine the impact of prospective payment by diagnosis-related groups (DRGs) on length of stay in the hospital, ambulatory status, and level of post-hospital care needed for patients hospitalized with hip fracture. DESIGN:Retrospective chart review of a consecutive series of cases before and after the r...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/BF02599687

    authors: Gerety MB,Soderholm-Difatte V,Winograd CH

    更新日期:1989-09-01 00:00:00

  • Career choice in academic medicine: systematic review.

    abstract:OBJECTIVES:To review systematically the evidence about what factors influence the decision to choose or not choose a career in academic medicine. DESIGN:A systematic review of relevant literature from 1990 to May 2005. DATA SOURCES:Searches of The Cochrane Library, Medline (using Ovid and PubMed) from 1990 to May 200...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,评审

    doi:10.1111/j.1525-1497.2006.00599.x

    authors: Straus SE,Straus C,Tzanetos K,International Campaign to Revitalise Academic Medicine.

    更新日期:2006-12-01 00:00:00

  • Impact of Healthcare Delivery System Type on Clinical, Utilization, and Cost Outcomes of Patient-Centered Medical Homes: a Systematic Review.

    abstract:BACKGROUND:As healthcare reimbursement shifts from being volume to value-focused, new delivery models aim to coordinate care and improve quality. The patient-centered medical home (PCMH) model is one such model that aims to deliver coordinated, accessible healthcare to improve outcomes and decrease costs. It is unclear...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,评审

    doi:10.1007/s11606-019-05594-3

    authors: Veet CA,Radomski TR,D'Avella C,Hernandez I,Wessel C,Swart ECS,Shrank WH,Parekh N

    更新日期:2020-04-01 00:00:00