Authors: Carr, PhyllisL¹; Palepu, Anita²; Szalacha, Laura³; Caswell, Cheryl⁴; Inui, Thomas⁵

Source: Medical Education, Volume 41, Number 6, June 2007 , pp. 601-609(9)

Publisher: Wiley-Blackwell

Abstract:

Objectives 

This paper aims to give voice to the lived experience of faculty members who have encountered racial or ethnic discrimination in the course of their academic careers. It looks at how they describe the environment for minorities, how they manage discrimination and what institutions and majority-member faculty can do to improve medical academe for minority members. Methods 

Qualitative techniques were used for semi-structured, in-depth individual telephone interviews, which were audiotaped, transcribed and analysed by reviewers. Themes expressed by multiple faculty members were studied for patterns of connection and grouped into broader categories. A description of the faculty sample is provided, in which respondents ranked the importance of discrimination in hindering academic advancement and used Likert scales to evaluate effects of discrimination. The sample was drawn from 12 of 24 academic medical centres in the National Faculty Survey and included 18 minority-member faculty staff stratified by gender, rank and degree who had experienced, or possibly experienced, work-related discrimination. Results 

Minority faculty described the need to be strongly self-reliant, repeatedly prove themselves, develop strong supports and acquire a wide range of academic skills to succeed. Suggested responses to discrimination were to be cautious, level-headed and informed. Confronting discriminatory actions by sitting down with colleagues and raising the level of awareness were important methods of dealing with such situations. Conclusions 

Academic medical centres may need to make greater efforts to support minority faculty and improve understanding of the challenges confronting such faculty in order to prevent the loss and/or under-utilisation of important talent.

Keywords: multicentre study [publication type]; humans; *prejudice; *research, biomedical; minority groups/*psychology; academic medical centres/*organisation & administration/ ethics; ethics, institutional; faculty, medical; ethnic groups/* psychology; attitude of health personnel; United States

Document Type: Research article

DOI: http://dx.doi.org/10.1111/j.1365-2923.2007.02771.x

Affiliations: 1: Division of General Internal Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA 2: Division of General Internal Medicine, St Paul's Hospital, University of British Columbia, Vancouver, British Columbia, Canada 3: Department of Education, Brown University, Providence, Rhode Island, USA 4: Survey Research Center, New England Research Institutes, Watertown, Massachusetts, USA 5: Regenstrief Institute for Health Care, Indiana University School of Medicine, Indianapolis, Indiana, USA

Publication date: 2007-06-01

Related content

• In this: publication
• By this: publisher
• In this Subject: Medicine (General)
• By this author: Carr, PhyllisL ;  Palepu, Anita ;  Szalacha, Laura ;  Caswell, Cheryl ;  Inui, Thomas

Website © Publishing Technology. Article copyright remains with the publisher, society or author(s) as specified within the article.

• Terms and conditions
• Privacy policy
• Information for advertisers