The Majority Subsidy
Authors: Roy C. Ziegelstein, Deidra C. Crews
Journal: Annals of Internal Medicine (2019)

Ideas and Opinions3 December 2019The Majority SubsidyRoy C. Ziegelstein, MD and Deidra C. Crews, MD, ScMRoy C. Ziegelstein, MDJohns Hopkins University School of Medicine, Baltimore, Maryland (R.C.Z., D.C.C.) and Deidra C. Crews, MD, ScMJohns Hopkins University School of Medicine, Baltimore, Maryland (R.C.Z., D.C.C.)Author, Article, and Disclosure Informationhttps://doi.org/10.7326/M19-1923 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Admissions and search committees often include 1 or more diversity champions focused on recruitment of underrepresented minority (URM) students, trainees, faculty, and leaders in order to enhance diversity in medicine. It has been suggested that as a best practice for URM recruitment at medical schools, "institutions should deploy senior URM faculty, residents, and students to serve on admissions committees as recruiters, interviewers, and voting committee members" (1). Yet, despite the tireless efforts of many people, progress has been slow. In addition, this practice has created the well-known "minority tax," the disproportionate burden and resulting emotional exhaustion that many URM persons ...References1. Smedley BD, Stith AY, Colburn L, et al; Institute of Medicine (US). The Right Thing to Do, The Smart Thing to Do: Enhancing Diversity in the Health Professions: Summary of the Symposium on Diversity in Health Professions in Honor of Herbert W. Nickens, M.D. Washington, DC: National Academies Pr; 2001. [PMID: 25057572] Google Scholar2. Association of American Medical Colleges. U.S. Medical School Faculty, 2017. Supplemental Table C. Department Chairs by Department, Sex, and Race/Ethnicity. 2018. Accessed at www.aamc.org/download/486590/data/supplementaltablec.pdf on 18 August 2019. Google Scholar3. Institute for Diversity in Health Management. Diversity and Disparities: A Benchmarking Study of U.S. Hospitals in 2015. Chicago: Institute for Diversity in Health Management; 2015. Accessed at www.diversityconnection.org/diversityconnection/leadership-conferences/2016%20Conference%20Docs%20and%20Images/Diverity_Disparities2016_final.pdf on 18 August 2019. Google Scholar4. Aysola J, Barg FK, Martinez AB, et al. Perceptions of factors associated with inclusive work and learning environments in health care organizations: a qualitative narrative analysis. JAMA Netw Open. 2018;1:e181003. [PMID: 30646094] doi:10.1001/jamanetworkopen.2018.1003 CrossrefMedlineGoogle Scholar5. Capers Q, Clinchot D, McDougle L, et al. Implicit racial bias in medical school admissions. Acad Med. 2017;92:365-9. [PMID: 27680316] doi:10.1097/ACM.0000000000001388 CrossrefMedlineGoogle Scholar6. Devine PG, Forscher PS, Cox WTL, et al. A gender bias habit-breaking intervention led to increased hiring of female faculty in STEMM departments. J Exp Soc Psychol. 2017;73:211-5. [PMID: 29249837] doi:10.1016/j.jesp.2017.07.002 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Johns Hopkins University School of Medicine, Baltimore, Maryland (R.C.Z., D.C.C.)Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M19-1923.Corresponding Author: Roy C. Ziegelstein, MD, Sarah Miller Coulson and Frank L. Coulson, Jr., Professor of Medicine, Mary Wallace Stanton Professor of Education, Vice Dean for Education, Johns Hopkins University School of Medicine, Miller Research Building, 733 North Broadway, Suite 115, Baltimore, MD 21205; e-mail, [email protected]edu.Current Author Addresses: Dr. Ziegelstein: Johns Hopkins University School of Medicine, Miller Research Building, 733 North Broadway, Suite 115, Baltimore, MD 21205.Dr. Crews: Johns Hopkins University School of Medicine, 301 Mason F. Lord Drive, Suite 2500, Baltimore, MD 21224.Author Contributions: Conception and design: R.C. Ziegelstein, D.C. Crews.Drafting of the article: R.C. Ziegelstein, D.C. Crews.Critical revision of the article for important intellectual content: R.C. Ziegelstein, D.C. Crews.Final approval of the article: R.C. Ziegelstein, D.C. Crews.Administrative, technical, or logistic support: R.C. Ziegelstein.This article was published at Annals.org on 29 October 2019. 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