Diversity in Internal Medicine Residency Programs: Time to Redesign the Gatekeepers and the Gate
Authors: Spencer V. Carter, Quinn Capers
Journal: Annals of Internal Medicine (2022)

EditorialsApril 2022Diversity in Internal Medicine Residency Programs: Time to Redesign the Gatekeepers and the GateSpencer V. Carter, MD and Quinn Capers IV, MDSpencer V. Carter, MDDivision of Cardiology, Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas and Quinn Capers IV, MDDivision of Cardiology, Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TexasAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M22-0121 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Racial disparities in U.S. health care have many root causes: poverty, racial discrimination in employment practices, and unequal educational opportunities are but a few, in addition to years of legal housing discrimination that resulted in communities of color being concentrated in neighborhoods lacking fresh air, clean water, green space, and access to high-quality health care facilities. Many scholars believe that a lack of diversity in the nation's physician workforce is another important driver of health care disparities (1).In their report, Liao and colleagues examine racial representation trends for applicants and matriculants into internal medicine (IM) residency programs accredited by ...References1. Institute of Medicine (US) Committee on Understanding and Eliminating Racial and Ethnic Disparities in Health Care; Smedley BD, Stith AY, Nelson AR, eds. Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. National Academies Pr; 2003. Google Scholar2. Liao J, Nishath T, Thevuthasan S, et al. Race/ethnicity trends among U.S. internal medicine residency applicants and matriculants: a cross-sectional study. Ann Intern Med. 2022;175:611-614. doi:10.7326/M21-3287 LinkGoogle Scholar3. Hartman ND, Lefebvre CW, Manthey DE. A narrative review of the evidence supporting factors used by residency program directors to select applicants for interviews. 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Zhang N, Blissett S, Anderson D, et al. Race and gender bias in internal medicine program director letters of recommendation. J Grad Med Educ. 2021;13:335-344. [PMID: 34178258] doi:10.4300/JGME-D-20-00929.1 CrossrefMedlineGoogle Scholar9. Low D, Pollack SW, Liao ZC, et al. Racial/ethnic disparities in clinical grading in medical school. Teach Learn Med. 2019;31:487-496. [PMID: 31032666] doi:10.1080/10401334.2019.1597724 CrossrefMedlineGoogle Scholar10. Crowley AL, Damp J, Sulistio MS, et al. Perceptions on diversity in cardiology: a survey of cardiology fellowship training program directors. J Am Heart Assoc. 2020;9:e017196. [PMID: 32838627] doi:10.1161/JAHA.120.017196 CrossrefMedlineGoogle Scholar11. Teherani A, Harleman E, Hauer KE, et al. Toward creating equity in awards received during medical school: strategic changes at one institution. Acad Med. 2020;95:724-729. [PMID: 32079943] doi:10.1097/ACM.0000000000003219 CrossrefMedlineGoogle Scholar12. Mullan F, Chen C, Petterson S, et al. The social mission of medical education: ranking the schools. Ann Intern Med. 2010;152:804-11. [PMID: 20547907] doi:10.7326/0003-4819-152-12-201006150-00009 LinkGoogle Scholar13. Uzendu AI, Boudoulas KD, Capers Q. Black lives matter ... in the cath lab, too! A proposal for the interventional cardiology community to counteract bias and racism. Catheter Cardiovasc Interv. 2021. [PMID: 34037303] doi:10.1002/ccd.29751 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Division of Cardiology, Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TexasDisclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M22-0121.Corresponding Author: Quinn Capers IV, MD, Division of Cardiology, Department of Internal Medicine, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390; e-mail, quinn.[email protected]edu.This article was published at Annals.org on 25 January 2022. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoRace/Ethnicity Trends Among U.S. Internal Medicine Residency Applicants and Matriculants: A Cross-Sectional Study Joanna Liao , Thamanna Nishath , Sangeetha Thevuthasan , Edwin Nieblas-Bedolla , Briana Christophers , Helene Starks , Molly Jackson , and Genevieve Pagalilauan Metrics April 2022Volume 175, Issue 4Page: 606-607KeywordsGraduate medical educationMedical educationRacial and ethnic discriminationResidency ePublished: 25 January 2022 Issue Published: April 2022 Copyright & PermissionsCopyright © 2022 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...