Antiracism in Residency: A Multimethod Intervention to Increase Racial Diversity in a Community-Based Residency Program

Jessica Guh · Collette R. Harris · Frederick M. Chen · Louis Paul Gianutsos

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Diversity and Career in Medicine Innovations in Medical Education Cultural Competency in Health Care

Abstract

BACKGROUND AND OBJECTIVES: In order to address racial health inequity, it is imperative to create diverse physician workforce and leadership. We describe and report on the outcomes of a comprehensive diversity initiative at our residency with the goal of increasing the racial diversity of residents and faculty. METHODS: At a community-based family medicine residency program, we instituted a multifaceted diversity initiative. The four components were mission statement revision, a diversity task force, an antiracism curriculum, and an ongoing system to evaluate progress. RESULTS: From 2014 to 2017, the proportion of persons of color among the residents increased from 28% (10/36) to 68% (27/40). Faculty diversity increased from 9% to 27% over the same period. CONCLUSIONS: This multimethod diversity initiative dramatically increased the proportion of underrepresented and other minorities in the residency program. The intervention succeeded due to the commitment of leadership and resources to addressing racism and making diversity a top priority on an institutional level.

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2003Health Care Disparities 1999Why Are All The Black Kids Sitting Together In The Cafeteria?: And Other Conversations About Race 2002The Case For Diversity In The Health Care Workforce 2007Reducing Racial Bias Among Health Care Providers: Lessons from Social-Cognitive Psychology 1986Report of the Secretary's Task Force on Black and Minority Health.2018Levers of change: a review of contemporary interventions to enhance diversity in medical schools in the USA

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